Risk managements and safety issues in home-care agents in Japan

日本家庭护理机构的风险管理和安全问题

• 批准号: 11672359
• 负责人: GOKAN Yoko
• 金额: $ 2.3万
• 依托单位: Gunma Prefectural College of Health Sciences
• 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-11672359/
• 关键词: visiting nurses; risk managements; questionnaires; interview research; checklists; 訪問看護; リスクマネジメンント; リスクへの対応策; リスクチェックリスト; 米国; 危険; 安全確保; 半構成的面接法; 事故; 過誤; 安全

The first aim of this study was to investigate into risk managements and safety issues of visiting nurses and community health nurses during their home visit. Based on the results, our final goal was to create a guideline for risk managements and safety issues for visiting nurses.1. Risks perceived by visiting nurses and community health nurses : Self-administered questionnaires were mailed to visiting nurses throughout the nation including community health nurses in G prefecture. The results of 1,887 nurses' responses are as follows :1) 15% of the respondents experienced a traffic accident when visiting a patient.2) Risks perceived by them were related to constructions, house structures, pets and weather conditions.3) Many of them experienced risks when being threatened or harassed by either a patient or his/her family member's abusive statements, agitations and mental confusions. 13% of them confessed that they experienced sexual hafassment at a patient's home.4) 15.4% of them experienced malpractices during their visit. They were a patient's falling down or nurses' injuring a patient's skin.2. Interviews on perceived risk managements of American home-care nurses : Nine nurses in Portland, Oregon in the USA were interviewed. The results showed that all the interviewees were prepared for risk managements during their visit through an in-house orientation or formal nursing education and they were also protected by their company insurance for a traffic accident. They perceived 'an instinct', feeling dangers, as the most important factor for their self-protection.3. Interviews with administrators of home-care agents in G prefecture : Six administrators of the agents in G prefecture revealed that they had no guidelines of risk managements. Problems are usually discussed at conferences in the agents.4. Proposal : Based on the results above, we created a checklist of risk managements for Japanese home-care nurses.

本研究的第一目的是探讨访视护士和社区卫生护士在家访时的风险管理和安全问题。基于结果，我们的最终目标是为来访护士创建风险管理和安全问题的指导方针。出诊护士和社区卫生护士感知的风险：邮寄自填问卷给全国的出诊护士，包括G县的社区卫生护士。1,887名护士的回复结果如下：1)15%的受访护士在探视病人时发生过交通事故。2)他们感知到的风险与建筑、房屋结构、宠物和天气条件有关。3)他们中的许多人在被患者或其家属的辱骂性言论、躁动和精神混乱威胁或骚扰时经历了风险。13%的人承认他们在病人家里经历过性骚扰。4) 15.4%的人在就诊过程中经历过医疗事故。他们是病人摔倒或护士伤害病人的皮肤。对美国家庭护理护士感知风险管理的访谈：对美国俄勒冈州波特兰市的9名护士进行访谈。结果表明，所有受访者在访问期间都通过内部培训或正规护理教育为风险管理做好了准备，并且他们还受到公司交通事故保险的保护。他们认为“一种本能”，即感觉到危险，是他们自我保护的最重要因素。访谈G州居家照护机构管理人员：6名G州居家照护机构管理人员表示没有风险管理指导方针。问题通常在代理商的会议上讨论。建议：基于以上结果，我们为日本家庭护理护士创建了一份风险管理清单。