International comparative study of the structure and service system of the care service non-profit organization

日本的特殊养老院是非营利组织，受瑞典的痴呆症和个人护理服务机构的影响很大。因此，本研究对瑞典的痴呆症和个人护理服务机构的组织结构、护理服务体系和服务管理现状进行了调查，并对调查结果进行了分析。调查的结果使以下几点变得清楚起来。(1)由于它的设计像一个带休息室和淋浴的小家，所以它可以放置在家庭护理的延长线上，也就是说，它不是单位护理的形式。日本人说。(2)关于工作人员的安排条件，由于常驻人员对一名工作人员的人数为1.2人，转为全职，所以工作人员非常多。对于员工的″燃尽″，可以说是得到了充分的考虑。(3)护理人员的工作细节与我国有很大不同。有一些工作负荷，因为洗澡是用淋浴完成的，每周执行一次。而且，它没有粪便的气味，因为在粪便完成后淋浴。因为一顿饭很节俭，有一点量的照顾。至于晚餐，因为是很早的时候安排的，很容易让员工倒班。至于排泄物的处理，因为根本不用联合卫生间，所以隐私得到了完全的保护。虽然我国一般认为换4次尿布是在24小时内完成，但实际情况并非如此。(4)工作台和日常工作的条件是可以完全获得1个月的暑假，并保证当天的一些休息时间。由于上述护理服务体系是在瑞典建立的，因此很明显，小型团体护理组织的管理是可能的。

The special nursing homes for the aged in Japan are non-profit organizations and are influenced by the dementia and personal care service organizations in Sweden strongly. So, the present condition of organization structure, care service system and service management of the dementia and personal care service organizations in Sweden were investigated, and a result of investigation was analyzed by this research. The following points became clear as a result of the investigation.(1)Because it is designed like a little home with a rest room and a shower, it can be placed on the extension line of the home care, That is to say, It is not the form of the unit care. said in Japan.(2)As for the staff member's arrangement conditions, there are many staff members very much because the number of resident to one staff is 1.2 with full-time conversion. As for staff's ″burn out″, it can be said that it is fully being considered.(3)The details of work of the care staff are very different from that of our country. There are a few working loads because the bathing which a shower was used for is done and is executed once in the week. And, it doesn't have the smell of the excrement because shower washing after the excretion is done. Because a meal is very frugal, there is a little quantity of the care. And as for the supper, because it is set up in the very early time, it is very easy to make the staff's working shift. As for the care of the excretion, because a joint rest room isn't used at all, privacy is completely kept. Reality was not so though it was considered in our country that generally the exchange of the diaper of 4 times was being done in 24 hours.(4)A working table and daily work are being put on the condition that a summer vacation for 1 month can be acquired completely and moreover some times of rests on the day can be secured.Because the above care service system was built in Sweden, it became clear that the management of the small group care organization was possible.