Extraction of excellent nursing competencies from visiting nurses involved in terminal care and an attempt to develop educational materials

本研究的目的是开发一个教育的DVD与访问护士的能力，可以可视化。第一阶段的研究是提取七个访问护士所需的护理能力的基础上，观察和访问的五个访问护士参与临终关怀。确定的能力如下：“作出准确的判断”，“以病人和家庭为中心的护理”，“缓解疼痛”，“保证病人和家庭”，“家庭护理”，“医生，其他卫生保健提供者，病人和家庭之间的协调”，和“自我发展作为一个访问护士。“第二阶段是制作教育DVD，包括四集：病人的生活回顾，以提供舒适为目的的淋巴按摩的实施，来访护士的能力说明，以及来访护士会议。本研究的最后阶段是评估DVD作为教育材料。通过对7名访视护士和159名护生观看后对DVD的书面评价进行分析，可以看出，目前的DVD在可视化访视护士的能力方面是有效的。

The purpose of this study was to develop an educational DVD with which visiting nurses’ competences can be visualized.The first phase of the study was to extract seven nursing competencies necessary for visiting nurses based on accompaniment-observations and interviews of five visiting nurses involved in terminal care. The identified competencies were as follows: "making accurate judgments," "patient- and family-centered care," "pain relief," "assuring the patient and the family," "family care," "coordination among the doctor, the other health care providers, the patient and the family," and "self-development as a visiting nurse."The second phase was to develop an educational DVD, which consisted of four episodes: a patient’s life review, an implementation of a lympho-massage with a purpose of providing comfort, a visiting nurse’s account of competencies, and a visiting nurses’ conference.The final phase of this study was evaluation of the DVD as educational materials. Based on an analysis of written evaluations of the DVD by the seven visiting nurses and 159 nursing students after viewing it, it became evident that the present DVD was effective in visualizing visiting nurses’ competences.