Study of improvingthe quality of care in residential care home from an ecological perspective

生态视角下提升养老院护理质量研究

• 批准号: 15530376
• 负责人: TAKAHAHI Seiichi
• 金额: $ 1.66万
• 依托单位: Tohoku Fukushi University
• 依托单位国家: 日本
• 项目类别: Grant-in-Aid for Scientific Research (C)
• 财政年份: 2003
• 资助国家: 日本
• 起止时间: 2003 至 2004
• 项目状态: 已结题
• 来源: https://kaken.nii.ac.jp/en/grant/KAKENHI-PROJECT-15530376/
• 关键词: Residential care home; Care for old people; Quality of care; Ecological perspective; awareness of care worker; on-the-job training; observational method; Self reflection; ケア; 高齢者; サービス評価; 痴呆; スーパーバイズ; フィードバック; ケアプラン

The aim of our research is to devise the indices of evaluating the quality of care in residential care home and how to untilize them in order to improve the quality of life of the people living in the home. For those purposes we have taken four steps. In the first step we have set up the recording system of the way residents were cared for by care workers. We have recorded the behavior of some residents in the day room from their each point of view on the five-minute interval basis about six hours in a day time and shot a video. Then we have compared the recordings with the scene of the video to improve contents of the description. In the second step we have fed hack the recordings to the care workers who had cared far and asked to compare them with the experience of their care-giving. These feed-backs brought us to think the recording system as tools by which care workers reflect their care-giving, not to build up objective indices or evaluation methods In the third step we have devised an on-the-job training program far raising awareness of a care worker that consists of a thirty-minute recording session and a thirty-minute reflecting session. In the first session some care workers observe and describe the care setting where the other care workers care for the people who have been usually cared far by them. In the second session the workers who observed communicate each other and reflect their usual care giving. In the last step we have applied this program to various settings and gained some insights of it. The reflection is subjective in itself but this program helps change implicit knowledge into explicit one and observe common features of the reflection of care workers. And the reflection was activated by making a supervisor join in reflection session. So if more research data are collected it will be possible to devise some manual far supervision far this program.

本研究的目的在于设计评估安老院照护品质的指标，以及如何运用这些指标，以改善安老院人士的生活品质。为此，我们采取了四个步骤。第一步，我们建立了看护人员照顾居民的记录系统。我们在一天中大约6个小时，以5分钟为间隔，从各个角度记录了一些居民在休息室的行为，并拍摄了一段视频。然后我们将录音与视频的场景进行对比，完善描述的内容。在第二步中，我们将这些录音提供给照顾病人的护理人员，并要求他们将录音与自己的护理经历进行比较。这些反馈让我们认为记录系统是护工反映他们的护理行为的工具，而不是建立客观的指标或评估方法。第三步，我们设计了一个在职培训计划，旨在提高护工的意识，包括30分钟的记录和30分钟的反思。在第一阶段，一些护理员观察和描述其他护理员照顾那些通常由他们照顾的人的护理环境。在第二阶段，观察的工作人员相互交流，反映他们平时的照顾。在最后一步中，我们将这个程序应用到各种设置中，并获得了一些见解。反思本身是主观的，但这个项目有助于将隐性知识转化为显性知识，并观察到护理人员反思的共同特征。反思是通过让一个主管加入反思环节来激活的。因此，如果收集更多的研究数据，将有可能对该程序设计一些人工监督。