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Rural Homecare Nurses’ Challenges in Providing Seamless Patient Care in Rural Japan

Author

Listed:
  • Ryuichi Ohta

    (Community Care, Unnan City Hospital, 96-1 Iida, Daito-cho, Unnan, Shimane Prefecture 699-1221, Japan)

  • Yoshinori Ryu

    (Community Care, Unnan City Hospital, 96-1 Iida, Daito-cho, Unnan, Shimane Prefecture 699-1221, Japan)

  • Takuji Katsube

    (Community Care, Unnan City Hospital, 96-1 Iida, Daito-cho, Unnan, Shimane Prefecture 699-1221, Japan)

  • Chiaki Sano

    (Department of Community Medicine Management, Faculty of Medicine, Shimane University, 89-1 Enya cho, Izumo, Shimane Prefecture 690-0823, Japan)

Abstract

Homecare nurses manage patients with extreme homecare dependence through interprofessional collaboration. The quality of the collaboration depends on situations, and the difficulties of homecare nurses are complicated in rural settings because of a few healthcare resources. This study determined rural homecare nurses’ difficulties during interprofessional collaboration in providing seamless patient care. Focus groups, followed by one-on-one interviews, were conducted with 13 rural homecare nurses working in rural Japan. Using thematic analysis, four themes were extracted: collaboration with physicians, the collaboration with the government, the collaboration with care workers, and the collaboration among hospital nurses. Rural homecare nurses have difficulties in their working relationships with other professionals, with vague definitions of each professional’s roles and responsibilities, and with information-sharing. Interprofessional education and information-sharing should respect rural professional and cultural backgrounds. Respect can accomplish mutual understanding among professional care, leading to seamless patient care in rural home care.

Suggested Citation

  • Ryuichi Ohta & Yoshinori Ryu & Takuji Katsube & Chiaki Sano, 2020. "Rural Homecare Nurses’ Challenges in Providing Seamless Patient Care in Rural Japan," IJERPH, MDPI, vol. 17(24), pages 1-11, December.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:24:p:9330-:d:461413
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    References listed on IDEAS

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    1. Reena Devi & Graham Martin & Jay Banerjee & Louise Butler & Tim Pattison & Lesley Cruickshank & Caroline Maries-Tillott & Tracie Wilson & Sarah Damery & Julienne Meyer & Antonius Poot & Peter Chamberl, 2020. "Improving the Quality of Care in Care Homes Using the Quality Improvement Collaborative Approach: Lessons Learnt from Six Projects Conducted in the UK and The Netherlands," IJERPH, MDPI, vol. 17(20), pages 1-21, October.
    2. Sonia Chien-I. Chen & Chenglian Liu, 2020. "Factors Influencing the Application of Connected Health in Remote Areas, Taiwan: A Qualitative Pilot Study," IJERPH, MDPI, vol. 17(4), pages 1-20, February.
    3. James Rufus John & Hir Jani & Kath Peters & Kingsley Agho & W. Kathy Tannous, 2020. "The Effectiveness of Patient-Centred Medical Home-Based Models of Care versus Standard Primary Care in Chronic Disease Management: A Systematic Review and Meta-Analysis of Randomised and Non-Randomise," IJERPH, MDPI, vol. 17(18), pages 1-42, September.
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    Cited by:

    1. Shiho Amano & Ryuichi Ohta & Chiaki Sano, 2021. "Recognition of Anemia in Elderly People in a Rural Community Hospital," IJERPH, MDPI, vol. 18(21), pages 1-9, October.
    2. Moe Kuroda & Ryuichi Ohta & Kaku Kuroda & Seiji Yamashiro & Keiichiro Kita, 2021. "The Seamless Communication on a Rural Island in Japan: A Qualitative Study from the Perspective of Healthcare Professionals," IJERPH, MDPI, vol. 18(18), pages 1-12, September.
    3. Akiko Shimizu & Ryuichi Ohta & Hana Otani & Chiaki Sano, 2021. "The Contribution of Temporal Flat Lateral Position on the Mortality and Discharge Rates of Older Patients with Severe Dysphagia," IJERPH, MDPI, vol. 18(16), pages 1-9, August.
    4. Ryuichi Ohta & Miyuki Yawata & Chiaki Sano, 2022. "Doctor Clerk Implementation in Rural Community Hospitals for Effective Task Shifting of Doctors: A Grounded Theory Approach," IJERPH, MDPI, vol. 19(16), pages 1-13, August.
    5. Ryuichi Ohta & Yoshinori Ryu & Chiaki Sano, 2021. "Family Medicine Education at a Rural Hospital in Japan: Impact on Institution and Trainees," IJERPH, MDPI, vol. 18(11), pages 1-14, June.

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