Masato Nakajima, Senior Research Associate
As Japan is heading towards a super-aged society, the role of long-term care services is increasingly gaining in importance. The shortage of nursing care personnel supporting long-term care services is becoming more severe, and there are great concerns as to whether the quality of nursing care services can be maintained. For maintaining care and service, staff who can provide appropriate care according to the condition and situation of residents are necessary, and there are expectations for an efficient and effective process whereby staff can acquire experience and knowledge that can be utilized in their day-to-day work as professionals.
This research attempts to apply the SECI model of knowledge creation to on-site knowledge for the purpose of improving the quality of nursing care services at long-term care facilities. To this end, this research focuses on handover reports used for sharing information at nursing care facilities as a resource for on-site knowledge creation. Based on the results of a qualitative analysis of the contents of handover reports, an analysis of the processes for creating on-site knowledge by dialoguing with nursing staffs was conducted. Then, through the incorporation of ICT into the above practice, arrangements whereby on-site knowledge creation may be conducted without the creation of a heavy workload are considered.
When analyzing the handover reports, it was found that their content can be categorized into three levels, and the possibility of extracting and creating on-site knowledge from the instructions, cautions, and information they contained was able to be confirmed. In discussions with care staff, in-depth interviews regarding candidates for on-site knowledge were conducted, and implicit knowledge was externalized. Furthermore, by carrying out workshops with multiple staff members and combining the knowledge of the participants, examples of on-site knowledge creation for the improvement of care and procedures could be produced.
Finally, the possibility of making use of ICT for on-site knowledge creation with handover reports was examined by organizing the process of knowledge creation as proposed in this research. The role of ICT and the expectations associated with it for resolving the challenges of long-term care facilities are significant. Needless to say, it is of critical importance to build a comprehensive operational system, while also considering staff who cannot utilize ICT. In the future, it will be essential to build a structure in which ICT not only supports human work but also evolves with human beings.
The full version of this report is available in PDF format below. This report is only available in Japanese.
Creation of On-site Knowledge in Long-term Care Services
–Making Use of Information Sharing Data for Knowledge Creation–