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KMID : 0613620090290020077
Health Social Welfare Review
2009 Volume.29 No. 2 p.77 ~ p.97
The Impact of Implementation of Unit Care Systems on Care Workers¡¯ Burnout, Care Work and Care Environments in Japan¡¯s Special Nursing Homes
Jang Yun-Jeong

Abstract
The aim of this study was to investigate whether care workers¡¯ perceptions about care work and environment vary in relation to the number of years since the implementation of unit care systems at special nursing homes. For this purpose, we divided nursing homes into two groups, unit care facilities and non-unit care facilities, and then classified unit care facilities into three categories according to the number of years since the implementation of the unit care system. We sent our survey questionnaire to 3,919 employees of 101 special nursing homes in Osaka Prefecture and 2,859 of them responded. A notable finding of this study was that the implementation of unit care systems improved the overall quality of care work as well as care environment, even though it took several years for the unit care system to contribute to such improvements. Specifically, the negative perceptions about care (as measured with the Burnout Inventory) tended to continue for some time until the unit care system was securely established, and, started to diminish once the system was working properly. This finding leads us to conclude that the implementation of unit care systems could be an effective measure for the improvement of the overall quality of care work and care environment. For this reason, care facilities should encourage the firm establishment of the unit care system so that it can function efficiently as soon as possible.
KEYWORD
Japan¡¯s special nursing homes, care worker, unit care, care work, care environment
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