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IN Japan, Care Has Become A Truly Independent Discipline.

May 23, 2019

The communication between the nurse and the patient is a key point of the nursing work, which is in sharp contrast with the nurses in other countries who are busy with the routine work (such as making beds, injections, medicines, etc.) and alienating patients.

1. The nursing management system is sound and its functions are distinct. The hospital participates in business decision-making with the medical department, the nursing department, and the department of affairs as the pillars of hospital management.


2. Develop clear goals for care. Emphasizing patient-centered care management, Japanese hospitals have clear goals and objectives for care.


3. The nursing standard charging system provides protection for nursing management. Japan's "Medical Law" clearly stipulates that all types of medical institutions must determine the standard of care charges according to the proportion of patients and nursing staff. The charging system includes two standards: benchmark care and new care system and auxiliary system.

Note: The baseline care is to determine the proportion of patients and caregivers in various medical institutions, the internal composition ratio of nursing staff, and the proportion of patients and caregivers.

The new care system and the auxiliary system are subject to additional nursing fees, provided that the ratio of patients to nurses and prospective nurses is 2:1 or 2.5:1, and the nurses are the main body of the nursing team.


4. The nursing model is based on integrated care, combined with responsibility system and functional system. The care work is carried out on a patient-centered basis. Its greatest feature is the high quality of care and the careful work done, especially the basic care.


5. Japanese nurses' employment places are similar to those in China. There are more nurses in the hospital, accounting for 72.2% of the employed population, followed by nurses who are employed in general clinics, accounting for 20.9%. The rest are in places such as health centers.


6. In Japan's clinical nursing work, the age is 25-34 years old, accounting for 38.3%, followed by nurses aged 35-44, accounting for 24.7%. Nurses under the age of 25 accounted for 17.4%. Nurses aged 45-54 accounted for 9.6%. Nurses over the age of 55 account for 10%.