@article{oai:pu-hiroshima.repo.nii.ac.jp:00001314,
 author = {山口, 三重子 and YAMAGUCHI, Mieko and 島津, 望 and SHIMAZU, Nozomu and 下妻, 晃二郎 and SHIMOZUMA, Kojiro and 矢部, 正浩 and YABE, Masahiro and 福島, 智子 and FUKUSHIMA, Tomoko and 加藤, 恒夫 and KATO, Tsuneo},
 issue = {1},
 journal = {広島県立保健福祉大学誌人間と科学, Journal of Hiroshima Prefectural College of Health Sciences, humanity and science},
 month = {Mar},
 note = {application/pdf, 本研究の目的は,自宅で最期を迎えたいと希望するがん患者の在宅緩和ケアを行うために作られた,プライマリケアチーム(開業医・訪問看護師・開業薬剤師など)と緩和ケア専門チーム(緩和を専門とする医師・看護師・MSWなど)の連携がスムーズに行われるための課題を明らかにすることである。分析対象は,在宅緩和ケアに参加した医療職者の事例検討会(学習会)において録音したテープ,診療録,看護記録である。テープは逐語録にし,分析にはワトソンの理論を参考に内容分析法で行った。その結果,在宅緩和ケアにおける連携をスムーズにするために必要な因子として,連携前の準備,緩和ケアに特有のケアや薬剤の理解,両チームの役割分担,の3つの要因が抽出された。今後の検討課題として,連携のアウトカム評価,コーディネーター(リーダー)の役割と職種,より多職種を含めた組織化などが挙げられた。, The purpose of this study was to clarify the factors necessary for the primary care team (medical practitioner, visiting nurse, and pharmacist in private practice) to cooperate smoothly with the palliative care expert team (physician, nurse, and MSW specialized in palliative care). These two teams were constructed in order to promote home palliative care for cancer patients who hope to meet their end in their own homes. The objects of analysis included audio cassette tapes recorded in the case study meetings (learning meetings) by the medical providers who participated in home palliative care, as well as medical records and nursing records. The tapes were transcribed, and Watson's theory was used for a comprehensive analysis. As a result, three factors necessary to promote smooth cooperation in home palliative care were extracted: 1) sufficient preparation before starting, 2) understanding of the caring methods and the drugs specific to home palliative care, and 3) clarification of the roles and responsibilities of both teams. The following issues need to be addressed in the future: outcome assessments for patients or bereaved family members, an appropriate role and occupational type of coordinator (leader), and an expanded team including other professionals., 報告
Report
国立情報学研究所で電子化},
 pages = {77--85},
 title = {在宅緩和ケアチームの組織化と課題 : 岡山モデルによる一事例から},
 volume = {5},
 year = {2005},
 yomi = {ヤマグチ, ミエコ and シマズ, ノゾム and シモズマ, コウジロウ and ヤベ, マサヒロ and フクシマ, トモコ and カトウ, ツネオ}
}