Verification of case conferences aimed at improving self-efficacy through collaboration between caseworkers employed at social welfare offices and public health nurses

2024 Fiscal Year Final Research Report

• Project/Area Number: 19K11108
• Research Category: Grant-in-Aid for Scientific Research (C)
• Allocation Type: Multi-year Fund
• Section: 一般
• Review Section: Basic Section 58080:Gerontological nursing and community health nursing-related
• Research Institution: Yamagata University
• Principal Investigator: AKAMA YUMI 山形大学, 医学部, 准教授 (90700021)
• Co-Investigator(Kenkyū-buntansha): 森鍵 祐子 山形大学, 医学部, 教授 (20431596) ; 小林 淳子 仙台青葉学院大学, 看護学部, 教授 (30250806) ; 大沼 由香 岩手保健医療大学, 看護学部, 教授 (30597381)
• Project Period (FY): 2019-04-01 – 2025-03-31
• Keywords: 生活保護現業員 / 保健師 / 連携 / 協働 / 生活保護受給者支援

Outline of Final Research Achievements

This study, conducted in a city in Japan’s Tohoku region, aimed to clarify the current state of cooperation between caseworkers at social health offices and public health nurses .Interviews were conducted with organizations where public health nurses are assigned to social health offices, serve as caseworkers, or collaborate between welfare and health departments. Cases involving mental health or maternal and child care were cited as requiring especially close coordination. Building interdepartmental relationships was seen as key to collaboration, though such relationships are affected by personnel and system changes. Participants emphasized the importance of timely responses to promote cooperation. Establishing mechanisms for mutual understanding and information sharing will be essential in the future.

Free Research Field

公衆衛生看護

Academic Significance and Societal Importance of the Research Achievements

生活保護受給者が抱える健康問題が複雑困難化している状況から、単独部門だけでの対応は難しく、効果的な連携・協働が実態から、それぞれの部門に期待される役割や両部門で関わるメリットは大きく、生活保護受給支援の質が高まることが期待できる。また生活保護現業員、保健師ともに支援に受給者支援に携わる支援者側の疲弊が課題であり、本研究成果が示す役割の明確化や相互理解の促進は支援者の精神的な負担軽減や離職防止にも寄与すると考える。