{"created":"2023-06-19T06:41:47.037694+00:00","id":135,"links":{},"metadata":{"_buckets":{"deposit":"f31e052b-77c9-496a-adf7-1d4bcfeb2424"},"_deposit":{"created_by":2,"id":"135","owners":[2],"pid":{"revision_id":0,"type":"depid","value":"135"},"status":"published"},"_oai":{"id":"oai:opcnr.repo.nii.ac.jp:00000135","sets":["1:18"]},"author_link":["229","268","211"],"item_10002_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2010-03","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"11","bibliographicPageEnd":"30","bibliographicPageStart":"25","bibliographic_titles":[{"bibliographic_title":"沖縄県立看護大学紀要"},{"bibliographic_title":"Journal of Okinawa Prefectural College of Nursing","bibliographic_titleLang":"en"}]}]},"item_10002_description_5":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"【目的】ケアマネジメントに不満を訴える事例の事例検討から、ケアマネジャーの援助技術向上のための役割を再考する。【方法】対象は、Ａ居宅介護支援事業所と大学教員で事例検討した事例Ｂの事例検討会での討議内容である。方法は、１．５時間の事例検討の内容をテープで録音し逐語録をおこし、(1)対象の捉え方、(2)不満内容の状況、(3)不満への対応プロセスと居宅サービス計画への反映、(4)利用者本位の視点での事例提供者の自己評価について、整理分析した。【結果】１．対象の捉え方は、事例提供者は問題の多い問題解決困難なケースとしていたが、事例検討ではニーズ把握がしやすいケアマネジメント容易なケースとしていた。２．不満内容は、サービス事業所に対する不満（ヘルパーとリハビリスタッフへの不満）と保険者（介護保険制度）に対する不満であった。３．不満への対応プロセスは、可能な限り対応していたが、制度の狭間で本人のニーズには応じられていなかった。しかし、居宅サービス計画では、本人の意向の反映が不十分でズレがみられた。４．事例提供者の自己評価では、メディカルモデルの視点が強く、利用者本位のケアマネジメントに繋がりにくいと評価した。【結論】ケアマネジヤーの役割として、対象をプラス面やストレングスで捉える援助技術が求められる。不満も情報として受け止め、ケアマネージャーは居宅サービス計画に反映させることである。不満を訴える事例は、ケアマネジメントの援助技術を向上させる貴重な事例である。|Purpose: This study aimed to reconsider the care manager's roll from a case conference of a discontented client, and to get a suggestion about case conference of hard-to-support-client. Methods: Object is a case discussed in a case conference held by care managers in a care manager station and some of college faculty. The case conference was taped, and manuscripted. Analysis was made from the manuscription: (1)the care manager's way to understand the client. (2)the contents of unsatisfaction of the client. (3)the process of rearrangement about the unsatisfaction, and re-planning of care program. (4)self evaluation of this case management on the viewpoint of consumer centered service. Results: 1. The care manager thought that the client had many problems which are hard to solve, but the attendants of the case conference thought that the client needs were easy to understand and the problems are easy to manage. 2. The some of unsatisfaction were to service office and some to Long-term Health Insurance Service System. 3. The care manager rearranged the services as much as she could. But because of the service system, the arrangements did not meet the client needs. 4. This case management was took place by the medical point of view, and it was not a consumer centered one. Conclusion: Care manager's roles are, to understand client by their strength, to take expressions of unsatisfaction as information, to reflect the information to care managing. In case conference about hard-to-support-client, to find out the tasks of care manager is important.","subitem_description_type":"Abstract"}]},"item_10002_rights_15":{"attribute_name":"権利","attribute_value_mlt":[{"subitem_rights":"沖縄県立看護大学"}]},"item_10002_source_id_9":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"1345-5133","subitem_source_identifier_type":"ISSN"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"大湾, 明美"},{"creatorName":"オオワン, アケミ","creatorNameLang":"ja-Kana"},{"creatorName":"Ohwan, Akemi","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"211","nameIdentifierScheme":"WEKO"},{"nameIdentifier":" 80185404","nameIdentifierScheme":"e-Rad","nameIdentifierURI":"https://kaken.nii.ac.jp/ja/search/?qm= 80185404"}]},{"creatorNames":[{"creatorName":"佐久川, 政吉"},{"creatorName":"サクガワ, マサヨシ","creatorNameLang":"ja-Kana"},{"creatorName":"Sakugawa, Masayoshi","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"229","nameIdentifierScheme":"WEKO"},{"nameIdentifier":" 80326503","nameIdentifierScheme":"e-Rad","nameIdentifierURI":"https://kaken.nii.ac.jp/ja/search/?qm= 80326503"}]},{"creatorNames":[{"creatorName":"上原, 綾子"},{"creatorName":"ウエハラ, アヤコ","creatorNameLang":"ja-Kana"},{"creatorName":"Uehara, Ayako","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"268","nameIdentifierScheme":"WEKO"}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2021-07-05"}],"displaytype":"detail","filename":"No11p25.pdf","filesize":[{"value":"914.7 kB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"No11p25.pdf","url":"https://opcnr.repo.nii.ac.jp/record/135/files/No11p25.pdf"},"version_id":"12b21bc8-622d-4578-804d-040ec26167c3"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"高齢者","subitem_subject_scheme":"Other"},{"subitem_subject":"ケアマネジメント","subitem_subject_scheme":"Other"},{"subitem_subject":"ケアマネジャー","subitem_subject_scheme":"Other"},{"subitem_subject":"事例検討","subitem_subject_scheme":"Other"},{"subitem_subject":"elderly","subitem_subject_scheme":"Other"},{"subitem_subject":"care management","subitem_subject_scheme":"Other"},{"subitem_subject":"care manager","subitem_subject_scheme":"Other"},{"subitem_subject":"case conference","subitem_subject_scheme":"Other"}]},"item_language":{"attribute_name":"言語","attribute_value_mlt":[{"subitem_language":"jpn"}]},"item_resource_type":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"resourcetype":"departmental bulletin paper","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_title":"ケアマネジメントヘの不満を訴える事例の事例検討からのケアマネジャーの役割再考","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"ケアマネジメントヘの不満を訴える事例の事例検討からのケアマネジャーの役割再考"},{"subitem_title":"The care manager's rolls relearned from a conference of a discontented case","subitem_title_language":"en"}]},"item_type_id":"10002","owner":"2","path":["18"],"pubdate":{"attribute_name":"公開日","attribute_value":"2021-07-05"},"publish_date":"2021-07-05","publish_status":"0","recid":"135","relation_version_is_last":true,"title":["ケアマネジメントヘの不満を訴える事例の事例検討からのケアマネジャーの役割再考"],"weko_creator_id":"2","weko_shared_id":2},"updated":"2023-06-19T06:50:31.343222+00:00"}