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Development and adaptation of the cooperation model that community-based integrated care system in visiting nurse

Research Project

Project/Area Number 26463486
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Gerontological nursing
Research InstitutionOkayama University

Principal Investigator

TANIGAKI Shizuko  岡山大学, 保健学研究科, 教授 (80263143)

Co-Investigator(Kenkyū-buntansha) 長江 弘子  東京女子医科大学, 看護学部, 教授 (10265770)
乗越 千枝  梅花女子大学, 看護保健学部, 教授 (70389500)
仁科 祐子  鳥取大学, 医学部, 講師 (70362879)
岸田 研作  岡山大学, 社会文化科学研究科, 教授 (30346407)
Project Period (FY) 2014-04-01 – 2019-03-31
Project Status Completed (Fiscal Year 2018)
Budget Amount *help
¥4,940,000 (Direct Cost: ¥3,800,000、Indirect Cost: ¥1,140,000)
Fiscal Year 2017: ¥1,040,000 (Direct Cost: ¥800,000、Indirect Cost: ¥240,000)
Fiscal Year 2016: ¥1,300,000 (Direct Cost: ¥1,000,000、Indirect Cost: ¥300,000)
Fiscal Year 2015: ¥1,170,000 (Direct Cost: ¥900,000、Indirect Cost: ¥270,000)
Fiscal Year 2014: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000)
Keywords訪問看護師 / 連携 / 地域包括ケアシステム / 協働 / 療養移行支援 / 訪問看護
Outline of Final Research Achievements

This study was performed with the aim of clarifying the key factors among cooperating skilled nurses in supporting home care. As the study method, we qualitatively analyzed the data of a focus group interview performed with 6 skilled home-care nurses. As a result, we defined the following 5 parameters, “basing decision-making on the majority opinion,” “representing the needs and wishes of the patient/patient’s family,” “organizing a team based on predicted situations,” “meeting and talking with the patient face to face,” and “finding out an appropriate approach after understanding the patient’s needs and personality.” It was determined that nurses consider the future life of a patient and his/her family needs based on the wishes of the patient about home care, organize a team that would plan for the future needs, and establish a collaboration with team members.

Academic Significance and Societal Importance of the Research Achievements

2025年問題といわれる超高齢社会を数年後に迎えるにあたり、社会保障の面から様々な課題克服に向けた取り組みが急務である。すべての人々が安心・安全の環境の中で、自分らしい暮らしが送れ、死に逝くことが可能な地域ケアの創造に、看護職として取り組むべき内容が見えた。この連携モデルの開発によって、質の高い看護実践と連携・協働の取り組みが、医療の質の向上と経営改善につながる可能性があると考えられる。モデル開発の適応に関しては、今後、検証していく予定である。

Report

(6 results)
  • 2018 Annual Research Report   Final Research Report ( PDF )
  • 2017 Research-status Report
  • 2016 Research-status Report
  • 2015 Research-status Report
  • 2014 Research-status Report
  • Research Products

    (54 results)

All 2018 2017 2016 2015 2014

All Journal Article (17 results) (of which Peer Reviewed: 13 results,  Open Access: 6 results,  Acknowledgement Compliant: 2 results) Presentation (31 results) (of which Int'l Joint Research: 6 results) Book (6 results)

  • [Journal Article] 訪問看護における職場継続意志の関連要因2018

    • Author(s)
      仁科祐子、谷垣靜子
    • Journal Title

      日本在宅ケア学会誌

      Volume: 18(2) Pages: 28-36

    • Related Report
      2018 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] 地域包括ケアシステムにおける訪問看護師の看護活動と責務について2018

    • Author(s)
      谷垣靜子
    • Journal Title

      地域ケアリング

      Volume: 17(9) Pages: 81-83

    • Related Report
      2018 Annual Research Report 2015 Research-status Report
  • [Journal Article] マグネット訪問看護ステーション管理者の組織育成2018

    • Author(s)
      谷垣靜子、乗越千枝、長江弘子、岡田麻里、仁科祐子
    • Journal Title

      日本プライマリ・ケア連合学会誌

      Volume: 39(2) Pages: 111-115

    • NAID

      130005159066

    • Related Report
      2018 Annual Research Report 2016 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] がん患者の折り合いの概念分析2018

    • Author(s)
      内田史江、谷垣靜子
    • Journal Title

      日本在宅ケア学会誌

      Volume: 20(1) Pages: 81-87

    • NAID

      40020981922

    • Related Report
      2018 Annual Research Report 2016 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] 職場環境の実態とスタッフの定着率を上げる要因2018

