デンマークの介護看護師が高齢者の退院中に果たすべき役割,責任,実践的介入:デルフィー調査
Connie Berthelsen1,2, Cedric Mabire3,4, Birgitte Lerbæk5
1Medical Department, Zealand University Hospital, Køge, Denmark.
Journal of advanced nursing
|August 27, 2025
まとめ
トランジションケア看護師 (TCN) は 患者の退院に不可欠です 専門家のコンセンサスは,自宅に移行する高齢者のための調整,継続,協力を含む主要な責任を特定しました.
科学分野:
- 医療管理
- 介護 業務
- 老人 の 介護
背景:
- トランジションケア看護師 (TCN) は,退院中の多発性高齢患者の管理において重要な役割を果たします.
- デンマークのTCNの特定の機能と責任は,効果的な患者の移行を確保するために明確にする必要があります.
- 不適切な役割定義は,脆弱な高齢者のケアの安全性と計画に影響を与える可能性があります.
研究 の 目的:
- 病院で働く介護看護師 (TCN) の最適の立場,責任,実践の介入について専門家のコンセンサスを確立する.
- 多発性疾患を患っている高齢者の 退院プロセスに不可欠な要素を定義する.
- デンマークの医療環境におけるTCNの役割の発展と強化を図る.
主な方法:
- 2ラウンドのデルフィー調査方法が採用されました.
- デンマークの農村部から54人の介護看護師 (TCN) が参加した.
- 専門家パネルは4つのデータソースから作成された120項目のアンケートを関連性について評価した.
主要な成果:
- 最初のラウンドで60項目のコンセンサス合意 (≥75%の関連性) が達成されました.
- 第2ラウンドの結果,56の重要な項目について合意に達した.
- この研究では,患者の移行に不可欠な特定のTCNの責任と実践の介入が特定されました.
結論:
- 排出の調整と継続は,TCNの主要な責任です.
- 患者,家族,学際的なチームとの高いレベルのチームワークと連携が不可欠です.
- この発見は,高齢の患者のケアを改善するために,TCN機能の強化を導くでしょう.
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