Program development of communication among homecare nurses to reduce nurse's turnover

2018 Fiscal Year Final Research Report

• Project/Area Number: 16K20970
• Research Category: Grant-in-Aid for Young Scientists (B)
• Allocation Type: Multi-year Fund
• Research Field: Fundamental nursing; Gerontological nursing
• Research Institution: The University of Tokyo
• Principal Investigator: Noguchi-Watanabe Maiko 東京大学, 大学院医学系研究科(医学部), 助教 (60734530)
• Research Collaborator: TANIGUCHI yukiko
• Project Period (FY): 2016-04-01 – 2019-03-31
• Keywords: 在宅ケア / 訪問看護 / 離職予防 / 事例検討

Outline of Final Research Achievements

The purpose of this study was to examine the relationship between communication in an agency and home care nurse’s intention to remain and to develop and evaluate a program to promote communication in the agency. The results showed that home care nurses who preferred to remain at the current agency spent significantly longer minutes for conferences(p = 0.019), dialogue with a manager(p = 0.020), and dialogue with staff members(p = 0.004)than those who did not prefer to remain at the current agency. We developed “a dialogue based case conference program.” Although the work engagement and intention to remain at the current agency were not improved after the program, most participants evaluated that this program was useful for them.

Free Research Field

在宅ケア、訪問看護、人材育成

Academic Significance and Societal Importance of the Research Achievements

訪問看護は在宅療養者を支える上で欠かせない存在であるが、訪問看護師の離職によって在宅療養者・家族への支援が十分に提供出来ないリスクを抱えている。本研究では、職場内コミュニケーションが訪問看護師の就業継続意向との関連を明らかにし、コミュニケーション促進のプログラムとして「ケアを語る事例研究会」を開発した。
本方策によって、訪問看護師の離職者数減少が期待され、訪問看護サービスの質の低下を防ぎ、サービスの量も安定供給可能となろう。それによって、地域包括ケア推進の鍵となる訪問系サービス事業所で働く職員確保の助けとなり，来るべき超高齢社会における医療・介護体制整備の礎となることが期待される。