A Study of Handling Difficult Cases in Visiting Care: Current Situation and Measures for Verbal Abuse and Violence against Visiting Nurses

2015 Fiscal Year Final Research Report

• Project/Area Number: 24593282
• Research Category: Grant-in-Aid for Scientific Research (C)
• Allocation Type: Multi-year Fund
• Section: 一般
• Research Field: Fundamental nursing
• Research Institution: Kobe Tokiwa Junior College
• Principal Investigator: TAKE YUKARI 神戸常盤大学短期大学部, その他部局等, 講師 (00363581)
• Co-Investigator(Kenkyū-buntansha): KANEKAWA Harumi 神戸常盤大学, 短期大学部看護学科, 教授 (50233870) ; NISHIDE Junko 神戸常盤大学, 保健科学部看護学科, 講師 (80530724) ; KOSAKA Motoko 神戸常盤大学, 短期大学部, 講師 (40530720) ; 會澤 久仁子 国立循環器病センター研究開発基盤センター, 医学倫理研究部, 上級研究員 (80530162)
• Research Collaborator: ANZAI Mieko
• Project Period (FY): 2012-04-01 – 2016-03-31
• Keywords: 訪問看護 / 困難事例 / 暴言 / 暴力 / 個別面接調査 / テキストマイニング / 質問紙郵送調査 / 因子分析

Outline of Final Research Achievements

We conducted four types of surveys to characterize problem cases (including verbal abuse and violence experienced by visiting nurses: Literature search; group dialogue using philosophical approach [three mixed groups including visiting nurses, co-medical and social welfare workers, and lay people (24 people)]; personal interview with 12 visiting nurses; and self-administered questionnaire survey mailed to 2000 randomly sampled visiting nurses all over Japan. These surveys showed that the difficulties in handling experienced by visiting nurses were structurally comprised of four factors. It is suggested that based on the uniqueness of home care provided by individual visiting nurses at home, effective measures such as team approach, upskilling of visiting nurses, and support to the family should be addressed.

Free Research Field

在宅看護