Development of Nursing Management Method to Improve Work Ability

本研究通过芬兰职业卫生研究所基于工作能力模型的规划、实施、评估和安排，探索提高护士工作能力的有效方法。在某大学A医院，在护士长和护士长自愿参与下，为建立舒适的工作场所进行协同干预，通过管理和教育提升工作能力。我们试图开发几种方法来产生利润率：“yutori”，但改善的结果和水平在不同的工作单位(2004-2005年的研究)不同。我们从管理干预的角度重建了我们的愿景，特别是在整个护理组织中，并加强了这一计划的注入。但要实现这一新愿景太难了。由于对本研究的定位和意义的确认不足，我们探索了未来活动的可能性。干预中发现了两个需求。一种方法是针对每个工作单位的特点进行理念和实践，另一种方法是为整个护理组织制定计划。提出了工作场所单位间加强沟通、澄清现场有效性等具体行动问题。开展了第三次工作能力指数调查。结果表明，研究结果如下。与2004年相比，2006年的WAI得分有提高的趋势。但2007年的WAI得分恶化到2004年的得分。我们的活动对护士的总体工作能力的影响并不确定。(257字)

This research explored to effective methods to improve nurses' work ability through planning, implementation, evaluation, and arrangements based on Work Ability Model by Finnish Institute of Occupational Health.In a university hospital A, we made collaborative intervention for establishing a comfortable workplace with the voluntary participation of directors of nursing and chief nurses to promote work ability through management and education. We tried to develop several methods to produce margin:"yutori," but result and level of improvement differed among workplace units (research in 2004-2005).We rebuilt our vision from the point both of intervention through management especially in the nursing organization as a whole, and enhancement of this program to be infused. But it was too difficult to make the new vision. Because confirmation both of the positioning and the meaning of this research was insufficient, we explored the possibilities for future activities.Two needs were found in the intervention. One method was the idea and practice responded to characteristics of each workplace unit, and the other one was to develop a plan for the nursing organization as a whole. We proposed the concrete action issues, such as enhancement of communication among workplace units, and clarification validity in the field.We carried out the third Work Ability Index survey. The outcome showed the following results. WAI score in 2006 had a tendency to be improved compared with the score in 2004. But WAI score in 2007 deteriorated to the score in 2004. The effect of our activities was not certain in the total work ability of the nurses. (257words)