The aims of this study were to conduct a survey on middle-aged generation men and women (aged 40 to 65 years) living in the Tokyo area who were likely to use primary care at home in the near future and clarify what kind of competencies are required from nurse practitioners (tentative name) when the persons receive home care support from said nurse practitioners (tentative name).The following six items were extracted as a home care life support competencies required for nurse practitioners (tentative name) in the primary care field:
【Involvement as a nurse】, 【Support for daily care life】, 【Implementation of end-of-life care at home】, 【Ensuring support system from persons in other occupations】, 【Showing extra strength】, and 【Obtaining social consensus】
The following six items were suggested as competencies required for nurse practitioners (tentative name) : 1) Being felt as a familiar presence to the care patients and family members and being involved as a nurse who supports care life, 2) Providing care support while utilizing specialized knowledge and skills related to medical care so that the patient can continue living at home as much as possible, 3) In addition to being able to alleviate mental and physical distress by utilizing accurate knowledge and methods for end-of-life care patients, being present at the deathbed, performing certification of death, and adjusting the environment to prepare for a
peaceful death, 4) Ensuring support system from persons in multiple occupations including physicians so that the best primary care can be provided for the care patient and family members, 5) While considering concretely concerning how to divide tasks with physicians, possessing extra strengths in addition to the knowledge and skills related to home care, and 6) Realizing social consensus that the care life support by nurse practitioners (tentative name) itself is a service that can be used with peace of mind by the care patient and family members.
This study addressed the difficulty of visualizing the problems with residential-type nursing homes for the elderly (hereafter “residential-type”) by using semi-structured interviews with nurses and care workers. The interviews revealed that the workers were confused by the general expectation of the residents' families that they should provide watch-over functions even though the facility was defined as a “home” by law. This indicates that the management of residential-type should establish a collaborative system that enables workers to focus on their
work while ensuring service quality as well as maximizing worker expertise.
Evidence-based policy making (EBPM) attempts to “rationalization of public policy itself” and “rationalization of the policy process”. This paper examines these arguments through public policy studies. Then, the following four implications were obtained. First, it is necessary to understand the context which related to the formulation and implementation of public policy. Second, in realizing EBPM, we must understand the knowledge of the policy process explains how to make policy. Third, the value and conceptualization contained in politics are important. Fourth, EBPM commits to not only knowledge utilization but also generation. Taking this point into account, EBPM will lead us to more radical technocracy that has strong influences, showing how to understand our world and politics, as well as political regimes.