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The process of transprofessional collaboration:how caregivers integrated the perspectives of rehabilitation through working with a physical therapist

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Family Medicine and Community Health 2020年第4期8卷 20-27页

作者： Ryohei Goto junji haruta Department of Family Medicine General Practice and Community HealthFaculty of MedicineUniversity of TsukubaTsukubaJapan Medical Education Center Keio UniversityTokyoJapan

Objectives To clarify the process of how caregivers in a nursing home integrate the perspectives of rehabilitation into their responsibilities through working with a physical *** This study was conducted under an action research *** The target facility was a nursing home located in *** researcher,a physical therapist,worked at the nursing home once a week from April 2016 to March *** the study period,he created field notes focused on the dialogue and action of caregivers regarding care,responses of caregivers to the physical therapist and reflections as a physical *** were also given a short informal interview about their relationship with the nursing home *** data analysis,two researchers discussed the content based on the field notes,consolidating the *** The participants were caregivers who worked at the target ***-eight caregivers agreed to *** age was 39.6±11.1 years,14(37%)were male and average caregiver experience was 9.8 *** Two cycles of action research were conducted during the study *** were four stages in the process of how caregivers in the nursing home integrated the perspectives of rehabilitation through their work with the physical ***,caregivers resisted having the rehabilitation programme carried out in the unit because they perceived that rehabilitation performed by a physical therapist was a special process and not under their ***,the caregivers were given a shared perspective on rehabilitation by the physical therapist,which helped them to understand the meaning of care to adapt the residents’abilities to their daily *** practised resident-centred care on a trial basis,although with a sense of conflict between their new and previous role,which emphasised the safety of residents’lives and *** caregivers increased their self-efficacy as their knowledge and skills were su

关键词： process rehabilitation approval

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Factors for self- assessment score of interprofessional team collaboration in community hospitals in Japan

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Family Medicine and Community Health 2019年第4期7卷 53-58页

作者： junji haruta Sachiko Ozone Ryohei Goto Department of Primary Care and Medical Education Faculty of MedicineUniversity of TsukubaTsukubaJapan Department of General Medicine and Primary Care Faculty of MedicineUniversity of TsukubaTsukubaJapan

Objective Interprofessional collaboration is considered an important strategy in overcoming the complex issues associated with healthcare outcomes.A nationwide,community-based integrated care system developed for the care of older people in individual communities in Japan requires community hospitals to deliver integrated care to coordinate efforts for creating effective environments for *** study aimed to explore the factors associated with the self-assessment score of interprofessional collaboration in community *** Cross-sectional study using the Assessment of Interprofessional Team Collaboration Scale(AITCS).Setting This study was conducted in three small community hospitals in *** All healthcare staff in the hospitals via research collaborators were asked to complete the anonymous self-administered questionnaire of the AITCS comprising questions related to individual factors(age,gender,profession),hospital to which they belonged,relationships with neighbouring facilities,job burden and job satisfaction from July to October *** association between the questionnaire items as explanatory variables and AITCS score as an objective variable was determined using univariate followed by multiple regression *** The data from 325 of 630 participants were analysed,of whom 252 were female(77.5%)and 240 were nurses(73.8%).The mean of the total AITCS score was 117.6(range 37-185),and the Visual Analogue Scale for relationships with neighbouring facilities,job satisfaction and job burden was 53.0 mm(0-100),46.1 mm(0-100)and 64.3 mm(0-100),*** univariate analyses of the association with AITCS score,explanatory variables with a significance level of<0.05 were relationships with neighbouring facilities,job satisfaction and job *** multiple regression analysis,the total AITCS score was independently associated with age,profession(nurse/non-nurse),relationships with neighbouring facilities and job satisfaction.

关键词： nurse professional collaboration

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Exploring the structure of social media application-based information-sharing clinical networks in a community in Japan using a social network analysis approach

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Family Medicine and Community Health 2020年第4期8卷 40-47页

作者： junji haruta Sho Tsugawa Kazunari Ogura Medical Education Center Keio UniversityTokyoJapan School of Medicine University of TsukubaTsukubaJapan Division of Information Engineering University of TsukubaTsukubaJapan Hachinohe Family Clinic HachinoheJapan

Objective Currently,use of social networking services(SNSs)for interprofessional collaboration is ***,few studies have reported on virtual interprofessional interactions in community healthcare *** such structural characteristics of the networks can provide insight into the functions of the interprofessional information-sharing network and lead to smoother ***,we aimed to explore the structure of SNS-based information-sharing clinical *** Social network analysis(SNA).Setting We selected a community in City X in *** collection We analysed SNS-based information-sharing clinical network data linked to patients receiving home medical care or care services between January and December 2018.A network was created for each patient to allow healthcare professionals to post and view messages on the web *** the SNA,healthcare professions registered in a patient group were represented as nodes,and message posting/viewing relationships were represented as links in the patient *** investigated the structural characteristics of the target networks using several measures for SNA,including indegree centrality and outdegree centrality,which reflect the number of incoming and outgoing links to/from a node,***,the professions forming the most central nodes were investigated based on their ranking to identify those with a central role in the ***,to compare the networks of nursing care levels 1-3(lighter care requirement)and those with nursing care levels 4-5(heavier care requirement),we analysed the structural differences in the networks and investigated the roles of healthcare professionals using centrality measures of *** Among 844 groups,247 groups with any nursing care level data were available for *** nursing care level showed higher density,reciprocity and lower *** professions with high indegree centrality(physicians,car

关键词： nurse network networks

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