    • Author(s)
      谷垣靜子
    • Journal Title

      コミュニティケア

      Volume: 18(8) Pages: 25-28

    • Related Report
      2018 Annual Research Report 2016 Research-status Report
  • [Journal Article] 訪問看護師が働き続けられる職場環境要因の検討2018

    • Author(s)
      谷垣靜子、乗越千枝、長江弘子、仁科祐子、岡田麻里
    • Journal Title

      厚生の指標

      Volume: 64(7) Pages: 14-20

    • NAID

      40021265866

    • Related Report
      2018 Annual Research Report 2017 Research-status Report
    • Peer Reviewed
  • [Journal Article] 介護保険施設で認知症ケアに携わる看護職・介護職の道徳的感受性の検討2018

    • Author(s)
      鳴海幸子、谷垣靜子
    • Journal Title

      日本認知症ケア学会誌

      Volume: 17(3) Pages: 560-572

    • NAID

      40021738159

    • Related Report
      2018 Annual Research Report
    • Peer Reviewed
  • [Journal Article] A preliminary study of the effects of a smile-supplement robot on behavioral and psychological symptoms of elderly people with mild impairment2018

    • Author(s)
      Shizuko TANIGAKI, Kensaku KISHIDA, Akihito FUJITA
    • Journal Title

      Journal of humanities and social sciences

      Volume: 45 Pages: 19-26

    • NAID

      120006416129

    • Related Report
      2018 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Factors Influencing Home-visit Nursing Services for End-stage Cancer Patients Receiving Home Care2018

    • Author(s)
      内田史江、谷垣靜子
    • Journal Title

      Journal of Japan Academy of Nursing Science

      Volume: 38 Issue: 0 Pages: 124-132

    • DOI

      10.5630/jans.38.124

    • NAID

      130007510145

    • ISSN
      0287-5330, 2185-8888
    • Related Report
      2018 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Visiting Nurses' Support for the Acceptance of Cancer Patients Receiving Home Care2017

    • Author(s)
      内田史江、谷垣靜子
    • Journal Title

      Journal of Japan Society of Nursing Research

      Volume: 40 Issue: 1 Pages: 1_35-1_43

    • DOI

      10.15065/jjsnr.20161103004

    • NAID

      130005697169

    • ISSN
      2188-3599, 2189-6100
    • Related Report
      2018 Annual Research Report 2017 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Evaluation of an experience-based program to understand the concept of recovery among hospital-based psychiatric nurses2017

    • Author(s)
      Aki Okamoto, Shizuko Tanigaki
    • Journal Title

      Journal of Human Behavior in the social Environment

      Volume: 28 Pages: 77-89

    • Related Report
      2017 Research-status Report
    • Peer Reviewed
  • [Journal Article] A病院における病棟看護師の退院支援・継続看護研修プログラムの学習効果 ーワークシートと6か月後の面談調査の分析からー2016

    • Author(s)
      岡田麻里、長江弘子、谷垣靜子、保科英子、安藤弥生
    • Journal Title

      日本在宅ケア学会誌

      Volume: 20(1) Pages: 63-71

    • Related Report
      2016 Research-status Report
    • Peer Reviewed
  • [Journal Article] 岡山県内の市町村保健センターにおける発達障害児対策の実態2016

    • Author(s)
      芳我ちより、諏訪利明、大井伸子、谷垣靜子、河本茂美
    • Journal Title

      保健師ジャーナル

      Volume: 72(5) Pages: 396-404

    • NAID

      40020832372

    • Related Report
      2016 Research-status Report
    • Acknowledgement Compliant
  • [Journal Article] 多職種連携のための継続看護マネジメントモデルの適用と検証2016

    • Author(s)
      岡田麻里、長江弘子、谷垣靜子、乗越千枝、仁科祐子、片山陽子、酒井昌子
    • Journal Title

      勇美財団報告書

      Volume: 2014後期 Pages: 1-71

    • Related Report
      2016 Research-status Report
  • [Journal Article] 訪問看護における職場継続意志の関連要因2015

    • Author(s)
      仁科祐子、谷垣靜子
    • Journal Title

      日本在宅ケア学会

      Volume: 18(2) Pages: 28-36

    • Related Report
      2015 Research-status Report
    • Peer Reviewed / Acknowledgement Compliant
  • [Journal Article] グループホーム入居者の退去先の決定要因2015

    • Author(s)
      岸田研作、谷垣靜子
    • Journal Title

      厚生の指標

      Volume: 62(5) Pages: 15-19

    • NAID

      40020483341

    • Related Report
      2015 Research-status Report
    • Peer Reviewed
  • [Journal Article] 賃金および雇用管理の取り組みが登録ヘルパーの仕事満足度に与える影響2014

