Development of the nursing consultation system in the country area.

农村地区护理咨询体系建设。

• 批准号: 11672341
• 负责人: HARA Reiko
• 金额: $ 2.11万
• 依托单位: Fukushima Medical University
• 依托单位国家: 日本
• 项目类别: Grant-in-Aid for Scientific Research (C)
• 财政年份: 1999
• 资助国家: 日本
• 起止时间: 1999 至 2001
• 项目状态: 已结题
• 来源: https://kaken.nii.ac.jp/grant/KAKENHI-PROJECT-11672341/
• 关键词: country area; Aging; Support system; Networking; 保健・医療・福祉・連携; 保健医療福祉連携

This research methods are the question paper investigation and the hearing investigation ; the question paper investigation to the nurses which works in the home nursing station and home care support center, and cities, towns and villages health center, who are installed in cities, towns and villages of 25% or more of rates of 65 ; the hearing investigation to the nurses who were able to obtain consent out of the above-mentioned candidates. Especially, in the hearing investigation the problem situation was analyzed. They were problems or troubled families that the nurses were faced. The result was as follows. About the difficulty accompanied by nursing activities, the shortage of an understanding of the residents to public nursing care assurance, a family's care lack of ability, the shortage of capability on their care offer, shortage.of the social resources of an area, etc. were raised by the question paper investigation. By the hearing investigation, the problematic cases had 3 sides as follow; family's care power is insufficient, the suitable service in an area is not securable, the correspondence in an emergency is required. The needed feature of support were the things in being related with the public nursing care insurance, being related with the change of a sense of values to the family's care power or family' care luck, and also was about cooperation with an occupational description. Therefore, it became clear that three kinds need to be consulted, practice consultation, networking consultation, and policy consultation. And we have to contribute to the area through many activities of holding of a periodical case examination meeting with the nurses which is engaged in a direct care and have the consultation to the nurses who work in the nursing job committed by administration.

本研究采用问卷调查和听证调查相结合的方法，对在家庭护理站、家庭护理支持中心和市、镇、村卫生院工作的护士进行问卷调查，调查对象为25%以上的市、镇、村的65名护士;对上述候选人中能够获得同意的护士进行听证调查。特别是在听证调查中，分析了存在的问题情况。他们是护士面临的问题或麻烦的家庭。结果如下。通过问卷调查，提出了护理活动中存在的困难，如居民对公共护理保障的认识不足、家庭护理能力不足、提供护理能力不足、地区社会资源不足等。经听证调查，问题个案主要有三个方面：家庭照顾力不足、区域内适当服务得不到保障、紧急情况下需要通信。支持需求的特质为与公共护理保险相关、与家庭照顾力或家庭照顾运气价值观改变相关、与职业描述相关。因此，很明显，需要进行三种咨询，即实践咨询、网络咨询和政策咨询。我们必须通过与从事直接护理的护士举行定期病例审查会议的许多活动为该地区做出贡献，并向从事管理工作的护士提供咨询。