Poste de soins infirmiers, Henri-Mondor, Paris

-Hospitals and the nursing profession : Lessons from franco-japanese comparisons,
Philippe Mossé, Tetsu Harayama, Maryse Boulongne-Garcin, Toshiko Ibe, Hiromi Oku and Vaughan Rogers, John Libbey Eurotext, 2011/01/28. 
 jle.com/fr/ouvrages/  google.co.jp/books/
-L'Hôpital et la profession infirmière, une comparaison France-Japon,
Philippe Mossé, Maryse Boulongne-Garcin, Toshiko Ibe et Tetsu Harayama, 2008, Seli Arslan.
De Boeck, Amazon.fr .

Voir Forum Bridge Lilies.

Des arbres sous le ciel bleu

Advancing the research in international comparisons

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.

Hospitalization at home, Paris

Sep 29, Toshiko joined Hiromi and Harumi in Paris. They visited the Administration of Hospitalization at home, Paris. Jean-Christophe, paramedical executive, talked about the system of hosoitalization at home.  

Nurses'car

The idea of Hospitalization at home, as well as that of Day hospitalization, seems to be in progress also in Japan.  
The system AP-HP of Hospitalization at home covers 800 patients in the region of Paris. This number of patients corresponds to that of one big hospital. 


See Words & Bridge Lilies .

At Bichat, Paris



Front entrance

After the meeting with French nurses at H.-Mondor Hospital in the south of Paris in the morning Sept 28, Hiromi and Harumi visited Biacht Hospital in the north of the city the same day afternoon.

 



 Hiromi and Harumi had a good time to hear the Coordinator of caring explain French nurses' organization of work.



Old building

See Forum Bridge Lilies .

Japanese and French nurses at H.-Mondor, Paris

Japanese nurses, Hiromi and Harumi, talked about nurses'organization of work, "planning", with French nurses at AP-HP, Henri-Mondor, Paris, Sep. 28.

Japanese nurses, Hiromi and Harumi, visited the Hospital.


Director of nursing



Explication about the hospital's structure

Executives' office, gastro-enterology

Nurse,
gastro-enterology



Maryse and her friend, Sylvie, coordinator of caring, realized Japanese and French nurses' meeting.

See Forum Bridge Lilies .

Professional equality women and men

Léa, CNAM, Paris, est sociologue de l'insertion sociale des jeunes.
En mars 2010, Tetsu a rencontré Léa et son ami, François au bureau CNAM.

FFRANÇOIS

Ensuite, Léa a visité avec Tetsu la maison des jeunes, Aubervilliers.

YOUTHS' HOUSE, AUBERVILLIERS

Nous avons parlé de l'insertion sociale avec les amies de Léa, assistantes sociales.


La maison des jeunnees s'occupe de la question des inégalités entre sexes et aussi entre groupes ethiniques.

EQUALITY WOMEN AND MEN, AUBERVILLIERS