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Nursing Actions in Acute Care Hospital Settings to Continue with Care for Elderly People (Part 1: Nurses' Perspective) Yuko Ohara 1 , Nobuko Kawai 2 , Kumiko Kuroda 1 , Akiko Sakamoto 3 , Yuka Ishii 4 , Harue Masaki 1 1Graduate School of Nursing, Chiba University 2Graduate School of Medicine, Osaka University 3Chiba Prefectural University of Health Sciences 4Doctoral course, Graduate School of Nursing, Chiba University Keyword: 移行ケア , 高齢者 , ケアの継続 , 連携 , care transition , elderly people , continuity of care , collaboration pp.202-210
Published Date 2019/12/31
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 Aim: This study aimed to identify actions that nurses take in acute care hospital settings to continue with care for elderly people.

 Method: Sixteen nurses participated in semi-structured interviews. Interview data were analyzed using a qualitative synthesis method (KJ method) and then organized into groups representing the targeted nursing actions.

 Results: The following six actions were extracted from the interview data. 1) Encourage your healthcare professional team to pay attention to elderly people's hopes or values based on their everyday interactions. 2) Encourage collaboration between healthcare professionals by sharing information about elderly people from multiple perspectives and discussing possible treatments. 3) Gain a foothold for elderly care by respecting their own way of living and ensuring other healthcare professionals consider elderly people as human beings. 4) Gain a foothold for healthcare professionals' work by respecting individual specialties and determining their area of responsibility. 5) Control the environment around elderly people by supporting caregivers, adjusting the relationship between an elderly person and his/her caregiver and informing general citizens. 6) Control the environment around healthcare professionals by creating a system to communicate smoothly.

 Conclusions: Actions 1) and 2) represent “Encouraging”, actions 3) and 4) represent “Gaining a foothold” and actions 5) and 6) represent “Controlling the environment”. Furthermore, actions 1), 3) and 5) targeted elderly people and actions 2), 4) and 6) targeted healthcare professionals. Therefore, we found two axes of nursing actions: “Encouraging—Gaining a foothold—Controlling the environment” and “Elderly people—Healthcare professionals”.


Copyright © 2019, Japan Academy of Nursing Science. All rights reserved.

基本情報

電子版ISSN 2185-8888 印刷版ISSN 0287-5330 日本看護科学学会

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