Evaluation Study of Utilizing Network and Team Work Approach among Care Managers in Home-care

摘要本研究旨在探讨日本家庭照护支援中心照护管理人员的网络运用能力及团队合作方式。有两种研究方法；一种是焦点小组访谈法，另一种是邮件调查法。在日本的四个地区使用半结构化问卷对护理经理进行了四个焦点小组访谈。每期访谈6名专业背景分别为NS、SW和CW（护工）的护理经理。在征得他们同意的情况下，对访谈进行记录，并使用转录记录作为定性数据。采用总结内容分析法对数据进行分析。这些访谈于2005年1月至3月进行。主要有六个问题：建立关系网的过程；网络利用过程；给予和接受关系及其内容；网络利用困难；网络的维护或费用；网络的能力和属性…更多的工作利用率。关于网络过程，有三种网络方法：个人，组织内和组织间。大多数护理经理提供和获取他们的信息，工具支持和情感支持。护理经理试图通过不断接触、获得信任和保留信息来维持自己的人际网络。他们花了相当多的时间和精力来维护他们的网络。然而，他们联网的成本和努力没有得到充分评价。良好网络用户的能力和属性包括：作为社会工作者的价值观或信念；积极进取的态度；交际能力：建立基本人际关系的能力；协调能力;收集信息的能力；还有大量的知识。问卷调查方面，调查对象为998名家庭护理支持中心的护理经理。该调查于2006年1月至2月通过邮件进行。项目是根据焦点小组访谈的结果创建的，这些项目是关于团队合作、网络、工作满意度、倦怠、自我效能和社会人口变量的。我们现在使用因子分析、回归分析和结构方程模型来分析数据。少

The purpose of this research was to evaluate competence of network utilization and team work approach among care managers in home-care support center in Japan. There were two research methods; one was focus group interview method and the other was mail survey method.Four focus group interviews with care managers were performed using a semi-structured questionnaire in four regions in Japan. Six care managers whose professional backgrounds were NS, SW, and CW (care worker) were interviewed in each session. With their consent, the interview was recorded, and transcribed records were used as the qualitative data. The data was analyzed by the summarizing content analysis method. These interviews were implemented from January through March in 2005. There were six main questions: the process of networking; the process of network utilization; give-and-take relationships and its content; difficulties of network utilization; maintenance or costs of networks; and competence and attributes of netw … More ork utilization. With regard to the process of networking, there were three methods of networking: individual, intra-organizational, and inter-organizational. Most of care managers give and take their information, instrumental supports and emotional supports. Care managers tried to maintain their own networks by constant contacts, gaining credibility, and keeping information. They spent quite a lot of time and effort to maintain their networks. However, the cost and effort of their networking were not evaluated sufficiently. Competence and attributes of good network users were as follows: values or beliefs as social workers; positive and aggressive attitudes; ability of making basic human relationships; coordination ability; ability of gathering information; and large mounts of knowledge.With regard to questionnaire research, the subjects were 998 care managers in home care support center. The survey was conducted by mail in January, through February 2006. Items were created based on the results of focus group interviews and those items were about team work, network, job satisfaction, burnout, self-efficacy, and socio-demographic variables. We are now analyzing data using factor analyses, regression analyses, and structural equation modeling. Less