Visiting Nurses’ Perceived Difficulties and Corresponding Measures in Providing Practical Guidance during Home-based Nursing Care Practical Training

• Published in: Journal of Japan Society of Nursing Research Vol. 42; no. 4; pp. 4_819 - 4_828
• Main Authors: Tokairin, Miyuki, Furuse, Midori, Morikagi, Yuko, Kobayashi, Atsuko
• Format: Journal Article
• Language: Japanese
• Published: Japan Society of Nursing Research 20.09.2019; 一般社団法人 日本看護研究学会
• Subjects: difficulty; practical training; visiting nurse; 困難; 実習指導; 訪問看護師
• ISSN: 2188-3599; 2189-6100
• DOI: 10.15065/jjsnr.20190523056

Background and purpose: The present study aimed to elucidate visiting nurses' perceived difficulties and corresponding measures in providing practical guidance during home-based nursing care practical training. Method: Participants were 10 visiting nurses. Data were collected through group interviews, and a qualitative descriptive analysis was performed. Results: The following four categories were extracted pertaining to the difficulties perceived by visiting nurses in providing practical guidance during home-based nursing care practical training: the [generation gap] perceived due to the manners of the students, [a sense of burden in accompanying visits], [difficulty in providing practical guidance], and the [anxiety about providing practical guidance on one's own]. The visiting nurses implemented measures such as [understanding the student], [providing guidance according to the student's abilities], [developing new ways to provide guidance], [providing guidance according to the home-based treatment environment], and [connecting the care recipient with the student] to address these difficulties. However, they were unable to resolve the problem of [anxiety about providing practical guidance on one's own]. Conclusion: It was suggest that visiting nurse could recognize the role of the training leader during home-based nursing care practice, and the need of the education support to practice of the training instruction competency as well as role accomplishment.