介護老人保健施設看護管理者の排尿ケア提供体制への取り組み

Efforts of Nurse Administrators toward Establishing a Urination Care Provision System at Geriatric Health Service Facilities

抄録

　本研究の目的は，介護老人保健施設看護管理者の排尿ケア提供体制への取り組みを明らかにすることである．介護老人保健施設の看護管理者5人を対象に半構造化面接を行い，質的記述的に分析した．その結果，【多職種が連携・協働できる環境づくり】【実践力のある人材の育成】【排尿ケアに対する施設方針の明確化】【業務負担感の軽減】【排尿ケアの課題の把握】【意欲への働きかけ】【ケアの評価方法の決定】の7つのカテゴリーが抽出された．看護管理者は，在宅復帰につながる排尿ケアを提供するために，施設のケア方針を具現化し，チームに対しては，各職種の専門性が発揮できるよう多職種間の連携協働を円滑にし，スタッフ個人に対しては，よりよいケアへの意識が高められるようモチベーションの維持向上に取り組んでいた．

　This study clarifies nurse administrators' efforts toward providing urination care in geriatric health service facilities semi-structured interviews were conducted with five nurse administrators of geriatric health service facilities, and a qualitative and descriptive analysis was conducted. Seven categories were extracted: creation of an environment in which multiple occupations can cooperate and collaborate; development of human resources with practical ability; clarification of facility policies on urination care; reduction in sense of workload burden; understanding of urination care issues; influence on motivation; and decisions about how to evaluate care. In order to provide urination care that leads to the patient's return home, the nurse administrators strived toward realizing the facility's care policy, facilitated the coordination and cooperation between multiple professions so that the team could demonstrate the expertise of each occupation, and worked to maintain and improve motivation for individual staff members so that their awareness of better care could be raised.