Research on Nursing Skills Required to Support Death at Home

• Project/Area Number: 17K12508
• Research Category: Grant-in-Aid for Scientific Research (C)
• Allocation Type: Multi-year Fund
• Section: 一般
• Research Field: Gerontological nursing
• Research Institution: Himeji University (2019-2022); Kansai University of Social Welfare (2017-2018)
• Principal Investigator: Suzuki Chieko 姫路大学, 看護学部, 教授 (30563796)
• Project Period (FY): 2017-04-01 – 2023-03-31
• Project Status: Completed (Fiscal Year 2022)
• Budget Amount: ¥3,770,000 (Direct Cost: ¥2,900,000、Indirect Cost: ¥870,000); Fiscal Year 2019: ¥1,040,000 (Direct Cost: ¥800,000、Indirect Cost: ¥240,000); Fiscal Year 2018: ¥1,820,000 (Direct Cost: ¥1,400,000、Indirect Cost: ¥420,000); Fiscal Year 2017: ¥910,000 (Direct Cost: ¥700,000、Indirect Cost: ¥210,000)
• Keywords: 高齢者看護 / 在宅看護 / 家族支援 / 訪問看護 / 在宅死 / 訪問看護師 / 訪問看護ステーション / 看護師の能力 / 尺度開発 / 家族看護

Outline of Final Research Achievements

This study empirically clarified the nursing support that enables home-based deaths by visiting nurses through qualitative and quantitative research.First, we conducted interviews with nurses who provide home-visit nursing and their families. We extracted the qualities that are considered necessary for visiting nurses.Next, we prepared 34 items on nursing support that enables home-visit nurses to die at home, A total of 1032 respondents responded. From the analysis of the data, we extracted "attitude of accepting and responding to patients' families," "grasping and evaluating changes," "attentiveness with a sense of mission," "collaboration and information sharing," and "nursing skills and knowledge related to home-visit nursing" for nursing support that enables home-visit nurses to die at home.
These were named as the "Home-visit Nursing Ability Scale for Nursing Care in Home Nursing" Cronbach's α were 0.95. Internal consistency checked and confirmed．

Academic Significance and Societal Importance of the Research Achievements

訪問看護師による在宅死を可能にする看護支援とは何かを明らかにするために質的研究と量的研究を通して研究した。インタビュー調査では、訪問看護を提供する側の看護師からと、受ける側の家族からの双方からの意見を聞き、看護師の資質だけでなく対応の早さや態度も求められていた。アンケート調査で「在宅看護における看取りの為の訪問看護能力尺度」14項目を作成し、在宅で死を迎える患者看護の指標となる可能性が示唆された。

Research Products

• [Journal Article] 訪問看護を利用した介護者が感じる訪問看護師の良い点と悪い点 (2020)
  • Author(s): 鈴木千絵子
  • Journal Title: 姫路大学大学院看護学研究科論究 Volume: 3 Pages: 55-66
  • Peer Reviewed / Open Access
• [Journal Article] 短報 (2020)
  • Author(s): 鈴木千絵子
  • Journal Title: 姫路大学大学院看護学研究科論究 Volume: 3 Pages: 55-65
  • Peer Reviewed
• [Presentation] 在宅看護における看取りの為の訪問看護能力尺度の開発（第1報） (2022)
  • Author(s): 鈴木千絵子
  • Organizer: 第42回看護科学学会学術集会
• [Presentation] :Family Opinions about Visiting Nurses that Care for the Elderly - from interviews with the patient’s families - (2020)
  • Author(s): Chieko Suzuki
  • Organizer: The 4th International Conference on Prevention and Management of Chronic Conditions.
• [Presentation] A Qualitative Study of Abilities Required of Visiting Nurses - interviews with end-of-life care visiting nurses- (2020)
  • Author(s): Chieko Suzuki
  • Organizer: The 23rd EAST ASIAN FORUM OF NURSING SCHOLARS international EAFONS conference
• [Presentation] A Qualitative Study of Abilities Required of Visiting Nurses (2020)
  • Author(s): Chieko Suzuki
  • Organizer: 23rd East Asian Forum of Nursing Scholars (EAFONS) conference
  • Int'l Joint Research
• [Presentation] Family Opinions about Visiting Nurses that Care for the Elderly (2019)
  • Author(s): Chieko Suzuki
  • Organizer: The 4th International Conference of Prevention and Management on Chronic Conditions
  • Int'l Joint Research