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Development and Standardization of the Quality Indicators of Home Nursing for Aged with Bowel Dysfunction : The Process of Developing the Quality Indicators Mayuko Tsujimura 1,2 , Ikuko Suzuki 3 , Tomoko Akanuma 4 , Keiko Nemoto 4 , Akiko Honda 5 , Kazuko Ishigaki 4 , Noriko Yamamoto-Mitani 5 1Graduate School of Nursing, Chiba University 2Research Fellow of the Japan Society for the Promotion of Science 3School of Nursing, Yamagata University Faculty of Medicine 4Chiba University School of Nursing 5Graduate School of Allied Health Sciences, Tokyo Medical and Dental University Keyword: 排便ケア , 質指標 , 高齢者 , 訪問看護 , 標準化 , bowel dysfunction , quality indicators , aged , home nursing , standardization pp.309-316
Published Date 2007/6/15
DOI https://doi.org/10.11477/mf.1681100247
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 The purpose of this study was to develop quality indicators (QIs) of home nursing for aged with bowel dysfunction that focus on the process of care. The QIs were developed by the modified-delphi methodology. Initially, we created the first draft of the QIs from the literature (research, nursing or medical textbooks, etc.) in Japan and overseas. Then, we asked 5 experts in the bowel care area to rate the first draft of the QIs in terms of their validity, feasibility, and importance. Based on the rating, the QIs were examined through an expert panel discussion. The indicators were modified or deleted, and new indicators were created based on this expert panel discussion. After that, we again asked experts to rate the revised QIs in terms of their validity, feasibility, importance, and adequacy. Finally, we determined the final indicators based on the experts? rating. From the literature review, it seemed that there was not enough evidence regarding effective bowel care for home nursing users in Japan. By adding experts? clinical knowledge, the resultant 33 QIs of bowel care are expected to have a certain level of validity, feasibility, importance, and adequacy for home nursing of aged in Japan. The QIs consist of : 1) assessment (9 indicators), 2) intervention that includes general care (6 indicators), emergency care (2 indicators), improvement life style & preventive care (5 indicators), fecal incontinence care (5 indicators), and support for family members (3 indicators), and 3) follow-up (3 indicators). The finalized QIs are to be examined for their applicability by a national survey of nurses working at home nursing stations.


Copyright © 2007, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-1405 印刷版ISSN 0022-8370 医学書院

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