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Development of a program to assure quality of home care for children with chronic diseases and their families

Research Project

Project/Area Number 11672395
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeSingle-year Grants
Section一般
Research Field Clinical nursing
Research InstitutionSt. Luke's College of Nursing

Principal Investigator

OIKAWA Ikuko  Nursing Department, St. Luke's College of Nursing, professor, 看護学部, 教授 (90185174)

Co-Investigator(Kenkyū-buntansha) SUZUKI Satori  Nursing Department, St. Luke's College of Nursing, assistant, 看護学部, 助手 (40310411)
YOKOYAMA Yumi  Nursing Department, St. Luke's College of Nursing, assistant, 看護学部, 助手 (30263700)
HIRABAYASHI Yuko  Nursing Department, St. Luke's College of Nursing, associate professor, 看護学部, 助教授 (50228813)
KAWAGUCHI Chizuru  Tokyo Women's Medical University, School of Nursing, associate professor, 看護学部, 助教授 (30119375)
蔵屋 千秋  聖路加看護大学, 看護学部, 助手 (70317626)
Project Period (FY) 1999 – 2001
Project Status Completed (Fiscal Year 2001)
Budget Amount *help
¥3,300,000 (Direct Cost: ¥3,300,000)
Fiscal Year 2001: ¥1,000,000 (Direct Cost: ¥1,000,000)
Fiscal Year 2000: ¥1,300,000 (Direct Cost: ¥1,300,000)
Fiscal Year 1999: ¥1,000,000 (Direct Cost: ¥1,000,000)
KeywordsChronic diseases / Children / Family / Home Care / Nursing Care of Outpatient Clinic / Assurance quality / Care program / モデル開発
Research Abstract

The present study investigated the strategies to increase the quality of nursing care at the outpatient setting for children with chronic diseases and their families, during the three-year period from 1999 to 2001.
1. Construction of a care model by group activities : In the first phase, action research was conducted by forming focus groups to identify the nursing problems of outpatient nurses and to support their practical activities. Thirty-three outpatient nurses were divided into three groups : "nursing record", "coordination", and "patient guidance" groups. Three sessions of lectures and group activities were conducted. An evaluation was conducted to examine the process of the three group activities and the change in attitude before and after the activities. The results showed active exchange of opinions in all three groups, and the attitude toward handling outpatient duties could be perceived from the problems identified by the participants. In addition, the awareness and job sati … More sfaction of the outpatient nurses were elevated. In the second phase, a "nursing model for children with bronchial asthma" was constructed aiming to increase the quality of care for children with chronic diseases. Twenty-four outpatient nurses were divided onto three groups. Through 5 sessions of group activities, the nurses discussed the status and problems of care for asthmatic children, and practical situations were continuously added to the draft model. Lectures and practical demonstrations were also included in these sessions to increase participants' practical skills. The care model is scheduled to be evaluated practically. As with phase one, the participant's satisfaction was increased. The results of group activities in phases I and II suggest that information and opinion exchange through focus groups are useful educational strategies to increase the quality of outpatient nursing.
2. Evaluation of the quality of nursing care for children and their families visiting the outpatient department : To evaluate the quality of outpatient nursing, a questionnaire survey was conducted on children with chronic diseases and their families. Responses were obtained from 112 children aged between 9 to 15 years. The results of analysis showed that the children had a high degree of recognition of their own diseases, and conformed to the restrictions of daily life. They also held a positive view toward the relationship with the outpatient nurses. Responses were obtained from 320 parents. Although the care received at the outpatient department varied according to the condition of the children, the parents were generally satisfied with the care received, and emotional stability of the parents was observed. Less

Report

(4 results)
  • 2001 Annual Research Report   Final Research Report Summary
  • 2000 Annual Research Report
  • 1999 Annual Research Report
  • Research Products

    (7 results)

All Other

All Publications (7 results)

  • [Publications] 及川 郁子: "小児の外来看護の研修会の効果"日本小児看護学会 第11回学術集会 講演集. 246-247 (2001)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] 小原 美江: "外来通院する慢性疾患患児の病気とともにあることの認識"第32回日本看護学会抄録集 -小児看護-. 50 (2001)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] Ikuko Oikawa: "Effects of Training Meeting for Pediatric Nurses in Outpatient Clinic"11^<th> Conference of Japanese Society of Child Health Nursing. 246-247 (2001)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] Yoshie Ohara: "Recognition of living with Chronic Disease for Children Going to the Hospital"32^<th> Conference of Japanese Nursing Research. 50 (2001)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] 及川, 郁子: "小児の外来看護の研修会の効果"日本小児看護学会 第11回学術集会 講演集. 246-247 (2001)

    • Related Report
      2001 Annual Research Report
  • [Publications] 小原, 美江: "外来通院する慢性疾患患児の病気とともにあることの認識"第32回 日本看護学会 抄録集 -小児看護-. 50 (2001)

    • Related Report
      2001 Annual Research Report
  • [Publications] 及川郁子 他: "小児の外来看護研修会の有用性について"日本小児看護学会第11回学術集会講演集. (予定).

    • Related Report
      2000 Annual Research Report

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Published: 1999-04-01   Modified: 2016-04-21  

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