介護老人保健施設における看護職・介護職・リハビリテーション関連職の他職種に対する情報授受の認識

Awareness of Providing and Receiving Information among Nurses, Care Workers, and Rehabilitation Therapists at Health Care Facilities for the Elderly

抄録

　本研究では，介護老人保健施設の看護職160人，介護職275人，リハビリテーション関連職（以下，リハ職）99人の他職種に対する情報授受の認識を，情報内容ごとに明らかにするため自記式質問紙調査を実施した．情報は，入所者の健康や日常生活状況，機能訓練，家族介護力等9項目で構成し，項目ごとに「情報提供している（受けている）認識」の回答を4段階で求めた．情報授受の認識の分析にはWilcoxonの符号付順位検定を用いた．看護職は「入所者の健康や治療および日常生活状況」等の7項目，介護職は「入所者の健康や治療および日常生活状況やADL（日常生活動作）」等の8項目，リハ職は「入所者のADLや訓練内容」等の7項目について他職種との情報授受の認識にそごがあった．その背景として，看護職は医療職としての責任と老年看護に対する意欲が高く，介護職は安全にかつ根拠に基づいた日常生活援助を実践するため，また，リハ職は効率的にリハビリテーションを提供するためであると推察された．

　This purpose of this study was to clarify awareness of information transfer with other professional occupations among staff at health care facilities for the elderly. Self-administered questionnaires were conducted with 160 nurses, 275 care workers, and 99 rehabilitation therapists. The study focused on information such as residents' illnesses, everyday living conditions, and functional training and required participants to state their awareness of “providing (receiving) information” for each item on four levels. The Wilcoxon signed-rank test was used to analyze the participants' awareness of information transfer. Nurses' awareness of information transfer differed from that of care workers with regard to seven items, such as residents' illnesses and professional knowledge and skills, and from that of rehabilitation therapists with regard to six items, such as residents' illnesses, everyday living conditions, and family intentions. Care workers' awareness of information transfer differed from that of nurses with regard to seven items, such as residents' illnesses and everyday living conditions, and from that of rehabilitation therapists with regard to seven items, such as residents' illnesses and family intentions. Rehabilitation therapists' awareness of information transfer differed from that of nurses with regard to seven items, such as the content of residents' training and professional knowledge and skills, and from that of care workers with regard to six items, such as everyday living conditions.