Fusion of care and cure in home visiting nursing

本研究旨在了解居家照护护理人员对能由自己的临床判断付诸实践的技能的认知，并以访谈的方式了解客户的家庭医生对个案现场及护理人员判断的认知。共获得81份问卷，对17项技能进行分析，尤其是灌肠排粪、导尿排尿、压疮护理是护士选择较多的技能。为什么这些技能被选择为，是非常有效的方法来改善客户的痛苦，并已经保持了足够的元素，可以处理一个客户端，因为护士接触病人的时间比医生更长.大约10个病例，我们采访了客户的家庭医生。他们对护士的技能进行了明确的评价，并在工作坊中讨论了这一结果，认为17个技能类别是现实的和适当的模型。

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.