高齢者ケアの継続に向けた急性期病院看護師のコーディネート機能（第2報：看護師と協働する医療職の視点から）

Nursing Actions in Acute Care Hospital Settings to Continue with Care for Elderly People (Part 2: From the Perspective of Other Healthcare Professionals)

要旨

　目的：看護師と協働する医療職の視点から高齢者ケアの継続に向けた急性期病院看護師のコーディネート機能を明らかにする．

　方法：看護師と協働する医療職8名を対象に半構成的面接を行い，質的統合法にて分析した．

　結果：看護師と協働する医療職からみた看護師のコーディネート機能は，協働する医療職の【専門性発揮の助け】となる「足掛かり」「羅針盤」「初動」機能と，【多職種間連携に向けた働き】として「本質の見極めとシームレスな橋渡し・役割代行」「求めたい専門領域の尊重・役割移譲」「求めたい確かな情報共有・ズレや誤解を生まない伝達の心掛け」及び【間を結ぶ調整の要】として「間に入っての噛み砕いた伝達とズレの修正」機能が示された．

　結論：医療職から見た看護師のコーディネート機能として，関係者の間を結ぶ調整，専門性の発揮，多職種間連携に向けた働きが明らかになり，それらはケア継続に向けて調整機能を礎として発揮された．

　Aim: This study aimed to identify actions that nurses take in acute care hospital settings to continue with care for elderly people from the perspective of other healthcare professionals who work with nurses.

　Methods: Eight healthcare professionals who work with nurses participated in semi-structured interviews regarding nursing actions to continue care for elderly people. Interview data were analyzed using a qualitative synthesis method.

　Results: The actions that nurses take in acute care hospital settings to continue with care for elderly people from the perspective of other healthcare professionals who work with nurses are “providing a foothold,” “establishing indicators of directionality,” and “taking initial actions” to support the other healthcare professionals to demonstrate their expertise, and “identifying the essence and seamlessly bridging and substituting roles,” “respecting and transferring the roles of the specialized areas that are desired,” and “sharing reliable information and being mindful of communication that does not cause misunderstanding” to work toward multidisciplinary collaboration. In addition, as “the key to coordination between various stakeholders,” the importance of “communicating clearly and correcting misunderstandings” was identified.

　Conclusion: Coordinating between various stakeholders, supporting other healthcare professionals to demonstrate their expertise, and working toward multidisciplinary collaboration were clarified as coordinating actions of nurses from the perspective of other healthcare professionals. These actions were based on coordination between various stakeholders and demonstrated for the continuation of care for the elderly in each of the demonstration of expertise and multidisciplinary collaboration.