Practical study on the qualitative evaluation of the care services in the community

Research Project

Project/Area Number	14572207
Research Category	Grant-in-Aid for Scientific Research (C)
Allocation Type	Single-year Grants
Section	一般
Research Field	基礎・地域看護学
Research Institution	Chiba University
Principal Investigator	MIYAZAKI Misako Chiba University, School of Nursing, Professor, 看護学部, 教授 (80239392)
Co-Investigator(Kenkyū-buntansha)	ISHIKAWA Mai Chiba University, School of Nursing, Assistant, 看護学部, 助手 (20344971) MUTO Noriko Chiba University, School of Nursing, Assistant, 看護学部, 助手 (60334182) USHIO Yuko Chiba University, School of Nursing, Lecture, 看護学部, 講師 (00275322) YAMADA Yoko Chiba University, School of Nursing, Assistant, 看護学部, 助手 (50292686)
Project Period (FY)	2002 – 2003
Project Status	Completed (Fiscal Year 2003)
Budget Amount *help	¥1,700,000 (Direct Cost: ¥1,700,000) Fiscal Year 2003: ¥700,000 (Direct Cost: ¥700,000) Fiscal Year 2002: ¥1,000,000 (Direct Cost: ¥1,000,000)
Keywords	home care / quality of care services / community-based / evaluation index / evaluation method / community health nursing
Research Abstract	The purpose of this study was to identify the qualitative evaluation index and the method which enable to evaluate the care services from the community-based viewpoint and to guide the improvement of the quality of care services. Four investigations were conducted as follows and the qualitative evaluation model was identified. Investigation 1; Cooperation with public health nurses requested by home care nurses The actual cooperative case work process and the recognition of home care nurses on cooperation with public health nurses (PHNs)were interviewed. As the result, 9 subjects became clear which need the cooperation with PHNs, to improve the quality of care services. Investigation 2; Cooperation with public health nurses requested by care managers PHNs were interviewed to make clear the content of cooperation with care managers. As the result,12 subjects became clear which have some needs of the cooperation with PHNs and care managers to improve the quality of care services. Investigation 3; The role of the nurses in the Central home care support centers : Connecting with Care service members. The role to be responsible for the quality improvement of the care services, the continuity of everyday life of the residents and so on were identified. Investigation 4; The review of the literature: Cooperative activities for qualitative evaluation of community care services Through the examination of 21 literatures, the outcome of the cooperative activities to improve the quality of care services were identified. Conclusion : The qualitative evaluation model was built up through the outcome of 4 investigations. The model contained index in 3 phases, such as the subject, the action, and the outcome. It was suggested that this model will be helpful to evaluate the subjects of care condition and to guide the action to improve the quality of care. Furthermore inspection of the model in practice was needed.