    • Author(s)
      岸田研作、谷垣靜子
    • Journal Title

      岡山大学経済学雑誌

      Volume: 46 Pages: 223-231

    • Related Report
      2014 Research-status Report
    • Peer Reviewed / Open Access
  • [Presentation] Continuing Nursing Care: A basic course to integrate medical care into everyday life and encourage inter-professional collaboration2018

    • Author(s)
      Mari Okada, Hiroko Nagae, Shizuko Tanigaki, Masako Sakai, Chie Norikoshi, Yoko Katayama, Yuko Nishina
    • Organizer
      9th international council of nurses
    • Related Report
      2018 Annual Research Report
    • Int'l Joint Research
  • [Presentation] Learning effects of practical training for continuing nursing : A comparison of two universities2018

    • Author(s)
      Hiromi Kobayashi, Chie Norikoshi, Shizuko Tanigaki, Hiroko Nagae
    • Organizer
      The 3rd Korea-Japan Joint Conference on Community Health Nursing (Busan, Korea)
    • Related Report
      2018 Annual Research Report
    • Int'l Joint Research
  • [Presentation] Effect of leaning of Continuing nursing for Basic Nursing Education: Comparison of Curriculum2018

    • Author(s)
      Chie Norikoshi, Hiromi Kobayashi, Shizuko Tanigaki, Hiroko Nagae
    • Organizer
      The 3rd Korea-Japan Joint Conference on Community Health Nursing (Busan, Korea)
    • Related Report
      2018 Annual Research Report
    • Int'l Joint Research
  • [Presentation] がん患者の折り合いの概念に関する文献的考察2018

    • Author(s)
      内田史江、谷垣靜子
    • Organizer
      日本看護科学学会学術集会
    • Related Report
      2018 Annual Research Report
  • [Presentation] A PRELIMINARY STUDY OF THE EFFECTS OF A COMMUNICATION ROBOT ON BEHAVIORAL AND PSYCHOLOGICAL SYMPTOMS OF ELDERLY PEOPLE WITH MILD IMPAIRMENT2018

    • Author(s)
      Shizuko Tanigaki, Akihito Fujita, Kensaku Kishida
    • Organizer
      2nd International Conference of Alzheimer's Disease International
    • Related Report
      2018 Annual Research Report
    • Int'l Joint Research
  • [Presentation] 訪問看護師における在宅看護の質に影響を及ぼすがん患者へのターミナル支援2018

    • Author(s)
      内田史江、谷垣靜子
    • Organizer
      日本看護科学学会学術集会
    • Related Report
      2018 Annual Research Report
  • [Presentation] 療養移行期に熟練看護師が行った連携2018

    • Author(s)
      谷垣靜子
    • Organizer
      日本在宅ケア学会学術集会
    • Related Report
      2018 Annual Research Report
  • [Presentation] 精神科病院で働く看護師の包括型地域生活支援プログラムへの関心2018

    • Author(s)
      岡本亜紀、谷垣靜子
    • Organizer
      日本看護学会学術集会
    • Related Report
      2018 Annual Research Report
  • [Presentation] 療養移行期に熟練看護師が行った連携2017

    • Author(s)
      谷垣靜子、長江弘子、乗越千枝、仁科祐子
    • Organizer
      第22回日本在宅ケア学会学術集会
    • Related Report
      2017 Research-status Report
  • [Presentation] A PRELIMINARY STUDY OF THE EFFECTS OF A COMMUNICATION ROBOT ON BEHAVIORAL AND PSYCHOLOGICAL SYMPTOMS OF ELDERLY PEOPLE WITH MILD IMPAIRMENT2017

    • Author(s)
      Shizuko Tanigaki, Akihito Fujita, Kensaku Kishida
    • Organizer
      32nd International Conference Alzheimer’s Disease International
    • Related Report
      2017 Research-status Report
  • [Presentation] 訪問看護師における在宅看護の質に影響を及ぼすがん患者へのターミナル支援2017

    • Author(s)
      内田史江、谷垣靜子
    • Organizer
      第37回日本看護科学学会学術集会
    • Related Report
      2017 Research-status Report
  • [Presentation] Experience of Hospital Nurses on Observational Practice during Assertive Community Treatment Visits to Patients with Severe Psychiatric Disabilities2017

    • Author(s)
      Aki Okamoto and Shizuko Tanigaki
    • Organizer
      TNMC & WANS International Nursing Research Conference
    • Related Report
      2017 Research-status Report
  • [Presentation] 生活と医療を統合する継続看護マネジメント2017

