Characteristics of Business Conditions of Small-Scale Multifunctional In-home Nursing Care Facilities: Secondary Analysis with Text Mining / 日本プライマリ・ケア連合学会誌

Introduction: The purpose of this study was to clarify the relationship between the available service information on small-scale multifunctional in-home nursing care (KANTAKI) and its operational status via text mining.Methods: We obtained nationwide textual information on KANTAKI from the Nursing Care Service Information Disclosure System and the Ministry of Health, Labour, and Welfare, and analyzed the characteristics of the word usage using KH Coder. The number of users and employees and the implementation of services were compared among the facilities that used terms relating to medical dependency and end-of-life care, which are KANTAKI characteristics, and with other facilities.Results: The facilities that used terms relating to medical dependency and end-of-life care showed significantly more users requiring nursing care level 5 and more full-time nursing staff than those not using such terms. Moreover, regarding service provision, the rate of procedures was significantly higher in 11 of 12 items, except for stoma.Conclusion: The facilities that use terms relating to medical dependency and end-of-life care in their information have more users and provide a greater variety of services. In the future, educational support is required to enable facility managers to understand the services and translate them into their work.

Responses to illness among the children of working mothers and their needs / 日本プライマリ・ケア連合学会誌

<b>Purpose</b><br> The purpose of this study was to elucidate the responses and support needs of working mothers whose children are ill.<br><b>Method</b><br> A questionnaire was administered to mothers with children registered at nurseries and after-school childcare facilities in Hyogo prefecture.<br><b>Result</b><br> Altogether, 1,804 valid responses were used for analysis. Most respondents took leave from work to attend to their sick children, but they faced difficulties such as lack of understanding at the workplace, loss of income, and the need to find a substitute worker. When they did not take leave, they encountered difficulty in finding baby sitters. Under such circumstances, the respondents wished to have a childcare facility that would accept children with symptoms such as a runny nose, a cough or a temperature of 38.0±0.4°C. They asked their parents to care for their sick children whenever possible, and they regarded the cost and the distance from home as important facets of care giving.<br><b>Conclusion</b><br> It would be desirable to develop childcare facilities for sick and recuperating children in regular nurseries and in the after-school childcare facilities that the children normally attend. This would minimize disruption of the lifestyle patterns of both mothers and children, and would facilitate the recuperation of the children.