{"created":"2025-03-27T05:54:31.234133+00:00","id":2000137,"links":{},"metadata":{"_buckets":{"deposit":"9e14a899-9669-411a-8a5a-2b9a6b263e80"},"_deposit":{"created_by":11,"id":"2000137","owners":[11],"pid":{"revision_id":0,"type":"depid","value":"2000137"},"status":"published"},"_oai":{"id":"oai:gcnr.repo.nii.ac.jp:02000137","sets":["2:1743052402266"]},"author_link":["159"],"control_number":"2000137","item_10002_biblio_info_7":{"attribute_name":"bibliographic_information","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2025-03","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"1","bibliographicPageEnd":"14","bibliographicPageStart":"3","bibliographicVolumeNumber":"25","bibliographic_titles":[{"bibliographic_title":"岐阜県立看護大学紀要","bibliographic_titleLang":"ja"},{"bibliographic_title":"Journal of Gifu College of Nursing","bibliographic_titleLang":"en"}]}]},"item_10002_description_5":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"本研究は、患者と家族の思いに沿った退院支援を実践する指針及び支援方法を開発し、地域包括ケアシステムにおける退院支援のあり方の検討を目的とした。\n　退院支援の課題改善の方策に基づいてX病院の看護職が支援を実践し、支援した看護職と支援を受けた患者・家族に聴き取り調査を実施した。聴き取り結果を踏まえ、実践の中核となった検討会メンバーが実践を振り返り、退院支援に重要であったこと、支援方法を討議し、指針と支援方法を作成した。また、指針及び支援方法の策定に関わった検討会メンバーへ意見聴取した。更に、地域資源担当者を交え、作成した退院支援の指針及び支援方法について確認し、病院と地域の協働で重要なことを検討した。\n　退院支援の指針は、指針1．患者がどのように暮らしたいか理解する、指針2．主介護者を含む家族の暮らしを掘り下げて知る、指針3．病状の先を見越し再発を予防する、指針4．退院後も継続するケア・処置のゴールを患者・家族と話し合い支援する、指針5．地域資源を含む関わる多職種で患者・家族の生活を検討するとなった。指針に対する支援方法として10の支援方法を策定した。策定後の検討会メンバーの意見は、【患者・家族の状況と思いを知ることで、課題を考え、実践を振り返り、退院支援を考えられた】等7つに分類され、病院と地域の協働で重要なことは、【病院と地域の双方が早期から協働する認識を持ち話し合う】等2つに分類された。\n　開発した指針と支援方法は、患者の真の思いを中軸に据え患者と家族の望みと力を引き出し、患者と家族の生き方に沿った暮らしの実現を可能とする。指針及び支援方法の実装には、実践と振り返りの討議を通して指針・支援方法の理解を深め、自ら協働的な実践を創出する人材の育成が重要である。病院と地域、患者・家族との早期からの双方向的・多層的な協働により、患者と家族の思いを踏まえかつ健康を見通した支援が可能となる。","subitem_description_language":"ja","subitem_description_type":"Abstract"}]},"item_10002_heading_23":{"attribute_name":"見出し","attribute_value_mlt":[{"subitem_heading_banner_headline":"原著","subitem_heading_language":"ja"}]},"item_10002_publisher_8":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"岐阜県立看護大学","subitem_publisher_language":"ja"}]},"item_10002_source_id_11":{"attribute_name":"item_10002_source_id_11","attribute_value_mlt":[{"subitem_source_identifier":"AA11546486","subitem_source_identifier_type":"NCID"}]},"item_10002_source_id_9":{"attribute_name":"item_10002_source_id_9","attribute_value_mlt":[{"subitem_source_identifier":"1346-2520","subitem_source_identifier_type":"PISSN"}]},"item_10002_version_type_20":{"attribute_name":"出版タイプ","attribute_value_mlt":[{"subitem_version_resource":"http://purl.org/coar/version/c_970fb48d4fbd8a85","subitem_version_type":"VoR"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"Kato, Yukari","creatorNameLang":"en"},{"creatorName":"加藤, 由香里","creatorNameLang":"ja"},{"creatorName":"カトウ, ユカリ","creatorNameLang":"ja-Kana"}],"familyNames":[{"familyName":"Kato","familyNameLang":"en"},{"familyName":"加藤","familyNameLang":"ja"},{"familyName":"カトウ","familyNameLang":"ja-Kana"}],"givenNames":[{"givenName":"Yukari","givenNameLang":"en"},{"givenName":"由香里","givenNameLang":"ja"},{"givenName":"ユカリ","givenNameLang":"ja-Kana"}],"nameIdentifiers":[{"nameIdentifier":"159","nameIdentifierScheme":"WEKO"},{"nameIdentifier":"60763555","nameIdentifierScheme":"e-Rad_Researcher","nameIdentifierURI":"https://nrid.nii.ac.jp/ja/nrid/1000060763555"}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2025-03-27"}],"displaytype":"detail","filename":"2501_P003.pdf","filesize":[{"value":"623.3 KB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"患者と家族の思いに沿った退院支援　その4","url":"https://gcnr.repo.nii.ac.jp/record/2000137/files/2501_P003.pdf"},"version_id":"d740b7e0-5a5c-4dc6-bef5-78e696ddf963"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"退院支援","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"病棟看護師","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"患者と家族の思い","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"協働","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"地域包括ケアシステム","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"discharge support","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"ward nurses","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"patient and family thoughts","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"collaboration","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"community-based comprehensive care system","subitem_subject_language":"en","subitem_subject_scheme":"Other"}]},"item_language":{"attribute_name":"本文言語","attribute_value_mlt":[{"subitem_language":"jpn"}]},"item_resource_type":{"attribute_name":"item_resource_type","attribute_value_mlt":[{"resourcetype":"departmental bulletin paper","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_title":"患者と家族の思いに沿った退院支援　その4　－地域包括ケアシステムにおける退院支援のあり方の検討－","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"患者と家族の思いに沿った退院支援　その4　－地域包括ケアシステムにおける退院支援のあり方の検討－","subitem_title_language":"ja"},{"subitem_title":"Discharge Support based on the Thoughts of Patients and Their Families Part 4: Consideration of the Way Things ought to be of ischarge Support in a Community Comprehensive Care System","subitem_title_language":"en"}]},"item_type_id":"10002","owner":"11","path":["1743052402266"],"pubdate":{"attribute_name":"PubDate","attribute_value":"2025-03-27"},"publish_date":"2025-03-27","publish_status":"0","recid":"2000137","relation_version_is_last":true,"title":["患者と家族の思いに沿った退院支援　その4　－地域包括ケアシステムにおける退院支援のあり方の検討－"],"weko_creator_id":"11","weko_shared_id":-1},"updated":"2025-04-14T11:40:24.811484+00:00"}