History and development of nursinh profession in JapanHistory and development of nursinh profession in JapanHistory and development of nursinh profession in JapanHistory and development of nursinh profession in JapanHistory and development of nursinh profession in JapanHistory and development of nursinh profession in JapanHistory and development of nursinh profession in JapanHistory and development of nursinh profession in JapanHistory and development of nursinh profession in Japan
Trang 1History and Development of Nursing Profession in Japan
September ,2013
Đ Association RIEKO KAWAMOTO
Japanese Nursing Association
TODAY’S LECTURE CONTENT
1 Nursing History in Japan
@The Beginning
@ After the World War II
Trang 3f#1O0— 1191
(BR FARK : Nara Heianera )
@ Many Buddhist monks cured and supported people who are suffering from illness with Japanese
government
O22 T (ET: Law about caring)
Trang 41192-1602
(8® ~ BEE 6: Kamakura — Sengoku
era )
‹ 1240 [AiR FAH (the first
published nursing book in Japan)
¢ 1477-
Nursing was provided under the
direction of missionaries, but it
didn’t become as an occupation 1603-1868 (3TƑFR†{t:rdo era)
Care for people with illness in Koisikawa dispensary
(professional caring: Fa3e 7a ne)
Of Ze Gill Cinfluence on care of family) ca H[#S#Z/Zã#lÍ : Publication of bookforcaing ; =
| a
in Edo era * (2 TẤT
SJ `“ S⁄» m sry
Japanese government closed the country to foreign commerce, but opened the country and re-started international commerce in 1854
Trang 5
1868—1926 (H‡2-*©#R{t: Meiji Taisho era) [Hospital system] Fe rrr [[ Yokohama military hospital] was founded as the d.ẻng ““— oe att ice +> $ - “9= gan má}
first hospital in Japan
-employed nursing women for injured soldiers
ft$#£ti(after that changed of name to “Japan Red
Cross”)
(Nursing system)
1901- adopted the first nursing regulation 1901- The first nursing examination
(in Tokyo) Cited by nursing document of
Trang 6Change and progress of nursing system in Japan after The World War II
¢ After the war, Japanese government accepted
capitalism and revised the constitution
¢ With A much-improved social system, education system
was reformed and the status of women improved gradually
¢ Under the control of GHQ, Nursing system changed
dramatically, and then it moved on the path to
professionalism likely to USA
Change and progress of nursing system in Japan after The World War Il
Japanese government was under the control of GHQ(General Headquarters) after the war
@ New nursing system & nursing theories was
introduced by American nursing instructors Fe | a
Po ae
@ Nursing improvement & training were aiTinitto
conducted by1960
@ This formed the basis of the current nursing 1,
system such as nursing management ,
nursing administration & nursing education
Trang 7
Change and progress of Medical system in Japan
after The World War II
- 1965-1975
@ sharp decrease of infection due to innovation of antibiotics such as
penicillin
@ Move to Treatment of Chronic diseases such as Diabetes Mellitus (DM), Cerebrovascular diseases & circulatory diseases
Y economic development and or advanced the field of medicine(multiple & high quality of medical equipments and advanced medical techniques)
Y accelerate the collectivizing of the specialized field in medicine
(intensive care unit and critical care center)
Change and progress of Medical system in Japan
after The World War Il
- 1985—
@ Japanese life style changed from traditional to western style
>The primary mortality: s Neoplasm (:Cancer)
H Arrival of highly advanced medical technology
C] Seriousness of decrease in — & increase aged people O Start changing medical administration (provision for cooperative
and comprehensive medicine)
CJ achieve building nursing system and improving nursing education
Trang 8Transition of Japanese population #144: U48 Nitd4: E ®2: n9 © 019: ^Atrree(fM› abn "See Mã / | : | L1 II - 2 «+6>= Je) pen + HHH LÌ im Laas | | | se i i : eD
170 19% VAN 196% LỢA2 199% 3600 J0 2090 2đV5 JVÚO 290% 2ÔMG 300% ĐÔ 704% 202 2095 296 qua
F Ui ees OCS Mt eT es en 2 OR 0 a Acme A eee) ACP ie
Í (ho
2 THE CHANGE AND PROGRESS OF
JAPANESE NURSING SYSTEM (AFTER THE WORLD WAR II)
Trang 9Nursing innovation associated with Public health and welfare at nursing department in GHQ
@ Inspection ana direct instruction
@ Revision of nursing related laws and regulations & improvement of nursing system
@ National examination & qualification system
@ Establish designated regulation for public health, midwifery and nursing
facilities ( Foundation of nursing school with new system) @ Foundation of Tokyo nursing education model school @ Improvement of nursing management
@ Education course for reappointed nurses (Training course conducted by the committee to educate nursing instructors again
@ Establishment of nursing department at Ministry of Health, Labor and
Welfare foundation of Nursing education council @ Systematization of Nursing association Establishment of nursing system & nursing organization (start nursing department ) ° 1949
@ adopt to set up a head of charge nurses at national hospital of ministry of
health and welfare
@ formulate nursing system that the nursing director manages, administers and orders nursing practices
- 1976
@ change of name from a top of charge nurse to a Nursing director at national hospital of ministry of health and welfare
@ abolish appellation of a head of charge nurses by ministerial ordinance of 3®
Ministry of Education
¢ Establishment of system in nursing department
Y contribute to improve the quality of nursing Y establish occupational regulation & medical ethics
Trang 10Transition of nursing care system
What is the nursing care system ?
