Provision of Nursing on a Multifunctional small group home in an Effective Way

本研究的目的是阐明多功能儿童之家(MSGH)使用者的护理需求，并引出护士活动的报告。我们对日本各地随机选择的1000家机构的管理人员和护士进行了匿名自我报告问卷调查。还对护士进行了访谈调查。结果显示，31.8%的机构在过去3个月内对用户进行了紧急运送。护士的活动包括“了解使用者的健康状况”、“对使用者健康状况的改变作出反应”和“从护理角度向护理人员提供意见”。虽然MSGH的优势包括“提供灵活的支持”，但强调的问题是“与工作人员照顾者的合作”和“建立一个使医疗程序成为可能的系统”。这表明有必要审查将加强护理的措施。

The objective of this study was to elucidate nursing care needs of users of a multifunctional small group home (MSGH) and elicit a report of activities of nurses. We conducted anonymous self-report questionnaire surveys with managers and nurses in 1,000 randomly selected institutions throughout Japan. Interview surveys were also conducted with nurses. The results showed that 31.8% of the institutions had performed emergency transportation of users during the past three months. The activities nurses performed included "understanding health conditions of the users," "responding to changes in the users' health condition," and "giving advice to staff caregivers from a nursing viewpoint." While the advantages of MSGH included "providing flexible support," the issues highlighted were "cooperation with staff caregivers" and "establishment of a system to enable medical procedures." This indicates a need to examine measures that will enhance nursing care.