Thinking and Practice of Skilled Home Health Care Nurses to Determine Necessity of Multidisciplinary Collaboration for Users with Complex Issues
10.14442/generalist.46.52
- VernacularTitle:複合的課題を持つ利用者支援に対する多職種連携における熟練訪問看護師の必要性の判断に関する思考と実践
- Author:
Yoshie SUGANUMA
;
Nobuko KATAHIRA
- Keywords:
Complex Issues;
Multidisciplinary Collaboration;
Home Health Care Nurses;
Thinking;
Practice
- From:An Official Journal of the Japan Primary Care Association
2023;46(2):52-61
- CountryJapan
- Language:Japanese
-
Abstract:
Introduction: The purpose of this study was to identify the thinking and practice of skilled home health care nurses to determine the necessity of multidisciplinary collaboration for users with complex issues.Methods: Semi-structured interviews were conducted with 7 home health care nurses who met the following criteria: years of home health care nursing experience, affiliation, etc. Data on the thoughts and practices of the home-visit nurses were extracted from the interview records and analyzed qualitatively.Results: Seven categories were extracted as thoughts of skilled home health care nurses when judging the need for multidisciplinary collaboration to support users with complex issues, such as: "intending to foster a common understanding among related organizations and professions". Eight categories were extracted for practices of related organizations and professions, such as: "Establish a system appropriate for the conditions of the user and his/her family", and 4 categories were extracted regarding practices for users and their families, such as: "Involvement to reduce the burden of caregiving on the family".Conclusion: The study revealed that skilled home health care nurses promote multidisciplinary collaboration by utilizing various means while emphasizing a common understanding with related organizations and professionals. In collaboration with other professions, it was necessary to utilize the expertise of nursing professionals for assessment and management.
