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RISS 인기검색어
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- 저자 : HISAKO HORIGUCHI (검색결과 3 건)
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Kumiko Hayashi,Emiko Kasuya,Yuko Shiba,Shigeko Iimori,Hisako Horiguchi 한국간호과학회 2021 한국간호과학회 학술대회 Vol.2021 No.10
Aim(s): This study aims to establish details of the relationship between the educational support needed by care managers in providing end-of-life care at home in Japan, the experiences of providing end-of-life care, and the acquired basic certificates. Method(s): Data collection period: August to October of 2020. Data collection method: Anonymous self-rating questionnaire survey by using postal services. Study participants: Care managers working at in-home care management office in City A, Japan. Survey items: “Demographics”, “basic certificates that are a prerequisite for acquiring a care manager qualification”, “whether or not having experience of end-of-life care as a care manager”, and “educational support needed to provide end-of-life care as a care manager”. In the analysis, the descriptive statistics values of each item were calculated, and a chi-square test and residual analysis were performed after cross tabulation. Result(s): We distributed questionnaires to 672 establishments in City A, and collected 372 responses, and of these 342 (91.9%) were determined as valid. There were 308 (90.1%) care workers with experience of end-oflife care as a care manager. The most needed educational support for end-of-life care as a care manager was support to understand the “progress of illnesses”, 248 (72.5%) of all participants. For the basic certificates, nurses and assistant nurses were statistically significantly fewer than other basic certificates care managers (p < .05). The second most needed educational support needed was “pain control”, 186 (54.4%) of all participants. The number of participants who need “pain control” educational support was statistically significantly smaller among those with experience of end-of-life care as a care manager (p < .05). Conclusion(s): The most needed educational support for end-of-life care as a care manager was support to understand the “progress of illnesses”. For the basic certificates, nurses and assistant nurses were statistically fewer than other basic certificates care managers.
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Difficulties felt by care managers in providing support for end-of-life care service clients
EMIKO KASUYA,YUKO SHIBA,KUMIKO HAYASHI,SHIGEKO IIMORI,HISAKO HORIGUCHI 한국간호과학회 2021 한국간호과학회 학술대회 Vol.2021 No.10
Aim(s): This study aims to identify difficulties faced by care managers when providing end-of-life care at home, and contribute the findings as basic data for developing educational programs for care managers. Method(s): Study participants were care managers working at 672 in home care management office in the Tokai region in Japan. An anonymous self-rating questionnaire survey was conducted using postal services between September and October of 2020. Comments provided in the open-ended question, “In what aspects do you feel it to be difficult when providing the end-of-life care” were organized into codes, and a qualitative and inductive analysis was performed. Result(s): Questionnaires were sent to 672 establishments, and 372 responses were collected. There were six categories “Problems with the long-term care insurance system” “Difficulty in improving the medical treatment environment suited to the end-of-life stage” “Anxiety due to lack of knowledge about the progress of the end-of-life care period” “Difficulty in providing support for the family” “Limitations of the role as care managers” and “Difficulty in sharing information and collaborating with medical professionals”. Conclusion(s): Care managers do not think that the present Long-term care Insurance System provide sufficient welfare services for the insured service clients at the end-of-life stage, and think that there is room for improvement. Care managers were aware of the necessity to provide end-of-life care services suited to the progress of illnesses, but they were also aware of their lack of specific knowledge of this. In addition, despite the necessity for cooperation with medical professionals, care managers felt that it is difficult to cooperate with medical professionals due to lack of information sharing, and the limitations in providing support for service clients as care managers. These issues make care managers feel it difficult to provide service clients with sufficient services.
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