*This article is from "Kanagawa Welfare Service AssociationTokunaga" held on February 24, 2022. Based on the content of the webinar.

Case study (how to get field staff to accept nursing care robots and ICT equipment?)

Using robots and ICT equipment, we introduced it in response to the wishes of administrators, such as "I want to create a better environment so that both residents and their families can use it with peace of mind" and "I want to create a workplace that is easy for staff to work in." I think there may be a difference of opinion with the staff who are resistant to it.
Let me give you an example of how to deal with such employees.

On-site voice

~Case ① Nursing care facility for the elderly~

[Task]
OJT There is a large difference in the level of staff due to the lack of uniformity in the guidance content when practicing
・The age of the staff Ten ~ 70 teenage and wide
・While work is busy, in mobility support, for users with weight 2 Assistance by name required
・Other support services are also available
 
[Thoughts of the facility manager]
We want to reduce the physical burden on staff by using nursing care robots, etc.

[Reaction of field staff]
"The current staff is adequate."
"If two people transfer the user, there is no need to include a robot."
“Is nursing care not necessary for people to intervene?”

~ Case ② Day Service ~

[Task]
・Low employee retention rate
・ A lot of overtime work, unable to use paid leave
・ There is information that only certain employees know, and if you take a break, various operations will be hindered.
・I fill in the contact book by hand, and by the time I finish 2 it takes more than an hour

[Thoughts of the facility manager]
 ICT I want to streamline my work and lead to higher quality services by utilizing

[Reaction of field staff]
Some employees even offered to quit, saying that the introduction of new software would make things difficult, that it would be a burden, and that they would quit.

- Point of solution -

In order to get field staff to accept the introduction of nursing care robots and ICT equipment, the following four things are necessary.

1. Don't force yourself
Think about what the on-site staff thinks and what is the appropriate way to deal with it.
If the discussion is based on the introduction, even if it is introduced, there will be obstacles in its utilization.

2. Same purpose
Do you have an inventory of “issues”?
Although the means are different, "I want to provide high-quality services," "I want to make my family feel at ease," and "I want to reduce the burden on staff."
It is important to convey that the purpose is the same and to align the vector between the manager and the field staff.

3. Don't start with implementation
Even if the introduction is postponed due to opposition, it is important to think together and aim to provide high-quality services.
This builds trust and encourages them to listen the next time a similar opportunity arises.

4. Clarify your output
Clearly explain the significance and effects of ICT introduction and utilization.
If the manager himself cannot explain the reason, he cannot get the approval of the staff = I doubt the possibility that he himself does not understand.


Human resource development for facilities using robots and ICT

From now on, it is the era of “100 million total nursing care”

In general, it is said that the working population is declining due to the declining birthrate and aging population.
For this reason, it is said that the use of care robots and ICT devices is essential in the field of welfare.

Four issues in the introduction and utilization of nursing care robots and ICT equipment
1. Insufficient information sharing among staff
2. Inadequate human resource development, organization building, and system maintenance
3. Resistance to introduction
4. I can't master it even after installing it

To solve the problem and introduce/utilize...
・Reconcile preconditions
Discuss why the robot should be introduced and whether the nursing care robot can really be used
Since there may be a difference in the sense of warmth between the management and the field, it is necessary to align the vectors firmly.

・Issue sorting
Based on the fact that introduction is not the only, Less than 3 organize one point of view.
・ Is it a burden reduction?
・ Is it CS (Customer Satisfaction) or ES (Employee Satisfaction)?
・Is it for management support? (Is it becoming difficult to hire people in the first place?)

・Five steps from introduction to operation
  STEP1 aim setting
・Share issues between managers and staff
・List of users and staff to use

  STEP2 Information gathering
・Collect as much useful information as possible for introduction, such as subsidy information
・Preliminary verification of cost-effectiveness

  STEP3Introduction plan
・Formulation of usage plan and training system
On which floor and when will it be used? decide on the details.
・Practice of equipment operation
It is better to involve more than one person in consideration of the case where the staff is transferred or retired.
Evaluate the device after use.

  STEP4 introduction
・Adjustment of delivery date
・Training and education within the operator
If possible, request training from the manufacturer.

  STEP5operation
PDCA keep repeating the cycle
We will review the operation, such as whether the usage is correct.

PDCA cycle


What kind of robots will be required at nursing care sites in 2030 and 2040?
By 2030...
Due to the tightness of social security finances and the shortage of nursing care personnel, we will shift to a social system that supports both institutional nursing care and home nursing care.

As a result, we will change to a society that does not create or exacerbate the need for nursing care, and devices that support independent living, improve the work efficiency of caregivers, and reduce the workload of caregivers will become even more essential than today.

Required equipment


2040
Years later...
until now 1 institution 1 model is common, 2040 After 2020, all basic assistance work will be replaced by robots based on autonomous driving wheelchairs, and facility residents will be able to bathe, excrete, and walk on their own without the assistance of caregivers.

Introduction of monitoring system

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