| Project/Area Number |
17592325
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| Research Category |
Grant-in-Aid for Scientific Research (C)
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| Allocation Type | Single-year Grants |
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| Section | 一般 |
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| Research Field |
Community health/Gerontological nurisng
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| Research Institution | The Japanese Red Cross College of Nursing (2006-2007)
Jichi Medical University (2005) |
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Principal Investigator |
KISHI Emiko The Japanese Red Cross College of Nursing, Nursing, Associate Professor (80310217)
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| Co-Investigator(Kenkyū-buntansha) |
YONEZAWA Junko The Japanese Red Cross College of Nursing, Nursing, Assistant Professor (50289972)
MOCHIZUKI Yukiko The Japanese Red Cross College of Nursing, Nursing, Research Associate (70440253)
SUZUKI Kumiko Jichi Medical University, Nursing, Assistant Professor (80341783)
佐藤 幸子 自治医科大学, 看護学部, 助手 (60364535)
篠澤 俔子 自治医科大学, 看護学部, 教授 (20348022)
春山 早苗 自治医科大学, 看護学部, 助教授 (00269325)
舟迫 香 自治医科大学, 看護学部, 助手 (60406171)
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| Project Period (FY) |
2005 – 2007
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| Project Status |
Completed (Fiscal Year 2007)
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| Budget Amount *help |
¥3,440,000 (Direct Cost: ¥3,200,000、Indirect Cost: ¥240,000)
Fiscal Year 2007: ¥1,040,000 (Direct Cost: ¥800,000、Indirect Cost: ¥240,000)
Fiscal Year 2006: ¥1,100,000 (Direct Cost: ¥1,100,000)
Fiscal Year 2005: ¥1,300,000 (Direct Cost: ¥1,300,000)
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| Keywords | nursing practice / remote area / community care system / develonment of practical skills / health needs |
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| Research Abstract |
To clarify nursing practice skills necessary to establish community care system in remote areas, we investigated community nursing activities of health nurses involved in establishment of community care system in remote areas reality and issues of health nurses involved in establishment of community care system. The results were as following : :
(1)We interviewed nurses and care-takers in remote areas, mountainous areas and heavy snow areas which already have community care system established concerning factors and processes in establishing community care system and needs of residents before and after establishing community care system. It became clear that health nurses, after identifying issues in their daily nursing activities, further reviewed them in field survey and then established community care system through preparatory process, initial process and midterm process, incorporating the opinions of residents and cooperating with other professionals. At the same time, community care system was evaluated and efforts were made constantly to appeal to the residents in order to maintain the system in place.
(2) A nationwide questionnaire survey with 1,000 health nurses was conducted to investigate their practice, difficulties, necessary knowledge and skills in establishing community care system. Effective response rate was 46.7%. More than 90% recognized that it was their role to establish community care system and 60% of respondents were actually involved. However, about 90% felt it was difficult to establish community care system and cited lack of knowledge and skill as reasons.
Such findings point out the need to provide training and support, especially to inexperienced health nurses, on skills for regional assessment and cooperation with local residents rather than individual and group support skill. Especially in remote areas, not only skills and technology but support is considered necessary to establish care system that meets the needs of residents
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