making structure to allocate the roles of team organized by some
nurses working in 24hours/7days
Characteristics of nursing care system
@ This is based on the experiences modality of senior nurses
@ Criteria of nursing care system is based on the number of in- patient bed, disease types and treatment ways etc wr Expanding in the fields of nursing | alt practice ry > ee) | =" 8 ¬ *Development in science of medicine & diversify nursing service expansion
¢ This is the significant opportunity to provide continued nursing
and to cooperate with community
* It is important to make plan for support plan and provide advice on patient’s discharge (= establishment of community
cooperation department ) -
¢ =xpand the opportunity of nursing practice and nursing roles
Trang 11Evaluation of nursing based on medical service fee
° 1948
Y Medical Service Law and The Social Insurance Medical Fee Payment Foundation Law were announced officially
* 1950
Y¥ establish the first Nursing fee in Medical Insurance Fee based on the Medical Service Law
„1958
¥ notice the list of the point for medical expense insurance
¥ Criteria of Nursing additional fee based on type of clinical fields
»„ 2006
Y staffed to take care of 7patients per a nurse
©1995: Start evaluation act of hospital functions
¢ Japan council for Quality Health Care was established as entrusted by the Ministry of Health, Labor and Welfare
¢ This organization inspects and evaluates the quality of medical services, as an independent facility of various hospitals including university hospitals, national hospitals, regional hospitals and clinic
Trang 12
° Risk Management S01 ‡3;krh172X*l&* šñ1†jfïãflfl #ínif 5MvLJ23ZX # (199921 R) | #02 zšđ*X*I&*šfft}ÍR/ãlfl ~T23/—JL4) A S&#(2000®2R) I #?I3 5X *IS*šIMlRiESEl RÿX4S@O R8 NšS)3 A Sát (2000®4B) Ì 2001:
4® settle the head nurse for risk
management at national hospital
Establish department of risk ( many sockets of management at many hospitals medical equipments are used for a patient
@ Serious issues : inadequate nursing techniques & early retirement in new graduate nurses and risk management
Trang 13#23 i§00 (#.E)2Wf:55 ˆ 550000 3 (BF IRS ALE _-* 500,000F9 - (Rỹ FI=##JÊð2 BER (49.408) A GLE) 4 3§if E (46 644) 4g0000f9 (SB RISE SALLE 400,000F3 + ¬.- nurses 350,000P1 -{35.58#) : 300/000P1 - SÁNG 71 20 cane 250,000F9 - ; " „ 200,000P3 _ *Thbeecessanre® eet B AHFMOAH, 2A TAMA, SOCEM ISB REHS 150,000F3 20-23 24-27 28-31 32-35 36-39 40-43 44-47 47-51 52-558 = SOR -—-#EK ~ ##llã MARTA «oes BERATED RI seeemene BRAD MEE ——tt#fi% ——1K eo FG ——t#t0t The causes of retirement of nurses ““ up a 30.0% re ¬ ° ( `: mmmmmmaamaa:: fit ẹ Kv r ” z”xs# ses Hi (1/94 | Stow ị NI” tát (2/140 KG T.-N 2 Cis % LATOR ME (259% th PEP ARACEL \- ABB RPEASSL (3/3944 na RELIG BA 12.5% 0.1'% YIlbyy BR 11.4% 217 9% 82oi0l-R2<e 100% DEM HE 69%
REO = Spit ME 659 BRNO PIBAABL (5/1544 a
URAL) PU AT AUTLY EBD 5.7'9 :
BON mm Eee % Taananrann exomno/st) TT 200 26.6°% „1z none a" ME 31% | BAORRIMT SEE | FEB (7/108 ar’ (y 5211) 7Í, iI _— 219% REO RS- ERERADFR (8/1644 ae a 178% REORS- ERERAOFR A 14.9% eM EAL (9/2248 IRATE AIELY 14.4'°% LALOR 1139 TH sài re 86% TH Khen ARCOM ME 7: rans Ait-FAM-W517B EE 6.0% ——— BA OBE RAADRR (14/8 Min 3180) S1t1t- #P"91t01462ob2+cL\ NEEN so | 9—- at te
BT -T KIA ME 57% MMM LIK DHSS $M OD HED - 7-1 (19/9 o fees "SES RMA
Rico MEE 5.7% "BEERS
1n 1n HN Ä1§1M1621818^.00NItE (20/440) BÀ
EAETWOBA HE 33w 3.1%
EMO CAT: BAB = ##:RNMI ifM R 032 #I=B'3 5£ ñ8IfBI
BE-TPRRELOMR ES NSBR I< BIS SH ea
Trang 14
3 THE CHANGE AND PROGRESS OF NURSING EDUCATION IN JAPAN
Trang 15
Newly period involved in nursing education
Remarkable change in roles and functions of nursing
personnel as a professional
= 1992:The Law concerning the promotion of recruiting in nursing workforce
¢ 1993:
¢ Many universities are built every year due to Increase of students studying at university and increasing rates of women going on to
higher education As a result, there are more than 200 universities in Japan (Before 1993, there were only 10 universities)
