Nursing Structure and Training Model for Nurse in Geriatric Health Service Facilities.

老年卫生服务机构护士的护理结构和培训模式。

基本信息

批准号：
14572271
负责人：
WATANABE Midori
金额：
$ 2.18万
依托单位：
University of Yamanashi (2003-2004)山梨医科大学 (2002)
依托单位国家：
日本
项目类别：
Grant-in-Aid for Scientific Research (C)
财政年份：
2002
资助国家：
日本
起止时间：
2002 至 2003
项目状态：
已结题

项目摘要

Differences in the theory and practice of nursing in Geriatric Health Service Facilities that offer different services based on the length of stay and the rate users return home were studied. Nursing administrators were surveyed on how they view the functional role of nursing and actual nursing practice in such facilities. Nursing administrators at short stay facilities recommended the use of societal resources. Nursing administrators at long-term facilities place importance on confirming end of life preferences. Nursing administrators at facilities with a high rate of returning home coordinated with professionals outside the facility, teaching and guiding caregivers and making adjustments to the environment. Coordination with other professionals both within and outside the facility and the role of teaching and guiding caretakers are of great importance in the promotion of returning residents to their homes and strengthening the function of facilities as supporters of home care.A survey of the autonomy and educational needs of all nursing staff at a care facility for elderly people in Y prefecture in Japan was also conducted. Responses were obtained from 91.6%. Autonomy was significantly higher in nursing staff with more years of experience, nursing certification and in administration. Nursing staff did not highly evaluate the care they provided in the facility. They expressed a desire to study the current welfare system, management of the symptoms of dementia, terminal care and development of care plans. Al though self-evaluation of family nursing, coordination with other professionals within and outside the facility, and professional ethics was low, there were not many who wished to learn more about these areas.

在老年卫生服务设施中护理理论和实践的差异，这些设施根据住院时间和用户返回家乡的速率提供了不同的服务。调查了护理管理人员如何看待护理和实际护理实践在此类设施中的功能作用。短期住宿设施的护理管理员建议使用社会资源。长期设施的护理管理员将重视生命的偏好确认。设施的护理管理人员返回家园的率很高，与设施外的专业人员协调，教学和指导护理人员并对环境进行调整。与设施内部和外部的其他专业人员的协调，教学和指导看护者的作用在促进居民返回家园并加强了作为家庭护理的支持者的功能方面非常重要。这项调查对所有护理人员在日本的护理人员的自主和教育需求进行了调查。从91.6％获得反应。具有更多多年经验，护理认证和管理的护理人员的自主权明显更高。护理人员没有高度评估他们在设施中提供的护理。他们表示希望研究当前的福利系统，痴呆症状的管理，最终护理和护理计划的发展。尽管对家庭护理的自我评估，与设施内部和外部的其他专业人员的协调以及职业伦理很低，但并不希望有更多关于这些领域的信息。