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ID 116886
Title Alternative
Identifying patient status and needs to enable patients receiving acute care to live in the community in the community-based integrated care system : Structure of the “Nursing Care for Patient Goals”
患者の希望を地域につなぐための患者状態とニーズ
Author
Sasai, Tomoko Tokushima University
Shibahashi, Hidehiro Tokushima University
Shikone, Hiroyo Tokushima University
Kawahara, Yoshimi Tokushima University
Miki, Yukiyo Tokushima University
Kanazawa, Akiyo Tokushima University
Tojo, Yukimi Tokushima University
Kane, Chikako Tokushima University
Hase, Naomi Tokushima University
Nakano, Akemi Tokushima University
Takagai, Tomoko Tokushima University
Keywords
希望
ニーズ
急性期医療
地域での生活
NCPG
Hope
Needs
Acute care
Life in the community
Content Type
Journal Article
Description
目的:急性期医療を受ける患者の地域での生活を視野に入れた看護を展開するために患者の情報と看護の視点について明らかにすることを目的とした.
方法:特定機能病院に勤務する中堅以上の看護師33名を対象に,地域での生活を視野に入れた患者の情報と看護の視点についてフォーカス・グループ・インタビューを行い分析した.
結果及び考察:急性期医療を受ける患者の地域での生活に必要な情報と看護の視点として,コアカテゴリー《地域での生活を可能にするニーズ》が抽出された.さらに地域での生活を可能にするための状態とニーズとして【身体・生理的な状態とニーズ】,【生活の自立と安全の状態とニーズ】,【病気の受け入れと心理的反応の状態とニーズ】,【社会的環境の状態とニーズ】,【医療・療養への自己決定の状態とニーズ】の5つのカテゴリーに分類された.これらより,患者の暮らしの希望,療養の目標,5つの視点の状態からニーズを導き看護を展開する看護の過程として,“Nursing Care for Patient Goals”(NCPG)を構造化した.
結論:地域包括ケアシステムの中において急性期医療を受ける患者の情報と看護の視点として地域での生活を可能にするための5つの状態とそのニーズが重視されていた.
Description Alternative
Objective : The aim of this study was to identify information and care perspectives of nurses for patients leaving an acute care hospital for life in the community, and to consider appropriate nursing care in the community-based integrated care system.
Method : Focus group interviews were conducted with 33 nurses working in an acute care hospital. The data were analyzed using qualitative inductive analysis.
Results & Discussion : The core category “Needs to enable patients to live in the community” was extracted as the information and care perspective necessary for patients receiving acute care to leave hospital for life in the community. The information and care perspectives were classified into five conditions : physical/physiological condition and needs, life independence and safety status and needs, acceptance of/emotions about illness and needs, social environment and needs, and decision-making and needs. “Nursing Care for Patient Goals” was structured as a nursing process.
Conclusion : We identified five conditions and their needs that would enable patients receiving acute care to leave hospital for life in the community.
Journal Title
The Journal of Nursing Investigation
ISSN
24342238
Publisher
徳島大学医学部
Volume
19
Issue
2
Start Page
14
End Page
22
Sort Key
14
Published Date
2022-03-25
EDB ID
DOI (Published Version)
URL ( Publisher's Version )
FullText File
language
jpn
TextVersion
Publisher
departments
Medical Sciences