A Questionnaire Survey of Home Care Nurses’ Attitudes, Difficulties, and Self-reported Practices for Palliative Care in a Community without Specialists to Identify Interventional Targets of Palliative Care Outreach
- VernacularTitle:緩和ケアの専門家が不在な地域における訪問看護師の緩和ケアの困難感，自信・意欲，実践のアンケート調査，および緩和ケアアウトリーチ介入点の検討
- Author:
Mamiko SATO
1
;
Keita TAGAMI
2
;
Yusuke TANOUE
2
;
Maho AOYAMA
3
;
Akira INOUE
2
Author Information
- Keywords: palliative care outreach; home care; home care nurses; community health
- From:Palliative Care Research 2021;16(1):79-84
- CountryJapan
- Language:Japanese
- Abstract: Palliative care outreach in communities without specialists is important, but its effectiveness has not yet been clarified in Japan. The current study aimed to identify interventional targets of palliative care outreach in home care in a community without specialists. We conducted a questionnaire survey (five-point scale) of home care nurses’ attitudes, difficulties, and practices for palliative care among 39 nurses working at five visiting nurse stations in Tome city. Difficulties in “symptom palliation” and “communication with medical practitioners” were high. Nurses tended to have low confidence and high motivation. Items with particularly low confidence were “communication with home care physicians” and “staff support”. Practices in “communication with physicians” and “coordination with care person” were low. Our survey identified enhancement of face to face relationships and support for home care nurses to improve their skills and confidence as interventional targets for palliative care outreach.
