ABSTRACT

This chapter investigates care workers' training as a part of the process-based performance measurement that ensures quality of care. Analyzing the cases of the United States and Japan has provided theoretical evidence that the care workers' training has two phases and that both are useful to ensure quality of care. Whereas Phase 1 standardizes the care quality of overt needs by ensuring proper care behavior and physical skills, Phase 2 enables care workers to respond to potential care needs by teaching care recipients' attitude and training communication skills to pick up potential care recipients' needs. The United States and Japan have very different approaches toward care workers' training. The chapter also investigates what kind of training is needed for care workers to pick up users' needs. It analyzes whether training is sustainable in the situation, in which the number of required care workers has been increasing.