Fusion of care and cure in home visiting nursing

本研究旨在了解家庭护理护士对自身临床判断可付诸实践技能的认知，明确病人的家庭医生对病案现场的认知及护士通过访谈做出的判断。共获得81份问卷，分析了17个技能类别，其中排便灌肠、排尿导尿、压疮护理被多位护士选择。之所以选择这些技能，是因为，是非常有效的改善病人疼痛的方法，并且已经保留了足够的可以处理病人的元素，因为护士接触病人的时间比医生长。大约十个病例，我们采访了当事人的家庭医生。他们对护士的技能进行了明确的评估。这一结果在研讨会上进行了讨论，认为17个技能类别是现实的、合适的模型。

This study was undertaken to clarify home care nurse's recognition of skills which are able to put into practice by their own clinical judgment and to clarify client's family doctor's recognition about the scene of the case and nurse's judgment by interview. Having obtained 81 Questionnaire answers, we analyzed 17 skill categories.Especially enema administration of bowel elimination, catheterization of urinary elimination, and pressure ulcer care were chosen by many nurses. The reason why these skills were chosen as, are very effective methods to improve client's pain, and has already kept enough elements which can deal with a client, because nurses contact a patient for a longer time than doctors. About ten cases, we interviewed client's family doctor. They evaluated definitely nurse's skills.This result was discussed in the workshop, and was considered that 17 skill categories are realistic and appropriate model.