Provision of Nursing on a Multifunctional small group home in an Effective Way

摘要本研究旨在了解多功能小团体之家（MSGH）使用者的护理需求，并探讨护理人员的护理活动。我们对日本各地随机选择的1000家机构的管理人员和护士进行了匿名自我报告问卷调查。对护士也进行了访谈调查。结果表明，近3个月有31.8%的机构实施过用户应急转运。护士执行的活动包括“了解用户的健康状况”，“响应用户健康状况的变化”，以及“从护理的角度向工作人员提供建议”。虽然MSGH的优势包括“提供灵活的支持”，但突出的问题是“与医护人员的合作”和“建立医疗程序的系统”。这表明有必要研究加强护理的措施。

The objective of this study was to elucidate nursing care needs of users of a multifunctional small group home (MSGH) and elicit a report of activities of nurses. We conducted anonymous self-report questionnaire surveys with managers and nurses in 1,000 randomly selected institutions throughout Japan. Interview surveys were also conducted with nurses. The results showed that 31.8% of the institutions had performed emergency transportation of users during the past three months. The activities nurses performed included "understanding health conditions of the users," "responding to changes in the users' health condition," and "giving advice to staff caregivers from a nursing viewpoint." While the advantages of MSGH included "providing flexible support," the issues highlighted were "cooperation with staff caregivers" and "establishment of a system to enable medical procedures." This indicates a need to examine measures that will enhance nursing care.