Conflicts between nursing profession and caring profession in a community care system and a course of getting rid of them

社区护理体系中护理职业与照护职业的冲突及化解之路

• 批准号: 13672460
• 负责人: OKI Toshiko
• 金额: $ 2.62万
• 依托单位: Kagoshima University
• 依托单位国家: 日本
• 项目类别: Grant-in-Aid for Scientific Research (C)
• 财政年份: 2001
• 资助国家: 日本
• 起止时间: 2001 至 2002
• 项目状态: 已结题
• 来源: https://kaken.nii.ac.jp/grant/KAKENHI-PROJECT-13672460/
• 关键词: Community care system; Public health nurse; Visiting nurse; Home help; Case; Family; Difficulty; Measures; 看護職; 介護職; ホーム・ヘルパー; 保健婦; 訪問看護婦; 葛藤; 克服

To build a community care system effectively and efficiently, it is necessary to make a closer connection among 3 systems of public health, medical care and welfare. And especially, it is more important between nurses and care workers. However, we have difficulties between them.In this study, we investigated problems and measures to them that public health nurses, visiting nurses and home helps had in their own occupational category.In this investigation, 46.2% of public health nurses felt difficulties most to cases, 67.8% of visiting nurses to families of cases and 67.6% of home helps to cases.And 7.3% of public health nurses recognized conflicts to home helps and 3.7% of them to visiting nurses. From visiting nurses, 34% of them to home helps and 10.4% to public health nurses. In the same way, 26.3% of home helps to visiting nurses and 5.8% of them to public health nurses.Conflicts of categories were mostly seen between visiting nurses and home helps. About contents of these difficulties, visiting nurses pointed out lack of occupational morality and imperfection of relationship between organs and between categories. On the other hand, home helps said they were requests of medical care and an obscure business field. As measures to these difficulties, visiting nurses answered that they were holding case conferences and improvement of morality. And home helps were asking visiting nurses for understanding of home help's role and holding case conferences.The above gave a suggestion that it is necessary for visiting nurses and home helps to gather in a hall and to get a continuous education.

要建立一个有效的社区照顾体系，必须使公共卫生、医疗和福利三大体系之间的联系更加紧密。尤其是，护士和护理人员之间的关系更为重要。本研究调查了公共卫生护士、探访护士和家政服务员在各自职业类别中存在的问题及应对措施，调查中46.2%的公共卫生护士对病例的处理最有困难，67.8%的护士与病人家属发生过冲突，67.6%的护士与病人家庭发生过冲突，7.3%的护士与病人家庭发生过冲突，3.7%的护士与护士发生过冲突。从出诊护士中，有34%的人选择了家务助理，10.4%的人选择了公共卫生护士。同样，26.3%的人选择上门服务，5.8%的人选择公共卫生护士。在困难的内容上，访视护士认为主要是职业道德缺失、器官间关系不完善、类别间关系不健全。另一方面，家庭佣工说，他们是医疗服务和一个模糊的商业领域的要求。针对这些困难，访视护士回答说，他们正在举行病例会议和提高道德。而家务助理则要求探访护士了解家务助理的角色，并举行个案会议，建议探访护士与家务助理有必要聚在一个大厅，接受持续教育。