Creating a Nursing Care Administration Model for Geriatric Hospitals

打造老年医院护理管理模式

基本信息

批准号：
09470532
负责人：
NOGUCHI Miwako
金额：
$ 4.99万
依托单位：
CHIBA UNIVERSITY
依托单位国家：
日本
项目类别：
Grant-in-Aid for Scientific Research (B).
财政年份：
1997
资助国家：
日本
起止时间：
1997 至 2000
项目状态：
已结题

来源：
https://kaken.nii.ac.jp/en/grant/KAKENHI-PROJECT-09470532/
关键词：
Geriatric Hospitals Nursing Care Administration

项目摘要

This is a four-year continuous study whose purpose is to ascertain nursing care characteristics of geriatric hospitals in Japan, and create a nursing care administration model based upon these findings. On this fourth year, a focus group interview was held with the nursing administrators who we interviewed. It was followed by the conclusion of research findings.As geriatric hospitals providing long-term care, we focused and studied hospitals with beds for long-term medical care, specially-approved hospitals (hospitals focusing on care for the elderly) and mental hospitals. The quality of care received at geriatric hospitals have been improving since the introduction of hospitals focusing on care for the elderly, a large number of beds for long-term medical care and care insurance.Furthermore, the concept of team treatment has been actively practiced mainly in the area of "care". It has become apparent that this reform had been led by nursing care administrators. Therefore, we focused on these reform process when studying nursing care administration models for geriatric hospitals.Elements of such administrative models were found to fall into the following five categories :Philosophy (management, medicine, nursing, care) Needs (social needs, needs by community, patients and family) Strategy Human relations/Caring EnergyWe examined the characteristics of each element, analyzed relationships among elements and presented the "Rotational/Developmental Model" form of nursing care administration.

这是一项为期四年的连续研究，其目的是确定日本老年医院的护理特点，并根据这些发现创建护理管理模式。在第四年，我们对我们采访的护理管理人员进行了焦点小组访谈。随后对研究结果进行了总结。作为提供长期护理的老年医院，我们重点研究了有长期医疗床位的医院、特批医院（以老年护理为主的医院）和精神病院。老年医院的护理质量不断提高，以老年护理为重点的医院不断涌现，大量的长期医疗床位和护理保险不断涌现。此外，积极践行团队治疗理念，主要是在“关怀”领域。很明显，这项改革是由护理管理人员领导的。因此，我们在研究老年医院护理管理模式时，重点关注这些改革过程。我们发现，这种管理模式的要素可以分为以下五类：理念（管理、医学、护理、护理）、需求（社会需求、患者需求）社区、患者和家庭）策略人际关系/关爱能量我们检查了每个要素的特征，分析了要素之间的关系，并提出了护理管理的“轮换/发展模型”形式。