Abstract
Aim: The aim of this study was to clarify factors associated with interdisciplinary team approach of home care for the elderly by home visiting nurse's evaluation. Method: This cross-sectional study was conducted using a self-reported questionnaire survey on 332 home visiting nurses in a metropolitan area. Multiple linear regression analyses were undertaken with Interdisciplinary Team Approach (ITA) as the dependent variable; and demographics, home care nurse's individual factors and environmental factors as independent variables. Results: The valid response number was 133 (40.1%). The mean (SD) score of ITA was 65.2 (14.7). The ITA scores were significantly associated by the multiple regression analysis with 4 factors; the child's spouse as caregiver (β:0.189, p:0.017), difficulty of life support for the elderly or families (β:-0.278, p:0.001), hierarchy and top and bottom relationships (β:-0.208, p:0.009), and having on the job training system of home care system for home visiting nurses (β:0.224, p:0.005) Conclusion: The results indicated the need for improvement of life support skills of home visiting nurse, flexible system without hierarchy of care team, and enhancement of job training about home care systems in a workplace to promote team approach.
