Masataka Horikoshi

Circumstances and Challenges in Home Care-oriented Hospital Nurse Training: Using Group Interviews for Nurses Who Engage in Hospital Nursing Administration

Objective: This study aimed to clarify the circumstances and challenges in home care-oriented hospital nurse training on the basis of results of hospital nurse self-evaluations of nursing activities implemented in preparation for home care. Methods: Group interviews were conducted with 13 nurses at 9 different hospitals, and the results were qualitatively and inductively analyzed. Results and Discussion : Six categories for actual nursing activities implemented in preparation for home care were extracted. These categories were “I leave home care to other medical professionals,” “No form of inter-hospital cooperation has been established,” “There is disparity in cooperation with home-visiting nurses,” “Social resources are not being used due to a lack of knowledge,” “Able to develop a perspective of home care through workshop participation, years of experience, and interest,” and “Competency is lacking despite knowledge of home care.” Home care was apparently not being utilized by hospital nurses due to a lack of knowledge of social resources and a lack of interdisciplinary cooperation. Conclusions: Challenges in nurse training implemented in preparation for home care included compensating for the lack of practical knowledge of social resources and devising a duty system and inter-facility exchanges to allow nurses to build experience in other areas and departments. The results of this study suggested the need 群馬大学大学院保健学研究科 著者連絡先:牛久保美津子 群馬大学大学院保健学研究科看護学講座[〒371-8514 群馬県前橋市昭和町 3-39-22] email: ushi2@gunma-u.ac.jp (受付日:2016 年 8 月 18 日,採用日:2016 年 11 月 15 日) C2017 日本プライマリ・ケア連合学会

Issues Concerning Lymphedema Care for Post-Operative Cancer Patients

【目 的】 手術療法を受けたがん患者のリンパ浮腫ケアに対して看護師が認識している課題を明らかにする. 【対象と方法】 全国136施設でリンパ浮腫ケアに最も関係する看護師が回答したケアに関する質問紙のうち, 自由記述項目に記載のあった77名の記述内容を分析の対象とした. 分析は, 内容分析の手法を参考に質的記述的に行った. 【結 果】 手術療法を受けたがん患者のリンパ浮腫ケアにおける課題は『ケア提供者および当事者に対する教育的支援の不足』, 『施設におけるケア環境整備の不足』, 『地域におけるケアを推進する社会資源・地域連携の不足』, 『予防から発症後のケア方法の未確立』の4カテゴリーが形成された. 【結 語】 看護師が認識しているリンパ浮腫ケアの課題から, 施設, 地域, 社会が相互に連携し, ケア環境整備に向けて協働する必要性が示唆された.