Analysis of the Relationship between Nursing Professional Judgment and Home Health Care Quality

本研究旨在从定量与定性两方面探讨护理专业判断与家庭健康照护品质的关系。在英国初级保健中，地区护士具有一定程度的专业判断力。英国政府期望哪种技能组合有助于提高每个客户的生活质量和健康控制，而不是成本效益。我们于1999年和2000年访问了英国，并通过访谈纠正了有关家庭保健最近变化的信息。在资料分析的基础上，对日本护士门诊的情况进行了调查。我们从567个访护所获得1007例数据，涉及全日本护理专业判断情况及影响因素的数据。建议家庭医生在医学观点和行为方面给予来访护士一定的专业判断许可。但我们可以理解这些护士在这些病例中具有高质量的技能。预期结果是迅速提供服务和减少医疗资源的使用。

The purpose of this study is identified relationship between nursing professional judgment and home health care quality from quantitative and qualitative viewpoint. In UK primary care, district nurses are having extent power of professional judgment. The UK government has expectation of which skill mix contribute to not cost-effectiveness but improvement of QOL and health control of each client.We visited UK and correct the information about recently change of home health care by interview in 1999 and 2000. After analysis of the information, we surveyed about situation of visiting nurse office in Japan. We could get 1007 case data from 567 visiting nurse offices concerning to the situation of the nursing professional judgment and influential factors as whole Japan data.It was suggested that home physicians gave visiting nurses some permissions of professional judgment in relation to medical view and action. But we could understand that those nurses had high quality skill in those cases. It was expected that the outcome was speedy service providing and decreasing of medical resource use.