A Happy New Year!
We advance our research concerning nurses' organization of work in international comparisons.
Here are some findings.
- French nurses works 35 hours per week, but Japanese nurses more than 47 hours per week. For this reason, French nurses can easily realize thier work life balance. Japanese nurses interrupts their careers in 5 years.
French nurses can accept more technical tasks delegated by physicians than Japanese nurses. Because French nurses delegate domestic tasks to aids. This hierarchy is relatively weak for Japanese nurses.
The number of nursing staff is 1000 for 1000 beds in France (AP-HP) but 700 for 1000 beds in Japan (JNA). The length of patients' staying in hospital is 5 days in France but 17 days in Japan (OECD, JMHLW).
- In France, the payment DRG "T2A" has been applied in all the sectors (hospitals and also clinics). The "Pôle", an unit grouping several wards, has been introduced. The conituing education for clinical nurses has developped.
In Japan, the DRG has been applied in big hospitals, and the number of nursing staff and of clinical nurses in hospitals has increased. After the catastrophes March 11, 2011, the function of visiting nurses has become important for community care in the East of Japan.
We observe the impact of New Public Management on French and Japanese hospitals. And we explore a New Governance for organizing the caring.
