|標題||Improving care quality in a nursing home in Japan: organisational culture, robotics-aided care and systems approach|
|掲載誌名||Oxford University Press_Global Health_BookChapter|
|出版社・発行元||Oxford University Press_Global Health_Book|
|著者・共著者||Naonori Kodate, Kazuko Obayashi, Hasheem Mannan, Shigeru Masuyama|
|概要||This book chapter looks at one of nursing homes in western Tokyo where robotic-aided care has been introduced and tested in order to improve the standards of care, instead of replacing personal care. Although the effectiveness of socially assistive robots and safety monitoring system was measured and positive impact was reported, the mechanism in which the technology-driven system improved care and residents’ quality of life remains unclear.
Using the systems approach, this book chapter examines the mechanism with a particular focus on the organisational context (Hollnagel 2011, Anderson et al. 2016). Within safety science, the key attributes of organisational resilience are: anticipating; responding; monitoring and learning. The chapter details some of the tools that predated the introduction of the above-mentioned technologies in the care home, and analyses interview data with care staff based on this resilience framework. The chapter highlights the significance of a context in which technologies can be effectively introduced and implemented in nursing homes. It also points out what needs to be considered (i.e. opportunities and challenges) for the future of care delivery in an institutional setting from the viewpoint of organisational culture. Finally, the usefulness of a systems approach will be demonstrated.