Awareness and Difficulties of Nurses in the Outpatient Setting of University Hospital A, Which Provides Advanced Acute Care
10.14442/generalist.43.97
- VernacularTitle:高度急性期医療を担うA大学病院の外来看護に携わる看護師の在宅療養支援に関する意識と困難状況
- Author:
Mitsuko USHIKUBO
;
Chieko TOMITA
;
Tadahiro OTANI
- Keywords:
Advanced acute care hospital;
University hospital;
Outpatient nursing;
Home care support;
Community collaboration
- From:An Official Journal of the Japan Primary Care Association
2020;43(3):97-104
- CountryJapan
- Language:Japanese
-
Abstract:
Introduction: The purpose of this study was to clarify the awareness and difficulties of home care support in outpatient nursing at an advanced acute care hospital.Methods: An anonymous questionnaire survey of outpatient nurses at a university hospital was conducted using a detention method.Results: In total, 195 questionnaires were analyzed (effective response rate: 89.9%). The number of years of outpatient nursing experience was within 1 to 3 years for 40%, being the highest. Regarding the importance of outpatient care in supporting home care, approximately 97% of the subjects answered that they 'always think' or 'sometimes think' that it is important. On the other hand, approximately 50% of subjects answered that they 'always' or 'sometimes' perform home care support. Eight difficulties in outpatient home care support were identified: [insufficient manpower], [shortage of time], [difficulties in understanding which patients need home care support], [lack of knowledge], [difficulties in in-hospital and community collaboration], [support not keeping up with current medical change], [number of outpatients], and [time-consuming support].Conclusion: It is necessary to improve the individual skills of outpatient nurses in order to provide seamless medical care and systematically improve the outpatient nursing system, including streamlining work, and facilitating in-hospital and community collaboration.
