Introduction and Theorization of Risk Management on Users with Dementia at Long-term Care Insurance Facilities

长期护理保险机构痴呆症用户风险管理的介绍和理论化

基本信息

批准号：
14370815
负责人：
NOGUCHI Miwako
金额：
$ 4.93万
依托单位：
Jichi Medical School
依托单位国家：
日本
项目类别：
Grant-in-Aid for Scientific Research (B)
财政年份：
2002
资助国家：
日本
起止时间：
2002 至 2005
项目状态：
已结题

项目摘要

We performed a nationwide survey based on documents study, interviews, and information exchange at academic conferences concerning actual status of risks and the risk management related to users with dementia at long-term care insurance facilities (in FY2002-2003), and implemented intervention study in four facilities (in FY2004-2005) after understanding actual status and creating a theoretical framework for the intervention.Though details of the intervention vary depending on the conditions of each facility, we provided following common supports : 1)support to enhance mutual understanding among the staffs by increasing on-hand information (including knowledge, and methodology) of care takers ; 2)support to improve understanding of the relationship between users' safety, comfort, satisfaction, ability exertion and care provided by sharing support case analysis and incident reports, and 3)support for the development of a risk management system. Such supports were provided as basics of c … More aring.One effect of the intervention was reduction of accidents such as falls, aspiration and/or asphyxiation, and infection. Even when no reduction was observed, the staffs realized that they could prevent such accidents ; they can take measures in the event of such accidents, and such accidents are not insoluble issues any more. Changes in care takes' awareness were also observed, with more active commitments to "implementation of care related to risk management", "care for users with dementia", and "becoming an agent to drive the team". We believe that the changes intended by the reserchers were brought about through the interventions.The relationship between each intervention of researchers and its effect were analyzed, reviewed, and illustrated as risk management theory (FY2005). We believe that facility managements can intentionally implement such intervention, as risk management activities for users with dementia and such intervention will contribute to improve risk management quality. Less

针对长期护理保险机构中痴呆症使用者的风险现状和风险管理（2002-2003年度），通过文献研究、访谈、学术会议信息交流等方式，在全国范围内进行了调查，并实施了干预研究。在了解实际状况并创建干预的理论框架后，在四个设施中（2004-2005财年）进行了干预。虽然干预的细节根据每个设施的条件而有所不同，但我们提供了以下共同支持：1）支持以加强相互通过增加护理人员的现有信息（包括知识和方法），提高员工之间的理解；2）通过共享支持案例分析和支持，提高对用户安全、舒适、满意度、能力发挥和所提供护理之间关系的理解；事件报告，以及 3）对风险管理系统开发的支持。提供此类支持作为预防的基础。干预的一个效果是减少跌倒、误吸和/或窒息以及感染等事故。即使没有观察到减少，员工们意识到，可以预防此类事故；发生此类事故时，可以采取措施，此类事故不再是无法解决的问题；护理意识也发生了变化，更加积极地致力于“落实护理”。与风险管理”、“关爱痴呆症用户”、“成为团队驱动者”等相关的内容。我们相信，研究者想要的改变是通过干预带来的。研究者的每一次干预与它的关系效果进行了分析、审查和说明作为风险管理理论（2005 财年），我们认为设施管理人员可以有意识地实施此类干预，因为痴呆症用户的风险管理活动将有助于提高风险管理质量。