Exploring of touch point effective for practical use and development of decision tools for home visiting nurse need.

Research Project

Project/Area Number	23792691
Research Category	Grant-in-Aid for Young Scientists (B)
Allocation Type	Multi-year Fund
Research Field	Community health/Gerontological nurisng
Research Institution	Tohoku University (2012-2013) The University of Tokyo (2011)
Principal Investigator	TAGUCHI Atsuko 東北大学, 医学(系)研究科(研究院), 助教 (70359636)
Project Period (FY)	2011 – 2012
Project Status	Completed (Fiscal Year 2013)
Budget Amount *help	¥4,160,000 (Direct Cost: ¥3,200,000、Indirect Cost: ¥960,000) Fiscal Year 2012: ¥1,950,000 (Direct Cost: ¥1,500,000、Indirect Cost: ¥450,000) Fiscal Year 2011: ¥2,210,000 (Direct Cost: ¥1,700,000、Indirect Cost: ¥510,000)
Keywords	訪問看護 / 在宅医療 / サービス利用ニーズ / 住民 / アセスメント / ツール開発 / サービス / 普及 / 訪問看護ニーズ / サービス利用 / サービス必要者 / ソーシャルマーケティング
Research Abstract	Objectives: To verify the generalizability, face validity and availability of the Home Visiting Nursing Service Need Assessment Form (HVNS-NAF) to standardize the decision about the need for home visiting nursing services. Methods: In the study on verification of generalizability, the participants were certified care managers working at 80 care management offices in city "a". Results: We plotted the ROC curve to consider its sensitivity and specificity. The area under the ROC (AUC) was 0.70, and the two-sided 95% confidence interval was 0.64-0.76. When the cut-off value was 2 points and above, sensitivity was 68.1%, specificity was 63.4%, and positive predictive value (PPV) was 63.4%. Conclusions: Using the HVNS-NAF may result in standardization of determination of the need for home visiting nursing service, and may reduce the unmet need for home visiting nursing service.