介護保険施設の管理者による看護職と介護職の協働・連携を円滑にするための実践

Practice for Support-collaboration and Cooperation among Nurses and Care Workers in Long-term Care Insurance Facilities Managers

抄録

　本研究の目的は，介護保険施設の管理者が行う看護職と介護職の協働・連携を円滑にするための実践を明らかにすることである．介護保険施設の管理者5人に60〜90分の半構造化面接を実施し質的記述的に分析した．結果，管理者による看護職と介護職の協働・連携を円滑にするための実践として，10サブカテゴリーが抽出され，【専門性を踏まえ積極的に関係を築く】【協働・連携を阻む溝を埋める】【看護職に介護保険施設における組織社会化を促す】の3カテゴリーに分類された．管理者は，看護職と介護職の知識や役割をめぐる関係性の溝に働きかけながら協働・連携を支援していた．そして，看護職に積極的な協働・連携の姿勢を期待していることが示唆された．

　This research was conducted to clarify the management practices used by the managers of long-term care insurance facilities to enable nurses and care workers to cooperate and work collaboratively. Five managers of long-term care insurance facilities participated in semi-structured interviews for 60-90 min. Their responses were analyzed qualitatively and descriptively. This analysis generated 10management strategy sub-categories.

　These sub-categories were grouped further into three categories: “Build relationships based on expertise,” “bridge the gap separating occupations,” and “Encourage nurses to be organized at long-term care insurance facilities.” Long-term care insurance facility managers support collaboration and cooperation among nurses and care workers through facilitative management: building mutually supportive interpersonal relationships by coordinating different opinions of nurses and care workers and achieving consensus. Results suggest that they expect active collaboration and cooperation among nurses.