The Sense of Difficulty Held by Visiting Nurses

Shibata, Shigeki; Tomita, Sachie; Takayama, Yuko

doi:10.2185/jjrm.66.567

Cited by 5 publications

(4 citation statements)

References 1 publication

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“…There are three reasons for setting this criterion. First, in Japan, HVNs typically work after providing inpatient care [23]. Second, most home nursing agencies provide support not only for PMD but also people with physical illness [7].…”

Section: Participantsmentioning

confidence: 99%

The Process of Home-Visiting Nurses Supporting People with Mental Disorders

Ohtake,

Noguchi-Watanabe,

Morita

2023

IJERPH

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The number of people with mental disorders (PMD) living in the community is increasing; however, it is unclear how home-visiting nurses (HVNs) supporting them in the community acquire their support skills. This study aimed to reveal the process of how HVNs learn support skills for PMD. Semi-structured interviews were conducted with 14 HVNs supporting PMD living in the community. The grounded theory approach was used for data analysis. As a result, two stages were present: “Explore the personal recovery of PMD” and “Believe in the potential of PMD and accompanying them”. The first stage is further divided into two themes: “Overlapping the worlds of PMD and HVNs”, and “Easing difficulty in living for PMD”. In the first stage, HVNs gained a better understanding of PMD and obtained insight into the support they needed in their daily lives. In the second stage, HVNs became to provide the support that PMD truly needed. HVNs gained a deeper understanding of the reality of PMD through their support. After HVNs found the support PMD required, they sought to provide it, ultimately resulting in finding ways to facilitate the personal recovery of PMD.

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Section: Participantsmentioning

confidence: 99%

The Process of Home-Visiting Nurses Supporting People with Mental Disorders

Ohtake,

Noguchi-Watanabe,

Morita

2023

IJERPH

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“…Unlike the nursing provided by many nurses in wards, the work of home-visit nurses requires them to visit families independently or with a few other nurses, and also to deal with the process of the death of patients. In addition, Shibata, Tomita and Takayama reported that "difficulty due to independent visits" and "anxiety and difficulty due to lack of knowledge and skills of home-visit nursing" were difficulties encountered by nurses [29].…”

Section: Relationship Between the Demographics Of Home-visitmentioning

confidence: 99%

Survey of Bereavement Care Provided by Home-Visit Nurses for Bereaved Families in Japan

Miwa¹,

Jungetsu²,

Uchino³

2021

Health

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Purpose: This study aims to investigate the implementation conditions of bereavement care for bereaved families and the relationship between demographics of home-visit nurses and rates of provision of bereavement care. Methods: A self-rating anonymous questionnaire survey was conducted with 2200 facilities randomly selected from among the members of the Home-visit Nursing Stations of the National Nursing Business Association. Calculating the rates of provision of each pre-and post-bereavement care item of the survey, we performed a multiple logistic regression analysis to investigate the relationship between the demographics of home-visit nurses and rates of provision of care. Statistical processing employed SPSS ver. 21.0 with the significance level set at 5%. Results: A total of 688 responses were collected (collection rate, 31.3%), and 649 were included in the analysis. "Approval of the care that the family has provided" and "Involvement in the care together with the family and listening to their thoughts" were frequently provided in both pre-and post-bereavement care; however, the rate of provision of "Provided continued support/life planning until the family fully recovers social life" was low. More care services were provided by home-visit nurses working in facilities with 24-hour services in pre-bereavement, and by those with longer homevisit nursing experience in post-bereavement. Conclusions: Home-visit nurses provide many post-bereavement care services. However, continued care that helps bereaved families fully recover their social life, including life planning, is less frequently provided. Bereavement care provision rates vary depending on the facility type, whether the facility offers 24-hour services, and the length of home-visit nursing experience.

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“…Shibata et al reported "di culty due to independent visits" and "anxiety and di culty due to lack of knowledge and skills of home-visit nursing", giving a sense of the di culty that home-visit nurses have [18]. Sakashita stated that in terminal care, nurses need mental health care skills to engage in the terminal care with a positive attitude because they are subject to stress every day in the process of dealing with patients, and that it is necessary to create an environment that supports the mental conditions of nurses who feel anxiety and helplessness [19].…”

Section: Demographics Of the Study Populationmentioning

confidence: 99%

Survey of bereavement care at home-visit nursing stations in Japan

Miwa

Uchino

Jungetsu

et al. 2020

Preprint

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BackgroundWith a rapidly aging population, the importance of promoting end-of-life care at home has been pointed out. Home-visit nurses play an important role as professionals in charge of home care, and pre- and post- bereavement care for bereaved families is included in home-visit nursing services. However, bereaved families are not always provided with care after bereavement in Japan. This present study aims to investigate the relationship between the provision rates of pre- and post-bereavement care for the patient family and the demographics of home-visit nurses through a survey of home-visit nurses, and to clarify the details of post-bereavement care and the reasons why the care is employed, exploratorily through a survey of the managers of home-visit nursing stations.MethodsA self-rating anonymous questionnaire survey was conducted with 2,400 facilities (including 2,200 facilities randomly selected from among the members of Home-Visit Nursing Stations of the National Nursing Business Association). For the analysis, simple aggregation was used and the statistical processing employed SPSS ver21.0.ResultsA total of 680 valid responses were analyzed. The mean length of home-visit nursing experience was 10.6 years and that of hospital nursing experience was 15.2 years. The provision rate of post-bereavement care was 90% or higher in most of the identified items, excluding “Provided continued support/life planning until the family fully recovers social life”. For the provision of post-bereavement care, most items exceeded 70%, but excluding “Provided continued support until the family fully recovers social life”, and “Involved in building a life after bereavement”.Compared to the participants with less than 5 years of home-visit nursing experience, those with 10 years or longer experience had statistically significantly higher rates of providing post-bereavement care in more than half of the identified items. Home-visit nursing facilities with 24-hour services had statistically significantly higher rates of providing care in more than half of the items of both of pre- and post-bereavement care, compared to the facilities without 24-hour services. About 70% of the managers think that bereaved families need follow-up, and visited the families as a post-bereavement care.

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The Sense of Difficulty Held by Visiting Nurses

Cited by 5 publications

References 1 publication

The Process of Home-Visiting Nurses Supporting People with Mental Disorders

The Process of Home-Visiting Nurses Supporting People with Mental Disorders

Survey of Bereavement Care Provided by Home-Visit Nurses for Bereaved Families in Japan

Survey of bereavement care at home-visit nursing stations in Japan

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