¢ The number of postgraduate school of nursing has increased in
recent years (increase in university having both master course and doctoral course) * 1996: Start education for Certified nursing specialists
The Support for University Educational Reform by the Japanese Government
The nursing department of Kyushu University Hospital
started on the Nursing Blossom Project in 2009 This project was selected under the Support for University Educational Reform by the Japanese Government
Trang 16
Educational Project for Practical Nursing Skills & Abilities Development between University and Hospital - Educational Program Development - Program for Nursing Instructors - Personnel exchange - Building Career Pathways
Aim of Educational Project
eEducation Program Designed for Practical Nursing Skills Development
v Fulfill the responsibilities in the health care professional team as a nursing expert
¥ Contribute to Patient Safety & Comfort
Trang 17Ks Education Program 1 * CERTIFIED IV NURSE PROGRAM
Certified IV Nurse Program
The nursing department at Kyushu University Hospital | has developed a certified IV nurse program to give
nurses the skills to provide secure and quality patient care
we
Trang 21
Training Clinical techniques
Trang 22
Set up scenario
Preparation of medication at the staff room
New nurse visits patient’s room Patient A Time
for the CÓ | need to go to
medicine the rest room
before
Importance of Punctual
medication
Need of transferring to rest Look† It
room finish soon!!
Importance of an infusion bottle change
Multiple tasks & Time pressure
Reflection on training simulation (20min) | It was good that you
I got _ handle gently with
: = How did you nervous!! ' smile \ handle well ? x 4.) Ÿ SỐ A’ j \ is a , «‹ s”ẽ —ớ
XII'GIAN E1 1n1I in the checklisf 5ffếf training
Giscuss together and then get feedback —
Trang 23A ~ ` : “ ¬ S = = ¬ L Ä ARRIVAL OF TIME FOR AUTONOMY AND
SPECIALTY OF NURSING PROFESSIONALS
Education for nursing specialists in particular nursing fields
BPA Rese : BOE eRe :
Certified Nurse Specialists Certified Nurse
*Nurses who have excellent *Nurses who complete practical nursing skills in
particular special nursing fields
Trang 24
New special nursing delivery system:
Foundation of nursing for disaster ¢ Background of roms founding nursing for disaster « 1995: Hanshin massive earthquake Prat me
THE CASE OF NURSING ACTIVITIES:
NURSING DELIVERY SERVICES IN DEVASTATED AREAS: MASSIVE EARTHQUAKE IN TOHOKU AREAS IN JAPAN THE ACTIVETY OF PUBLIC HEALTH NURSES IN THE TO-HOKU EARTHQUAKE
Trang 25
The city was damaged extensively by Tsunami: Motoyoshi chou Kesennuma city in Miyagi (Photos on 23th Mar, 2011) <The whole _ The table of earthquake
icture of victims classified by age - ——~
Trang 26@ After extremely big 9.0 earthquake in Tohoku on 11%
Mar, 2012, it is estimated approximately 2, 000 people are affected by the earthquake and Tunami
(dead:15,815, missing: 3,966 up to 30?" Sep, 2011)
we
Many Nursing personnel have been working to support devastated areas in various ways
>< Nursing personnel provide medical services and life support for
disaster areas, working with Japan Red Cross, community nurses, nursing universities and other medical facilities ,and NPO
Actual result of delegated public health nurses and other nursing
Trang 27The details in the activities of public health nurses in disaster areas
/ Secondary prevention of health damage Counseling for mental damage `
xI#t# 04:8 thir AIZE3###f1L\v0tb4#0£qi4¿#†lEL ZRRE41°2kL4#đ:5 4*#‡§t:# 0‡2‡#1° ‡ã†+tl§ #4014
T+2/š—75^£|&F†‡4#0 #01-#›02k23‡#iloti#£l4 VE RES RE DRG DOT PF-LELBEL,
PEO RBHEBSEH BRISBANE GIOIEC
mime, MEMS ORERE ET ORROMRY ERO )
( Adjustment and coordination to Welfare >
Prevention of infection and food poison
AVINIV FS OGRE POL OIX, FHL, FAL, AB
_ BORA RUM LHS EO REHOME ERI
service and other medical services *i¿Ùù£=+J 2k4 lt#34#tl-=*l3 4812770 Si£1° =—ZI=l6UC2t#ft -†4ätlt'#—E A 577%
0%†§I=21⁄<†-ð0;###+°InE J
Counseling earthquake vic comprehending their needs