Home Care Nurse Collaborative Practice with Care Managers/Home Health Aides for Elderly in Terminal Stage

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  • 介護支援専門員・介護職に対する訪問看護師の連携行動とその関連要因 : 死亡前1か月間の高齢者終末期ケアに関して
  • カイゴシエン センモンイン ・ カイゴショク ニ タイスル ホウモン カンゴシ ノ レンケイ コウドウ ト ソノ カンレン ヨウイン : シボウ ゼン 1カゲツカン ノ コウレイシャ シュウマツキ ケア ニ カンシテ

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Abstract

In this study, we examined correlates of home care nurses' collaborative practice with care managers and home health aides for the elderly in the terminal stage. We distributed questionnaires to 1/2 of the home visit nursing agencies in 13 prefectures and asked primary home care nurses to complete them for 2 deceased elderly cases for whom they had provided care. We analyzed 155 cases in which home care nurses collaborated with both care managers and home health aides. This was classified into 3 categories: namely 'collaboration between home care nurses and home health aides', 'collaboration between home care nurses and care managers', and 'building on strength as a team' by factor analysis. The items significantly related to 'collaboration between home care nurses and home health aides' were frequent collaboration, and home health aides' experiences of terminal care. The items significantly related to 'collaboration between home care nurses and care managers' were giving advice to care managers, and collecting information about clients' wishes. It is important to establish an information exchange system among all staff concerning clients' medical status and the way they wish to live. Also, home care nurses should provide many learning opportunities about terminal care to home health aides.

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