Nursing Structure and Training Model for Nurse in Geriatric Health Service Facilities.

研究了老年保健服务机构在护理理论和实践方面的差异，这些机构根据住院时间和使用者回家的比率提供不同的服务。对护理管理人员进行了调查，了解他们如何看待护理在这些设施中的功能作用和实际护理实践。短期住院机构的护理管理人员建议使用社会资源。长期护理机构的护理管理人员非常重视确认临终关怀的偏好。回家率高的机构的护理管理人员与机构外的专业人员协调，教学和指导护理人员，并对环境进行调整。与设施内外的其他专业人员的协调以及教学和指导护理人员的作用对于促进居民返回家园和加强设施作为家庭护理支持者的功能非常重要。还对日本Y县一家老年人护理机构所有护理人员的自主性和教育需求进行了调查。应答率为91.6%。经验丰富的护理人员、有护理证书的护理人员和管理人员的自主权明显更高。护理人员没有高度评价他们在设施中提供的护理。他们表示希望研究目前的福利制度、痴呆症症状的管理、临终关怀和护理计划的制定。虽然家庭护理的自我评价、与机构内外其他专业人员的协调以及职业道德较低，但希望在这些领域了解更多的人并不多。

Differences in the theory and practice of nursing in Geriatric Health Service Facilities that offer different services based on the length of stay and the rate users return home were studied. Nursing administrators were surveyed on how they view the functional role of nursing and actual nursing practice in such facilities. Nursing administrators at short stay facilities recommended the use of societal resources. Nursing administrators at long-term facilities place importance on confirming end of life preferences. Nursing administrators at facilities with a high rate of returning home coordinated with professionals outside the facility, teaching and guiding caregivers and making adjustments to the environment. Coordination with other professionals both within and outside the facility and the role of teaching and guiding caretakers are of great importance in the promotion of returning residents to their homes and strengthening the function of facilities as supporters of home care.A survey of the autonomy and educational needs of all nursing staff at a care facility for elderly people in Y prefecture in Japan was also conducted. Responses were obtained from 91.6%. Autonomy was significantly higher in nursing staff with more years of experience, nursing certification and in administration. Nursing staff did not highly evaluate the care they provided in the facility. They expressed a desire to study the current welfare system, management of the symptoms of dementia, terminal care and development of care plans. Al though self-evaluation of family nursing, coordination with other professionals within and outside the facility, and professional ethics was low, there were not many who wished to learn more about these areas.