Ethical Decision-Making in Progress in Mailing Care Service Plan for the Elderly

我使用了两种方法，基于定量数据和定性数据，对护理管理者的伦理困境经历进行了分析和研究。一种方法是，我向居住在爱知县x市的居家护理管理企业家发放问卷，35名企业家中有27名（77.1%）的35人给出了有效的回答。（回收率34.3%）....(l)另一种方法包括29名护理经理，他们属于22名居家护理管理企业家，挨家挨户地进行访谈....(2)我将(1)和(2)中出现的相同问题汇总，并根据这64个人的数据进行分析。为了解释护理管理中“伦理困境”的强制性因素的经验，对从属变量“伦理困境”的点进行了多元回归分析。结果表明，护理管理者的特征(性别、年龄、教育背景和（更多资格）以及所属机构的就业特征（就业形式和组织形式）似乎并不影响它作为解释“道德困境”经历的变量。然而，护理管理活动的自我评价有上升和下降的影响。结果是，社会工作在参与、合作、适应多元系统、从联络关怀管理到行政/指导工作必不可少的适应等需要社会工作能力的活动中，自我评价较低，经历的伦理困境较多。在被雇佣组织的特征中，“在其职责范围内的案件数量过多”和“组织支持组织的不足”可以成为解释“道德困境”经验高度的变量。为了补充定量数据的分析结果，我从管理者的开放式回答中抽取了“道德困境”的具体例子并进行了分析。从结果可以指出在制度和制度背景下的选择与护理管理者的主观和规范判断之间的关系。少

I used 2 kinds of methods to obtain a result of analysis and research on experience of the ethical dilemmas' of care managers based on quantitative data and qualitative data. One method was that I distributed questionnaires to in-home care management entrepreneurs who lived in X-shi in Aichi-ken and I received effective answers from 35 people from 27 entrepreneurs out of 35 entrepreneurs (77.1 %). (The collection rate was 34.3 %)....(l) The other method consisted of 29 care managers who belonged to 22 in-home care management entrepreneurs going from door to door and using an interview....(2) I totaled the same questions appearing in both (l) and (2), and analyzed, based on the data from these 64 people.To explain the experience of the compulsory factor of 'ethical dilemmas' at care management, multiple regression analysis stating the points of 'ethical dilemmas' the subordinate variable was performed As a result, the care managers characteristics (sex, age, educational background and q … More ualifications) and the affiliation agency's employment characteristics (employment form and organization form) didn't seem to affect it as a variable which explains the experience of 'ethical dilemmas'. However, there was an affect by rise and fall of 'self-valuation of care management activities. The result is that, lower the self-valuation on the activity which needs ability of social work, including the participation, cooperation, and adjustment to a plural system, from liaison care management to adjustment which is indispensable for administrative/instructive work, more ethical dilemmas they have experienced. In the characteristic of an employed organization, 'excess of the number of the cases in their duty' and 'the insufficiency of the support organization of an organization' can become a variable explaining the height of experience of 'ethical dilemmas'.In order to complement the analysis result of quantitative data, I exit-acted the concrete examples of 'ethical dilemmas' from open-end answers from the managers and analyzed them. From the result the relationship between the selection in the institutional and systematic context and care managers' subjective and normative judgment was able to be pointed out. Less