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要旨
目的：本研究の目的は，機能強化型訪問看護事業所と機能強化型への移行を検討している訪問看護事業所に勤務する看護師の教育ニーズを明らかにすることである．
方法：首都近郊3県の訪問看護事業所の看護師（n＝964）を対象に郵送法による調査を実施した．
結果：456名から回答を得て，456名を解析対象とした．456名のうち，機能強化型訪問看護事業所および機能強化型への移行を検討している訪問看護事業所に勤務する52名の看護師の教育ニーズは，「緩和ケア」「在宅終末期ケア（看取りを含む）」が高かった．また，24時間対応体制加算の有無と「在宅終末期ケア（看取りを含む）」「腎瘻・膀胱瘻のケア」に有意差を認めた（p＝.05）．
結論：機能強化型訪問看護事業所および機能強化型への移行を検討している訪問看護事業所に勤務する看護師は，ターミナルケアの教育ニーズが高く，機能強化型訪問看護管理療養費算定要件に合致していると考えられた．
Objectives: The purpose of this study is to clarify the educational needs of nurses working at the functionally strengthening type of home-visit nursing establishments and the establishments which intend to shift to the strengthening type.
Methods: We conducted a mail-out survey for home-visit nursing facilities (n = 964) in three prefectures in the vicinity of Tokyo.
Results: A total of 447 out of 456 responders were analyzed. The educational needs by nurses working at 52 home-visit nursing establishments with enhanced functions and those without enhanced functions but indicated their intention to shift to the enhanced-function type found in “palliative care” and “end-of-life care at home (including care).” Educational needs were high. In addition, there was a significant difference in the educational needs of “end-of-life care at home” and “care for renal and bladder fistula” between nurses in the facilities with and without 24-hour operation (p = .05). There was no difference in the educational needs of nurses working at both home-visit nursing offices.
Conclusion: The educational needs of nurses working at home-visit nursing establishments that are considering a transition to function-enhanced home-visit nursing establishments and function-enhanced nursing establishments are high for cancer nursing and terminal care, and function-enhanced home-visit nursing management It was presumed that it would be affected by the requirements for calculating medical expenses.
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