    • Author(s)
      長江弘子,谷垣靜子,酒井昌子, 片山陽子, 岡田麻里,乗越千枝,川添恵理子,照井レナ
    • Organizer
      第22回日本在宅ケア学会学術集会
    • Related Report
      2017 Research-status Report
  • [Presentation] がん患者の折り合いの概念に関する文献的考察2016

    • Author(s)
      内田史江、谷垣靜子
    • Organizer
      第36回日本看護科学学会学術集会
    • Place of Presentation
      東京
    • Year and Date
      2016-12-10
    • Related Report
      2016 Research-status Report
  • [Presentation] Continuing Nursing Care: A basic course to integrate medical care into everyday life and encourage inter-professional collaboration2016

    • Author(s)
      Mari Okada, Hiroko Nagae, Shizuko Tanigaki, Masako Sakai, Chie Norikoshi, Yoko Katayama, Yuko Nishina
    • Organizer
      9th international council of nurses
    • Place of Presentation
      HONG KONG China
    • Year and Date
      2016-09-09
    • Related Report
      2016 Research-status Report
    • Int'l Joint Research
  • [Presentation] 多職種連携のための継続看護マネジメント研修参加者の学びと取り組み2016

    • Author(s)
      岡田麻里、長江弘子、谷垣靜子、乗越千枝、酒井昌子、 片山陽子、仁科祐子
    • Organizer
      第26回日本看護学教育学会学術集会
    • Place of Presentation
      東京
    • Year and Date
      2016-08-22
    • Related Report
      2016 Research-status Report
  • [Presentation] 多職種チームを対象とした継続看護マネジメント研修(実践編)の試行と評価2016

    • Author(s)
      酒井昌子、片山陽子、岡田麻里、仁科祐子、乗越千枝、谷垣靜子、長江弘子
    • Organizer
      第21回日本在宅ケア学会学術集会
    • Place of Presentation
      東京
    • Year and Date
      2016-07-16
    • Related Report
      2016 Research-status Report
  • [Presentation] 多様な場で働く看護職を対象とした継続看護マネジメント研修会の試行と評価2016

    • Author(s)
      仁科祐子、長江弘子、乗越千枝、谷垣靜子、岡田麻里、酒井昌子、片山陽子
    • Organizer
      第21回日本在宅ケア学会学術集会
    • Place of Presentation
      東京
    • Year and Date
      2016-07-16
    • Related Report
      2016 Research-status Report
  • [Presentation] 介護保険施設で認知症ケアに携わる介護職の道徳的感受性の実態2016

    • Author(s)
      鳴海幸子、谷垣靜子、岡本玲子
    • Organizer
      認知症ケア学会学術集会
    • Place of Presentation
      神戸市
    • Year and Date
      2016-06-04
    • Related Report
      2016 Research-status Report
  • [Presentation] 在宅療養がん患者の折り合いを支える訪問看護師の支援内容に関する研究2015

    • Author(s)
      内田史江、谷垣靜子
    • Organizer
      日本看護科学学会学術集会
    • Place of Presentation
      広島市
    • Year and Date
      2015-12-05
    • Related Report
      2015 Research-status Report
  • [Presentation] 看護基礎教育における生活と医療を統合する継続看護を学ぶ実習の学習効果2015

    • Author(s)
      乗越千枝、小林裕美、谷垣靜子、長江弘子
    • Organizer
      日本看護科学学会学術集会
    • Place of Presentation
      広島市
    • Year and Date
      2015-12-05
    • Related Report
      2015 Research-status Report
  • [Presentation] The effectiveness of programs to increase the orientation of psychiatric nurse toward recovering patients and to encourage relationship development with patient families2015

    • Author(s)
      Okamoto A and Tanigaki S
    • Organizer
      ENDA-WANS-Congress 2015
    • Place of Presentation
      Hannover, Germany
    • Year and Date
      2015-10-14
    • Related Report
      2015 Research-status Report
    • Int'l Joint Research
  • [Presentation] 地域医療連携に生かす継続看護マネジメントの有効性2015

    • Author(s)
      岡田麻里、長江弘子、谷垣靜子
    • Organizer
      日本看護管理学会学術集会
    • Place of Presentation
      茨城
    • Year and Date
      2015-08-28
    • Related Report
      2015 Research-status Report
  • [Presentation] 岡山県市町村保健センターにおける発達障害児対策の実態2015

    • Author(s)
      芳我ちより、谷垣靜子
    • Organizer
      日本地域看護学会学術集会
    • Place of Presentation
      横浜市
    • Year and Date
      2015-08-01
    • Related Report
      2015 Research-status Report
  • [Presentation] 訪問看護ステーションの黒字経営と職場環境の関連2015

