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Rural Homecare Nurses’ Challenges in Providing Seamless Patient Care in Rural Japan

Homecare nurses manage patients with extreme homecare dependence through interprofessional collaboration. The quality of the collaboration depends on situations, and the difficulties of homecare nurses are complicated in rural settings because of a few healthcare resources. This study determined rur...

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Detalles Bibliográficos
Autores principales: Ohta, Ryuichi, Ryu, Yoshinori, Katsube, Takuji, Sano, Chiaki
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7764394/
https://www.ncbi.nlm.nih.gov/pubmed/33322181
http://dx.doi.org/10.3390/ijerph17249330
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author Ohta, Ryuichi
Ryu, Yoshinori
Katsube, Takuji
Sano, Chiaki
author_facet Ohta, Ryuichi
Ryu, Yoshinori
Katsube, Takuji
Sano, Chiaki
author_sort Ohta, Ryuichi
collection PubMed
description Homecare nurses manage patients with extreme homecare dependence through interprofessional collaboration. The quality of the collaboration depends on situations, and the difficulties of homecare nurses are complicated in rural settings because of a few healthcare resources. This study determined rural homecare nurses’ difficulties during interprofessional collaboration in providing seamless patient care. Focus groups, followed by one-on-one interviews, were conducted with 13 rural homecare nurses working in rural Japan. Using thematic analysis, four themes were extracted: collaboration with physicians, the collaboration with the government, the collaboration with care workers, and the collaboration among hospital nurses. Rural homecare nurses have difficulties in their working relationships with other professionals, with vague definitions of each professional’s roles and responsibilities, and with information-sharing. Interprofessional education and information-sharing should respect rural professional and cultural backgrounds. Respect can accomplish mutual understanding among professional care, leading to seamless patient care in rural home care.
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spelling pubmed-77643942020-12-27 Rural Homecare Nurses’ Challenges in Providing Seamless Patient Care in Rural Japan Ohta, Ryuichi Ryu, Yoshinori Katsube, Takuji Sano, Chiaki Int J Environ Res Public Health Article Homecare nurses manage patients with extreme homecare dependence through interprofessional collaboration. The quality of the collaboration depends on situations, and the difficulties of homecare nurses are complicated in rural settings because of a few healthcare resources. This study determined rural homecare nurses’ difficulties during interprofessional collaboration in providing seamless patient care. Focus groups, followed by one-on-one interviews, were conducted with 13 rural homecare nurses working in rural Japan. Using thematic analysis, four themes were extracted: collaboration with physicians, the collaboration with the government, the collaboration with care workers, and the collaboration among hospital nurses. Rural homecare nurses have difficulties in their working relationships with other professionals, with vague definitions of each professional’s roles and responsibilities, and with information-sharing. Interprofessional education and information-sharing should respect rural professional and cultural backgrounds. Respect can accomplish mutual understanding among professional care, leading to seamless patient care in rural home care. MDPI 2020-12-13 2020-12 /pmc/articles/PMC7764394/ /pubmed/33322181 http://dx.doi.org/10.3390/ijerph17249330 Text en © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Ohta, Ryuichi
Ryu, Yoshinori
Katsube, Takuji
Sano, Chiaki
Rural Homecare Nurses’ Challenges in Providing Seamless Patient Care in Rural Japan
title Rural Homecare Nurses’ Challenges in Providing Seamless Patient Care in Rural Japan
title_full Rural Homecare Nurses’ Challenges in Providing Seamless Patient Care in Rural Japan
title_fullStr Rural Homecare Nurses’ Challenges in Providing Seamless Patient Care in Rural Japan
title_full_unstemmed Rural Homecare Nurses’ Challenges in Providing Seamless Patient Care in Rural Japan
title_short Rural Homecare Nurses’ Challenges in Providing Seamless Patient Care in Rural Japan
title_sort rural homecare nurses’ challenges in providing seamless patient care in rural japan
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7764394/
https://www.ncbi.nlm.nih.gov/pubmed/33322181
http://dx.doi.org/10.3390/ijerph17249330
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