@article{oai:omu.repo.nii.ac.jp:00010808,
 author = {青山, ヒフミ and 小西, 康之 and 増田, えみ and 三村, 裕子},
 issue = {1},
 journal = {大阪府立看護大学紀要},
 month = {Mar},
 note = {application/pdf, The Japanese government decided to change the criteria relating to minimum hospital standards to effect better and more efficient care. As a result, some small and medium-sized hospitals have had to make some decisions about how to adjust to the new criteria. In order to investigate actual hospital conditions, and to find the key to improved management, a nursing quality improvement committee, including representatives of the Osaka Prefectural Office, sent out questionnaires to 161 hospitals in Osaka. The results indicate that about 40% increased the number of their nursing staff in order to meet the criteria In addition, 76.9% of the hospitals who had decided to increase their nursing staff deemed it effective. However, some hospitals are dealing with serious problems in this area - low quality nursing departments reflected in a low activity and motivational levels, a shortage of nursing staff, and lack of continuing education. To revitalize these hospitals, the committee proposed a plan of service quality improvement to be aided by the Ministry of Health, Labor and Welfare. In conclusion, the role of administration is service quality improvement in nursing in Japan is significant for the more conservative hospitals which have financial and managerial difficulties., 大阪府立看護大学紀要. 2003, 9(1), p.47-53},
 pages = {47--53},
 title = {看護の質から見た中小規模病院の現状と改革に向けての取り組み事例},
 volume = {9},
 year = {2003}
}