Development of the guidelines for visiting nurses' judgment and care in the transitional period

2011 Fiscal Year Final Research Report

• Project/Area Number: 22890166
• Research Category: Grant-in-Aid for Research Activity Start-up
• Allocation Type: Single-year Grants
• Research Field: Community health/Gerontological nurisng
• Research Institution: 高知県立大学 (2011); Kochi Women's University (2010)
• Principal Investigator: KOHARA Hiroko 高知県立大学, 看護学部, 助教 (20584337)
• Project Period (FY): 2010 – 2011
• Keywords: 在宅移行期 / 訪問看護 / 判断 / 訪問看護師の判断

Research Abstract

This study aims to develop the guidelines for visiting nurses' judgment and care in the transitional period. The 'transitional period' is defined as a phase which ranges from the initial request by a nursing staff or caremanager for visiting care, to a stable state of visiting care for a patient after discharge. Based on this definition, an interview format was designed which enabled the interviewees to syntheticallyreport their nursing situation. The interview with the visiting nurses was submitted to a qualitative analysis in order to extract types of judgment and content of care based on judgment. The analysis identified such types of judgment as follows : foreseeing of health status of patients after discharge, and so forth. With regard to content of care, the following types were identified : care which enables patients and their families to start secure home care lives ; care intended to form relationship among visiting nurses, patients and their families, and so forth. These results constitute the basis in developing the guidelines.