Conflicts between nursing profession and caring profession in a community care system and a course of getting rid of them

要有效、高效地构建社区护理体系，必须将公共卫生、医疗、福利三大体系更加紧密地联系起来。尤其是护士和护理人员之间的关系更为重要。调查发现，46.2%的公共卫生护士对病例最感困难，67.8%的探视护士对病例感到困难，67.6%的公共卫生护士对家政服务感到困难，7.3%的公共卫生护士认识到对家政服务的冲突，3.7%的公共卫生护士对家政服务感到困难。从访问护士来看，34%的人提供居家帮助，10.4%的人提供公共卫生服务。同样，26.3%的家庭助理员是探访护士，5.8%的家庭助理员是公共卫生护士。冲突的类别主要集中在探访护士和家务助理员之间。对于这些困难的内容，访问护士指出缺乏职业道德，机关之间和类别之间的关系不完善。另一方面，家庭帮手表示，这是医疗服务的请求，是一个鲜为人知的商业领域。作为解决这些困难的措施，走访护士回答说，他们正在举行病例会议和道德提高。而家政助理员则询问访港护士对家政服务角色的认识，并召开个案会议，建议访港护士和家政助理员有必要聚集在一个大厅内，接受持续教育。

To build a community care system effectively and efficiently, it is necessary to make a closer connection among 3 systems of public health, medical care and welfare. And especially, it is more important between nurses and care workers. However, we have difficulties between them.In this study, we investigated problems and measures to them that public health nurses, visiting nurses and home helps had in their own occupational category.In this investigation, 46.2% of public health nurses felt difficulties most to cases, 67.8% of visiting nurses to families of cases and 67.6% of home helps to cases.And 7.3% of public health nurses recognized conflicts to home helps and 3.7% of them to visiting nurses. From visiting nurses, 34% of them to home helps and 10.4% to public health nurses. In the same way, 26.3% of home helps to visiting nurses and 5.8% of them to public health nurses.Conflicts of categories were mostly seen between visiting nurses and home helps. About contents of these difficulties, visiting nurses pointed out lack of occupational morality and imperfection of relationship between organs and between categories. On the other hand, home helps said they were requests of medical care and an obscure business field. As measures to these difficulties, visiting nurses answered that they were holding case conferences and improvement of morality. And home helps were asking visiting nurses for understanding of home help's role and holding case conferences.The above gave a suggestion that it is necessary for visiting nurses and home helps to gather in a hall and to get a continuous education.