2024 Volume 28 Issue 2 Pages 49-59
This study aimed to clarify the actual situation and evaluation of collaborative practice with other hospital healthcare workers by nurses working in nursing homes for older adults (hereinafter referred to as nurses at special elderly nursing homes) and the factors related to the evaluation of collaborative practice. Using the postal method, an anonymous, self-administered, questionnaire survey was conducted with 2,000 nurses at special elderly nursing homes at 2,000 facilities nationwide: data from 252 participants were analyzed. In the results of the correlation analysis between the evaluation of collaborative practice by nurses at special elderly nursing homes (as assessed using the Collaborative Practice Evaluation Scale) and their nursing practice ability (as assessed using the NCSI), a positive correlation (r <0.2–0.5) was observed in all cases. Hence, nurses at special elderly nursing homes with a high level of nursing practice ability are also able to collaborate well with hospitals outside the facility.
Regarding factors related to the evaluation of collaborative practice, multiple logistic regression analysis was performed using total scores for the Collaborative practice Evaluation Scale to divide the sample into two groups (upper and lower groups), which were then used as the dependent variables. In total, seven items were extracted from the background of nurses at special elderly nursing homes and the NCSI as being related to the evaluation of collaborative practice. Among these, NCSI (Factor 2: Ability to collaborate with multiple professions) was shown to have the greatest influence on the evaluation of collaborative practice with other hospital healthcare workers of nurses at special elderly nursing homes. On the other hand, the average score of Factor 2 was the lowest among the four factors of the NCSI, suggesting the need to enhance the ability of nurses at special elderly nursing homes to collaborate with various professions.
