Journal Article 看護師が認識する急性期脳卒中患者のリハビリテーションにおけるチームアプローチに影響する要因
Nurses’ recognition of the factors that affect the team approach used to provide rehabilitation care to acute phase stroke patients

帆苅, 真由美  ,  倉井, 佳子  ,  五十嵐, 恵  ,  児玉, 直子  ,  金子, 史代  ,  Hokari, Mayumi  ,  Kurai, Yoshiko  ,  Ikarashi, Megumi  ,  Kodama, Naoko  ,  Kaneko, Fumiyo

8 ( 3 )  , pp.39 - 47 , 2016-03 , 新潟青陵学会誌
In this study we looked at the team approach taken to provide rehabilitation care, whereby nurses, physical therapists, and occupational therapists work together to support acute phase stroke patients to regain their independence and improve their performance of activities of daily living (ADL). The aim ofthe research was to clarify the factors affecting the team approach from nurses’ perspective. Ten nurses who are engaged in acute phase stroke rehabilitation took part in semi-structured interviews regardingcollaboration between nurses, physical therapists, and occupational therapists. The results were analyzed using a qualitative synthesis method (KJ method). It was found that collaboration was promoted by “ensuring achievement of the team objective by fulfilling professional duties and reaching a cooperative relationship,” based on “ providing support to stabilize the medical condition,” “ demonstrating empathetic understanding and providing support to patients with paralysis, aphasia, or other disabilities” and “providing support in prioritizing patient’s physical and mental security,” and that nurses’ recognition of the factors that affect the team approach included “ selecting appropriate methods to ensure smoothinformation-sharing,” “ reaching consensus in decision making based on proactive suggestions” and “coordinating work and providing support of ADL.” The findings suggested that information-sharing and consensus in decision making between the different professions are important factors to fulfill professional duties of each profession and to promote the cooperative relationship.

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