@article{oai:iwate-pu.repo.nii.ac.jp:00001897,
 author = {藤村, 史穂子 and 上林, 美保子 and 蘇武, 彩加 and 田口, 美喜子 and 岩渕, 光子 and 松川, 久美子 and 工藤, 朋子 and 三浦, まゆみ and 松本, 知子 and 千葉, 一枝 and 兼田, 昭子 and Fujimura Shihoko and Uebayashi, Mihoko and Sobu, Ayaka and Taguchi, Mikiko and Iwabuchi, Mitsuko and Matsukawa, Kumiko and Kudo, Tomoko and Miura, Mayumi and Matsumoto, Tomoko and Chiba, Kazue and Kaneta, Akiko},
 journal = {岩手県立大学看護学部紀要, Journal of the Faculty of Nursing, Iwate Prefectural University},
 month = {Mar},
 note = {目的:退院支援・調整に関わる医療機関の看護職が,患者の退院に際し他機関や他職種との連携において感じる困難とその対処について明らかにする.方法:県内の医療機関で管理的業務にあたる看護師14名に対しインタビュー調査を行った.結果・考察:退院調整時に困難な事例について,【施設や関係機関の要因】と【患者自身や家族の要因】が抽出され,【施設や関係機関の要因】には「施設で行うのが難しいケアがある」,「関係機関との調整・連携の難しさがある」,「支援を行う資源がない」があった.【患者自身や家族の要因】には「患者と家族の調整が難しい」,「家族による介護が難しい」,「独居で支援者がいない」,「患者の状態像が重く,より介護が必要である」,「経済的に難しい」,「あてはまる支援制度がない」があった.どの医療機関も退院調整の困難な事例を抱え,入院中から患者や家族に対し工夫して関わりを持ったり,関係機関と連携・協力しながら患者や家族の支援にあたっていた.困難な事例は今後も増加すると予測され,保健・医療・福祉などの関係機関の連携を強化し,その地域の実情に即した地域包括ケアシステムを構築していくことが望まれる., Purpose: To clarify difficulties felt by nursing staffs responsible for discharge support and adjustment at healthcare facilities in cooperation with other facilities and jobs at patients' discharge from hospital, and countermeasures against them.Method: Conducted interview researches with 14 nurses, who manage medical institutions in the prefecture.Results/Discussion: For difficult cases in discharge adjustment,[Facility/Institutions Concerned Factor] and [Patient Himself/Herself and Family Factors] were picked out. [Facility/Institutions Concerned Factors] were "some cares are too difficult to offer in the facility," "coordination/partnership with institutions concerned is difficult," and "no support resource." [Patient Himself/Herself and Family Factors] were "difficulty in coordination between a patient and his/her family," "difficulty in care by family," "no supporter due to solitude," "patient's condition is serious, requiring more cares,"and "economic difficulty," and "no support system is applicable." Faced with difficulties in discharge adjustment, all healthcare facilities manage to support patients and families during hospital, and support them in coordination and partnership with institutions concerned. The number of difficult cases is expected to keep on increasing in the future. It is desirable to enhance the cooperation with health, medical, welfare, and other relevant institutions and build a local comprehensive care system accordingto local realities., 3, KJ00009641739, 研究報告, Reserch Report},
 pages = {1--12},
 title = {退院支援・退院調整に関わる医療機関の看護職が感じる困難とその対処},
 volume = {17},
 year = {2015},
 yomi = {フジムラ, シホコ and ウエバヤシ, ミホコ and ソブ, アヤカ and タグチ, ミキコ and イワブチ, ミツコ and マツカワ, クミコ and クドウ, トモコ and ミウラ, マユミ and マツモト, トモコ and チバ, カズエ and カネタ, アキコ}
}