Ethical Decision-Making in Progress in Mailing Care Service Plan for the Elderly

采用定量数据和定性数据相结合的方法，对护理管理者的伦理困境体验进行了分析研究。一种方法是发放问卷给居住在爱知县西市的居家照护管理创业者，并从35位创业者中的27位创业者(77.1%)中回收35人的有效问卷。(收集率为34.3%)……(L)另一种方法由来自22位居家护理管理企业家的29名护理经理组成，他们挨家挨户走访并接受采访……(2)我汇总了(L)和(2)中出现的相同问题，并根据这些人的数据进行了分析。为了解释护理人员在护理管理中的强制因素，用多元回归分析的方法说明了护理人员在护理管理中的伦理困境点，并对从属变量(性别、年龄、性别)进行了分析教育背景和Q…更多的例证)和从属机构的雇佣特征(雇佣形式和组织形式)似乎没有影响它作为一个变量来解释“伦理困境”的经历。然而，护理管理活动的自我评价受其兴衰的影响。结果是，对需要社会工作能力的活动的自我评价较低，包括对参与、合作和适应的多元化，从联络关怀管理到对行政/指导工作不可或缺的调整，他们经历了更多的伦理困境。在受雇组织的特点中，“职场案例数量过多”和“组织支持机构不足”可以成为解释“伦理困境”体验高度的变量。为了补充量化数据的分析结果，我从管理者的开放式回答中引出了“伦理困境”的具体例子并进行了分析。从结果可以看出，制度和系统背景下的遴选与护理管理者的主观和规范性判断之间的关系。较少

I used 2 kinds of methods to obtain a result of analysis and research on experience of the ethical dilemmas' of care managers based on quantitative data and qualitative data. One method was that I distributed questionnaires to in-home care management entrepreneurs who lived in X-shi in Aichi-ken and I received effective answers from 35 people from 27 entrepreneurs out of 35 entrepreneurs (77.1 %). (The collection rate was 34.3 %)....(l) The other method consisted of 29 care managers who belonged to 22 in-home care management entrepreneurs going from door to door and using an interview....(2) I totaled the same questions appearing in both (l) and (2), and analyzed, based on the data from these 64 people.To explain the experience of the compulsory factor of 'ethical dilemmas' at care management, multiple regression analysis stating the points of 'ethical dilemmas' the subordinate variable was performed As a result, the care managers characteristics (sex, age, educational background and q … More ualifications) and the affiliation agency's employment characteristics (employment form and organization form) didn't seem to affect it as a variable which explains the experience of 'ethical dilemmas'. However, there was an affect by rise and fall of 'self-valuation of care management activities. The result is that, lower the self-valuation on the activity which needs ability of social work, including the participation, cooperation, and adjustment to a plural system, from liaison care management to adjustment which is indispensable for administrative/instructive work, more ethical dilemmas they have experienced. In the characteristic of an employed organization, 'excess of the number of the cases in their duty' and 'the insufficiency of the support organization of an organization' can become a variable explaining the height of experience of 'ethical dilemmas'.In order to complement the analysis result of quantitative data, I exit-acted the concrete examples of 'ethical dilemmas' from open-end answers from the managers and analyzed them. From the result the relationship between the selection in the institutional and systematic context and care managers' subjective and normative judgment was able to be pointed out. Less