Mid‐career ward and visiting nurses' toughts toward home care support after making initial post‐discharge home visits through collaboration
| Autor: | Fujimoto, Mayumi, Sasaki, Mutsuko, Omori, Mitsuko |
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| Jazyk: | japonština |
| Rok vydání: | 2022 |
| Předmět: | |
| Zdroj: | 香川大学看護学雑誌. 26(1):13-24 |
| ISSN: | 2189-2970 |
| Popis: | application/pdf 目的: 中堅看護師と訪問看護師の初回同行訪問後の在宅療養移行支援への思いを明らかにすることである。 方法: 退院後初回同行訪問を実施した中堅病棟看護師と訪問看護師4名ずつを対象に、半構造化面接し、質的帰納的に内容の分析をした。香川大学医学部倫理委員会と高松赤十字病院看護部看護研究倫理審査委員会の承認後実施した。 結果: 中堅病棟看護師から5カテゴリー、訪問看護師から5カテゴリーが抽出された。中堅病棟看護師は、これまでの、【在宅療養支援に対する看護の振り返り】となり、入院早期から退院に向けた、【患者・家族の思いが大事】である事を改めて実感する。訪問看護師は、中堅病棟看護師との同行訪問で、【同行訪問による患者・家族の安心】と、【看護師間の顔の見える安心】を感じ、【退院後の患者・家族の状況を看護に活用】したい思いを改めて実感する。 考察: 同行訪問における中堅病棟看護師の在宅療養生活に対する看護の振り返りは、今後の具体的な退院支援につながり、訪問看護師の病棟看護師にフィードバックすることは、在宅療養生活へのスムーズな移行に大切であると考える。さらに、双方の顔の見える連携は、看護師間の安心と患者・家族の安心につながり、在宅療養生活の継続に重要であると考える。 結論: 初回同行訪問で中堅病棟看護師と訪問看護師が顔の見える連携をすることは、看護師間の安心と患者・家族の安心につながる。 Objective: To clarify mid‐career ward and visiting nurses' thoughts toward home care support after making initial post‐discharge home visits through collaboration. Methods: Semi‐structured interviews were conducted with four mid‐career ward nurses and four visiting nurses, who had made initial post‐discharge home visits through collaboration, and the contents of the interview data were qualitatively and inductively analyzed. The study was approved by the Ethics Committee of Kagawa University Faculty of Medicine and the Nursing Research Ethics Committee of the Nursing Department of Takamatsu Red Cross Hospital. Results: Mid‐career ward nurses' thoughts were represented by “reflecting on one's nursing approaches to home care support” and realizing the importance of “patients' and families' emotions”. Visiting nurses' thoughts, on the other hand, were represented by “promoting patients' and families' sense of security by making home visits with mid‐career ward nurses”, “feeling secure about direct collaboration between nurses” and they realized “the need of making use of patients' post‐discharge conditions to nursing”. Discussion: The reflection performed by mid‐career ward nurses on their own nursing approaches to home care support may facilitate specific discharge support, and the conveying of the patients' and families' conditions by visiting nurses to ward nurses may be important for the transition from hospital treatment to home care. Furthermore, direct collaboration between these nurses may also provide an important basis for the continuation of home care, as it makes them feel secure while promoting patients' and families' sense of security. Conclusion: Direct collaboration between ward and visiting nurses for post‐discharge home visits promotes a sense of security among both nurses and patients/ families. |
| Databáze: | OpenAIRE |
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