2021 Fiscal Year Final Research Report

Development of a home care transition support model for nurses in the regional medical liaison office of hospitals with long-term care beds

Research Project

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Project/Area Number	18K10659
Research Category	Grant-in-Aid for Scientific Research (C)
Allocation Type	Multi-year Fund
Section	一般
Review Section	Basic Section 58080:Gerontological nursing and community health nursing-related
Research Institution	Seirei Christopher University
Principal Investigator	TOYOSHIMA Yukiko 聖隷クリストファー大学, 看護学部, 教授 (80249234)
Co-Investigator(Kenkyū-buntansha)	兼子夏奈子聖隷クリストファー大学, 看護学部, 助教 (50805017) 河野貴大聖隷クリストファー大学, 看護学部, 助教 (80837849) 木下幸代聖隷クリストファー大学, 看護学部, 教授 (00095952)
Project Period (FY)	2018-04-01 – 2022-03-31
Keywords	医療療養病床 / 地域連携室看護師 / 在宅療養移行支援
Outline of Final Research Achievements	This study clarified the support for transition to home care provided by nurses in the regional medical liaison office of hospitals with long-term care beds. The following surveys were conducted. A questionnaire survey on the details of the support for transition to home care provided by nurses in the regional medical liaison office of hospitals with long-term care beds, and an interview survey asking about the role of nurses in the regional medical liaison office. The followings were the characteristics of the support for transition to home care provided by nurses: 1)The nurses inform patients and their families even before hospitalization that home care transition is possible. The nurse repeatedly confirms the patient and family's intention to live at home. 2)Regularly work closely with local service providers that support living at home. 3)Nurses build relationships based on trust with patients and their families so that they can continue to live at home with peace of mind.
Free Research Field	地域看護学　慢性看護学
Academic Significance and Societal Importance of the Research Achievements	医療療養病床をもつ病院の地域連携室看護師における在宅療養移行支援内容と地域連携室看護師の役割を明らかにすることで、医療療養病床からの在宅療養移行支援の質の向上につながる有益な結果が得られたと考える。また医療的ケアを抱える療養者・家族が住み慣れた自宅で自分らしい在宅療養生活を安定的に継続して送ることの実現に寄与できる。また未だ地域連携室に看護師が配置されていない病院において、地域連携室に看護師を配置する利点が明確となり、医療療養病床からの在宅療養移行の促進つながると考える。