2012年07月23日

石附敬(2012)『重度要介護高齢者の在宅生活の長期継続に関する研究』

普段は海外のWebで興味深かったものを中心に取り上げることが主流で
したが、久しぶりにこのテーマでブログを書きました。


と申しますのも、最近、上記の著者で友人の石附敬博士(首都大学東京、
2012年修了、特別養護老人ホーム春日園・渋川市、明治学院大学兼任講
師:当時。平成25年4月~東北福祉大学総合福祉学部社会福祉学科専任
講師)から博士論文を頂戴したからでした。


下記は、博士にお礼のメールで触れた内容で、小生の読後感といったもの
ですが、それを一部改変の上、紹介申し上げます。


(さはらの感想:抜粋)
 テーマの重度介護高齢者の在宅生活の
長期継続は、現場では正直経験値での
蓄積がほとんどで、こういった本格的な研
究はあるようでなかったというのが実感です。
と申しますのも、我が国での研究スタイルで
は、まだエビデンス、つまり証拠に基づいて、
論考をするというものがまだ完全には確立し
てないように思えるからです。


特筆されるべきものとして、石附博士は、先
行研究を丹念にあたりながら、その研究につ
いての評価を行い、しかもその対象は自身の
考えを支持するものからそうでないものまでを
幅広く狩猟されるという、それはそれは気の
遠くなるような地道な作業を基礎にしながら、
一つずつ、研究のヤマに向かっていることで
す。


さらに博士論文の5章では、介護支援専門員
のフィルターを通してみた、在宅介護継続要
因とは何かを調査で明らかにしていらっしゃい
ました。


これは、なんとなくわかってはいたはずが、実
はこうでしたという、証拠を突きつけられたとい
うのが小生の正直な感想です。さいころを何回
ふってもこうだったよとデータを渡され、さああな
たたちケアマネはどうすんの?と挑戦状を渡さ
れたような思いです。


いかに専門家の関わり如何で、在宅介護の
質と方向性が変わりうることが示唆され、本当
に怖ろしい現実を改めて目の当たりにしたとい
うことでした。それは終章の3節にもあるように、
改めて我々ケアマネが、基本に立ち返って支援
をしなければならない事を迫るものでした。


改めて、我々専門家が、注意深くデータを収集し
つつ、客観的かつ主観的な事情にも注意を払っ
て慎重に対応しないと、そこには恐ろしい結果が
もたらされる可能性があることが示唆され、本当
に生半可な気持ちで仕事をしている小生に、自
己反省を促すものとなりました。


学術的にも、質的データと量的データの分析によ
るハイブリットの方法を採用することで、できるだ
け在宅介護を受けながら生活する重度のお年寄
りの生活継続要因を多角的に検討できるようにし
ようという大変意欲的なものでした。



という小生のどうでもよい感想はさておき、せっか
くですので石附博士のご了解がいただけましたら、
目次を掲載しようと思います。乞うご期待。 



石附博士とは、日本社会事業大学大学院で、コースは
異なりましたが、在学中からよくお話をしておりました。
大変粘り強く、一つのテーマを突き詰める方です。



(参考)
特別養護老人ホーム春日園のHP
http://www.kasugaen.com/


(東北福祉大学総合福祉学部のHP:教員紹介)
http://www.tfu.ac.jp/education/fcw/dsw/professors.html


sahara1969 at 06:10│Comments(142)TrackBack(0)高齢者保健福祉 | social work research

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