介護支援専門員における職業倫理「自立支援」の理解度と実践度合い : 主任介護支援専門員のアンケート調査の分析から見る現状と課題

概要

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This study aims to examine Japanese care-managers' practice of professional ethics. One of six ethical principles for care- manager training, "autonomy" was chosen for this study. Two analyses of 263 chief care-managers' questionnaires were conducted. The first analysis used content analysis to categorize how chief care-managers defined "autonomy". The second analysis applied multiple regression to see if degree of ethical practice, relating to autonomy, achieved (self reported), was predicted by: definition of autonomy, gender, age, and license status. The first analysis showed that a little less than 30% of respondent defined autonomy as "physical independence", and the rest as "psychological independence". The second analysis showed that only definition of autonomy was a significant predictor of the degree of ethical practice. Those who defined autonomy as physical had higher self reported degree of ethical practice. This can be interpreted as achieving "ethical practice" by preferring the easier definition of its content. The implication for practice is that care-managers should be taught the multiple aspects of autonomy so they can respect both physical and psychological autonomy of clients. The implication for policy is that policy makers need to enable both physical and psychological autonomy of clients.
関西学院大学の論文