    • Author(s)
      谷垣靜子、長江弘子、乗越千枝、岡田麻里、仁科祐子
    • Organizer
      日本在宅ケア学会学術集会
    • Place of Presentation
      東京
    • Year and Date
      2015-07-18
    • Related Report
      2015 Research-status Report
  • [Presentation] 慢性疾患患者の在宅療養にあたり、病院看護師と訪問看護師が行う支援に関する研究2015

    • Author(s)
      豊原弓加、谷垣靜子
    • Organizer
      日本在宅ケア学会学術集会
    • Place of Presentation
      東京
    • Year and Date
      2015-07-18
    • Related Report
      2015 Research-status Report
  • [Presentation] 16.退院支援や地域の療養生活の支援におけるケアマネジメントを学ぶ臨地実習の学習効果2014

    • Author(s)
      小林裕美、乗越千枝、谷垣靜子
    • Organizer
      第19回 日本在宅ケア学会学術集会
    • Place of Presentation
      博多市
    • Year and Date
      2014-11-29 – 2014-11-30
    • Related Report
      2014 Research-status Report
  • [Presentation] 新人訪問看護ステーション管理者の抱える課題について2014

    • Author(s)
      乗越千枝、谷垣靜子、長江弘子
    • Organizer
      第19回 日本在宅ケア学会学術集会
    • Place of Presentation
      博多市
    • Year and Date
      2014-11-29 – 2014-11-30
    • Related Report
      2014 Research-status Report
  • [Presentation] Preliminary version of an Assessment Tool Determining Discharge Planning Activities of Ward Nurses2014

    • Author(s)
      Jing Bao, Shizuko Tanigaki, Hiroko Nagae
    • Organizer
      The 2nd Shanghai International Nursing Conference 2014/9/26-9/29
    • Place of Presentation
      China, Beijing
    • Year and Date
      2014-09-26 – 2014-09-29
    • Related Report
      2014 Research-status Report
  • [Presentation] The training evaluations of the Continuing Nursing Management educational program for elderly care in Japan.2014

    • Author(s)
      Masako Sakai, Chie Norikoshi, Shizuko Tanigaki, Yoko Katayama,
    • Organizer
      New Zealand Association of Gerontology Conference 12-14 september 2014
    • Place of Presentation
      NewZealand, Otago
    • Year and Date
      2014-09-12 – 2014-09-14
    • Related Report
      2014 Research-status Report
  • [Presentation] 訪問看護ステーションの経営状況と職場環境の関連2014

    • Author(s)
      谷垣靜子、乗越千枝、長江弘子、仁科祐子、岡田麻里
    • Organizer
      第17回 日本地域看護学会学術集会
    • Place of Presentation
      岡山市
    • Year and Date
      2014-08-01 – 2014-08-02
    • Related Report
      2014 Research-status Report
  • [Book] 継続看護マネジメント 第2版2018

    • Author(s)
      長江弘子編集 谷垣靜子ほか
    • Total Pages
      116
    • Publisher
      医歯薬出版株式会社
    • Related Report
      2018 Annual Research Report
  • [Book] 在宅ケア学 第6巻「エンド・オブ・ライフと在宅ケア」2018

    • Author(s)
      谷垣靜子
    • Total Pages
      191
    • Publisher
      株式会社ワールドプランニング
    • Related Report
      2018 Annual Research Report
  • [Book] おかやま大学生中山間地域等 研究・連携促進事業報告書2017

    • Author(s)
      西田真壽美、谷垣靜子
    • Total Pages
      67
    • Publisher
      自費出版
    • Related Report
      2017 Research-status Report
  • [Book] 在宅ケア学 第6巻 エンド・オブ・ライフと在宅ケア:グループホーム、小規模多機能など多様な「自宅」での看取りを実現する重要性と実例 -自宅ではないもうひとつの「家」での看取りから-2015

    • Author(s)
      谷垣靜子 日本在宅ケア学会編
    • Total Pages
      195
    • Publisher
      株式会社ワールドプラニング
    • Related Report
      2015 Research-status Report
  • [Book] 継続看護マネジメント2014

    • Author(s)
      長江弘子編集 谷垣靜子
    • Total Pages
      137
    • Publisher
      医歯薬出版会
    • Related Report
      2014 Research-status Report
  • [Book] 医療経済学・地域医療学2014

    • Author(s)
      浜田淳、齋藤信也、谷垣靜子
    • Total Pages
      198
    • Publisher
      岡山大学出版会
    • Related Report
      2014 Research-status Report

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Published: 2014-04-04   Modified: 2020-03-30  

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