Development of the nursing consultation system in the country area.

本研究采用问卷调查和听证调查相结合的方法，采用问卷调查的方法，对在家庭护理站、居家护理支持中心和城镇、乡镇卫生院工作的护士进行听证调查，对65人以上的城镇、乡镇卫生院护士进行听证调查，对上述应聘人员进行听证调查。特别是在听证调查中，对问题情况进行了分析。他们是护士们面临的问题或麻烦家庭。结果如下。通过问卷调查，提出了护理活动中伴随的困难、居民对公共护理保障的认识不足、家庭护理能力不足、护理能力不足、地区社会资源短缺等问题。经听证调查，问题案例有3个方面：家庭关爱力量不足、地区服务不到位、紧急情况下需要通信。需要支持的特征是与公共护理保险有关的事物，与对家庭照料力量或家庭照料运气的价值观变化有关的事物，以及与职业描述有关的合作。因此，明确了需要咨询的三种类型：实践咨询、网络咨询和政策咨询。并通过与从事直接护理工作的护士定期召开病案审查会，为从事行政委托护理工作的护士进行会诊等活动，为该地区做出贡献。

This research methods are the question paper investigation and the hearing investigation ; the question paper investigation to the nurses which works in the home nursing station and home care support center, and cities, towns and villages health center, who are installed in cities, towns and villages of 25% or more of rates of 65 ; the hearing investigation to the nurses who were able to obtain consent out of the above-mentioned candidates. Especially, in the hearing investigation the problem situation was analyzed. They were problems or troubled families that the nurses were faced. The result was as follows. About the difficulty accompanied by nursing activities, the shortage of an understanding of the residents to public nursing care assurance, a family's care lack of ability, the shortage of capability on their care offer, shortage.of the social resources of an area, etc. were raised by the question paper investigation. By the hearing investigation, the problematic cases had 3 sides as follow; family's care power is insufficient, the suitable service in an area is not securable, the correspondence in an emergency is required. The needed feature of support were the things in being related with the public nursing care insurance, being related with the change of a sense of values to the family's care power or family' care luck, and also was about cooperation with an occupational description. Therefore, it became clear that three kinds need to be consulted, practice consultation, networking consultation, and policy consultation. And we have to contribute to the area through many activities of holding of a periodical case examination meeting with the nurses which is engaged in a direct care and have the consultation to the nurses who work in the nursing job committed by administration.