Journal of Health and Welfare Policy
Online ISSN : 2433-6858
Home care life support competencies required for nurse practitioners (tentative name) in the primary care field
Based on focus group interviews with the middle-aged generation living in the Tokyo area
Nobumasa OGAMA
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JOURNAL OPEN ACCESS

2021 Volume 4 Issue 1 Pages 39-58

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Abstract

The aims of this study were to conduct a survey on middle-aged generation men and women (aged 40 to 65 years) living in the Tokyo area who were likely to use primary care at home in the near future and clarify what kind of competencies are required from nurse practitioners (tentative name) when the persons receive home care support from said nurse practitioners (tentative name).The following six items were extracted as a home care life support competencies required for nurse practitioners (tentative name) in the primary care field: 【Involvement as a nurse】, 【Support for daily care life】, 【Implementation of end-of-life care at home】, 【Ensuring support system from persons in other occupations】, 【Showing extra strength】, and 【Obtaining social consensus】 The following six items were suggested as competencies required for nurse practitioners (tentative name) : 1) Being felt as a familiar presence to the care patients and family members and being involved as a nurse who supports care life, 2) Providing care support while utilizing specialized knowledge and skills related to medical care so that the patient can continue living at home as much as possible, 3) In addition to being able to alleviate mental and physical distress by utilizing accurate knowledge and methods for end-of-life care patients, being present at the deathbed, performing certification of death, and adjusting the environment to prepare for a peaceful death, 4) Ensuring support system from persons in multiple occupations including physicians so that the best primary care can be provided for the care patient and family members, 5) While considering concretely concerning how to divide tasks with physicians, possessing extra strengths in addition to the knowledge and skills related to home care, and 6) Realizing social consensus that the care life support by nurse practitioners (tentative name) itself is a service that can be used with peace of mind by the care patient and family members.

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© 2021 Japan Society for Health and Welfare Policy
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