Necessity and Implementation Status of Multifunctional Long-term Care in a Small Group Home Perceived by Nurses

Abstract

　Purpose: To clarify the necessity and implementation status of nurses’ activities in multifunctional long-term care in a small group home (MLSGH) perceived by nurses.

　Method: A national questionnaire survey was conducted on 226 facilities, and median value of necessity (1.0 - 5.0) and the implementation rate were calculated, and items with high correlation were deemed to be duplicate items and deleted, and the remaining were analyzed.

　Results: Thirty-three items were extracted as 3 categories:【Activities performed mainly by nurses (12 items)】, 【Joint activities with families, other professionals, and other organizations (19 items)】, and【Activities related to terminal care (2 items)]】

　Four items, such as“ ingenuity of medication management,” “ preparing for an emergency medical consultation based on judgment of the symptoms and vital signs,” “ gathering information on the user’s health condition,” and “ measures to prevent outbreaks” belonging to【Activities performed mainly by nurses】 were all carried out with an implementation rate of 90% or more.

　Conclusion: The results of this study showed that nurses in MSLGHs mainly practiced nurse-based activities including prevention and judgment of emergency consultation, and that they are performing activities in collaboration with family members and other professionals.