2022 Fiscal Year Final Research Report

Making of the base for patient safety management skill of visiting nurse administrator by the web conference system

Research Project

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Project/Area Number	19K10768
Research Category	Grant-in-Aid for Scientific Research (C)
Allocation Type	Multi-year Fund
Section	一般
Review Section	Basic Section 58050:Fundamental of nursing-related
Research Institution	Morinomiya University of Medical Sciences (2022) Tenri Health Care University (2019-2021)
Principal Investigator	Uchida Hiromi 森ノ宮医療大学, 看護学部, 教授 (30243083)
Co-Investigator(Kenkyū-buntansha)	津本優子島根大学, 学術研究院医学・看護学系, 教授 (30346390) 古賀美紀島根大学, 学術研究院医学・看護学系, 教授 (40325056) 坂根可奈子島根大学, 学術研究院医学・看護学系, 助教 (40559267) 宮本まゆみ島根大学, 学術研究院医学・看護学系, 講師 (80551746)
Project Period (FY)	2019-04-01 – 2023-03-31
Keywords	訪問看護 / 医療安全管理 / 地域ネットワーク / コンサルテーション
Outline of Final Research Achievements	Due to the spread of COVID19 infection, the work of visiting nursing stations was overwhelmed, and it was not possible to obtain research collaborators. In addition,we had prepared a self-evaluation scale for medical safety management activities for visiting nursing administrators, but after experiencing the pandemic response, it became necessary to reconstruct the evaluation scale itself. Therefore, we have decided to prioritize the formulation of a self-evaluation scale that will serve as a performance indicator for action research. A questionnaire was created that added items related to the promotion of community-based integrated care during the pandemic to the items of the conventional self-evaluation scale. We conducted a web-based survey of randomly selected visiting nursing administrators nationwide on the actual status of medical quality and safety management activities. As a result of the analysis, 32 items in 8 categories were found to be valid evaluation indicators.
Free Research Field	Nursing Administration
Academic Significance and Societal Importance of the Research Achievements	訪問看護には医療安全管理に関する明確な基準はなく、医療安全管理者の配置も義務付けられていないため、医療安全管理を含む事業所運営管理全般を事業所管理者が担い、その実践は事業所管理者の認識・経験を頼りとする自助努力に委ねられている。一方、Covid19パンデミックにより、訪問看護管理者には、従来の医療安全管理の範疇を超えた「医療の質・安全管理」の実践が期待されている。本研究は、アクションリサーチにより現場の訪問看護管理者が抱えている医療安全管理上の課題の解決を図り、訪問看護管理者の医療の質・安全管理のスキルアップを目指す取り組みであるが、その推進の基盤となる成果指標を整備した意義は大きい。