2023 年 23 巻 p. 1-20
This study examined comprehensive care to promote independence in excretion in the city with such regional characteristics as a basis for discussing the roles of the nursing college with the mission of contributing to “education”, “research”, and “society” in this area. A questionnaire survey was conducted involving 72 professionals, who participated in a training course provided by the community-based comprehensive support center of a provincial city (study city), and their responses in a free-description style were examined by Berelson’s content analysis. The current status of IPW to promote independence in excretion among older people requiring care was outlined by the following 7 categories: collaborating with professionals needed in consideration of user individuality, collecting/sharing information, performing the PDCA Cycle, providing guidance for family caregivers, respecting users’ and their families’ intentions, respecting various other professionals, and raising awareness to promote independence in excretion. Challenges of such IPW were classified into factors associated with current challenges and approaches required to resolve them, which were represented by 8 categories each: the former included: users’ and family caregivers’ personal backgrounds, barriers between medical and other institutions, deficiency of resources for collaboration, complexity of various excretion care interventions, and facilities’ problems; and the latter included: education, Ingenuity for consensus-building, partnership, and ethical considerations. The results highlighted the necessity of examining the types of information to be shared, as well as the methods to share such information and make use of it for plan implementation through a series of processes, when proving care to promote independence in excretion among older people requiring care through IPW. Interprofessional education to improve management skills as a basis for promoting independence in excretion was also suggested to be required.
