Development of a coordinator educational program for nurses with the aim of establishing a total home-care system for children

本研究目的在探讨护理人员在家庭照顾儿童中扮演协调者角色的教育计划，以改善护理实务。系列协调员会议包括讲座会议和个案会议，为期一年。14名由日本中部附属医院护士长推荐的护士参加了这些会议。我们调查了他们的看法，全面照顾儿童的基础上自行开发的问卷，他们的知识，做法，和感受之前，期间，和之后的会议。结果如下：实行全面护理和注重亲子互动的护士人数有所增加。此外，了解并能够提供与现有社会资源有关的信息的护士人数有所增加。特别是，护士在会议上提出的案例研究改变了他们的答案肯定。2.家庭护理的儿童的指导方针是由我们的研究成员，专家护士，和公共卫生护士描述。此后，根据指导方针和先前调查的结果修订了教育计划。受试者是申请参加修订后的协调员会议的66名护士。我们调查了他们的看法，全面照顾儿童的基础上，在以前的调查问卷之前，期间和之后的会议。结果：护士对大部分问题的回答是肯定的人数逐渐增加。特别是，会议期间增加的小组讨论有效地改变了他们的看法。护理人员应通过被动学习和主动学习，并接受同伴的支持，提高实践策略。

The purpose of this research was to develop an educational program to improves nursing practice with regard to the roles of nurses as coordinators in home care for children.1.The educational program was designed as an experimental program based on previous studies. The serial coordinator sessions comprised lecture meetings and case conferences over the period of one year. Fourteen nurses who were recommended by their head nurses affiliated to hospitals in central Japan participated in these sessions. We investigated their perceptions of total care for children on the basis of a self developed questionnaire with regard to, their knowledge, practices, and feelings before, during, and after the sessions. The results are as follows : There was an increase in the number of nurses who practiced total care and focused on parent-child interaction. Further, there was an increase in the number of nurses who were aware of and could provide information pertaining to the social resources available. In particular, nurses who presented case studies in the sessions changed their answers affirmatively.2.The guidelines of home care for children were described by our research members, expert nurses, and public health nurses. Thereafter, the educational program was revised based on the guidelines and the results of the previous investigation. The subjects were sixty-six nurses who applied to participate in the revised coordinator sessions. We investigated their perceptions of total care for children on the basis of the questionnaire used in the previous investigation before, during, and after the sessions. The results are as follows: With regard to most items, the numbers of nurses who answered affirmatively increased gradually. In particular, additional group discussions during the sessions were effective in changing their perceptions. It was necessary for the nurses to improve their practical strategies through passive and active learning and receive peer supports.