Departmental Bulletin Paper 介護職員の「不適切ケア」の判断の拠り所― アンケートの自由記述の分析から ―

佐藤, 弥生  ,  佐々木, 千晶

 本研究は、虐待の延長上にある「不適切ケア」について、特別養護老人ホームの介護職員が持つ判断基準の傾向を明らかにすることを目的とした。A県の介護職員にアンケートを実施し、不適切な行為か迷った際の判断基準があると回答した366 人分の自由記述を分析の対象とし、テキストマイニングにより経験年数を変数として分析を行った。経験年数5 年未満では、自分よりも経験知の高い人へ相談すること、経験年数5 年以上になると立場の置き換えや対象者の感情や表情を判断基準とし、経験年数10 年以上では、「倫理綱領」といった基準も存在していた。結論として、介護職員にはより具体的な基準を示した上での倫理強化が必要であると考えられた。
 The purpose of this study is to elucidate the criteria for the care staff of nursing homes for the elderly with regard to inappropriate care, an extension of abuse. A questionnaire survey was conducted targeting the care staff in A Prefecture and the free descriptions by 366 respondents who answered that they have criteria to turn to when they are not sure whether or not their behavior is inappropriate were analyzed via text mining with years of experience as a variable. Trends varied with the year of experience: while those with less than five years of experience tended to consult their seniors who had more empirical knowledge, those with more than five years of experience tended to judge the situation by putting themselves in the position of each care receiver or via emotional and facial expressions of the care receiver. <Conclusion> It was found that an ethical awareness among the care staff was critical and that it was required to enhance ethics among the care staff by presenting more specific criteria.

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