訪問看護師と訪問介護員における在宅患者情報共有の促進要因

Factors Facilitating Sharing Information on Home Care Patients between Home Care Nurses and Home Care Workers

要旨

　目的：訪問看護師と訪問介護員の間での在宅患者情報の共有の促進要因を明らかにすることである。

　方法：在宅患者情報の共有状況等について無記名自記式質問紙調査を訪問看護・訪問介護事業所で働く看護職94名、介護職120名の合計214名の有効回答について分析した。

　結果：情報共有が不充分だと感じる割合は、看護・介護職ともに4割以上だった。情報共有を充分に行うための要因として、看護・介護職とも相手職種に「気軽に聞ける」ことが関連していた。さらに「気軽に聞ける」ことの関連要因は、両者とも「訪問看護・介護の併設事業所に所属」であり、看護職で「地域ケア会議」、介護職で「多職種研修会」への参加が関連していた。

　結論：地域包括ケアシステムにおいて、所属事業所が異なっている看護・介護職間のより良い情報共有には、お互いに「気軽に聞ける」良好な関係性が重要であり、そのためには顔を合わせる「地域ケア会議」や「多職種研修会」などへの参加が有効であることが示唆された。

　Purpose: To clarify factors facilitating sharing information on home-care patients between home care nurses and home care workers.

　Methods: A total of 214 staff working in home care agencies, including 94 nurses and 120 workers providing home care, were surveyed using an anonymous self-reporting questionnaire on the situation of sharing information on home care patients.

　Results: As for both nurses and health care workers, more than 40% answered that the extent of sharing information among these care staff was insufficient. Both nurses and health care workers selected “feeling free to talk with my occupational counterpart” as one of factors to facilitate adequate information sharing. Moreover, as factors relevant to “feeling free to talk with my occupational counterpart”, “being affiliated with the same agency providing home care services including home care nursing” was selected by both nurses and health care workers, while “attending community care meeting(s)” was selected by nurses and “attending multi-disciplinary workshop(s)” by health care workers.

　Conclusion: In a community-based integrated care system, it was suggested that better information sharing between nurses and health care workers affiliated with different agencies can be facilitated by establishing a good relationship between these two occupations, for which interpersonal communication, provided by attending professional meetings, such as “community care meetings” and “multi-disciplinary workshops”, may be effective.