Kanzaki Naruyo, Iwane Shinji, Oeda Satoshi, Okada Michiaki, Kimura Hiromi, Eguchi Yuichiro, Fujimoto Kazuma
Department of Medicine Sciences, Graduate School of Medicine, Saga University, Japan.
Liver Center, Saga University Hospital, Japan.
Intern Med. 2019 Jul 1;58(13):1825-1834. doi: 10.2169/internalmedicine.1755-18. Epub 2019 Feb 25.
Objective This study aimed to investigate the current state of the activities performed by hepatitis medical care coordinators, categorize coordinators according to the activities they perform, and determine the backgrounds of these coordinators. Methods A self-administered questionnaire survey was completed by 414 coordinators. The surveyed items included gender, occupation, activity items performed, and barriers that inhibited the performance of these activities. A hierarchical cluster analysis was applied, and cases were classified based on the contents of the activities in question. Results The coordinators were classified into four groups (A-D). Group A, consisting primarily of public health nurses, was classified as "the type that conducted activities aimed at providing information and recommendations." Group B, which included registered dieticians and clerks, was classified as "the type that uses multidisciplinary collaboration to perform their tasks." Group C, which included clinical nurses, was classified as "the type that was more likely to perform activities as leaders in an organization." Group D, consisting primarily of pharmacists, was classified as "the type that promoted activities centered on providing instructions regarding medication dosage and administration." Conclusion Our study showed that coordinators' professional skills and abilities are reflected in the contents of the activities they conduct, and that, to adequately perform their roles, they must acquire skills in addition to those required in their original occupations. To implement high-quality hepatitis countermeasures, there is a need to foster an environment that facilitates cooperation between coordinators, as well as relationship-building.
目的 本研究旨在调查肝炎医疗护理协调员所开展活动的现状,根据协调员开展的活动对其进行分类,并确定这些协调员的背景。方法 414名协调员完成了一份自填式问卷调查。调查项目包括性别、职业、开展的活动项目以及阻碍这些活动开展的因素。应用分层聚类分析,并根据相关活动的内容对案例进行分类。结果 协调员被分为四组(A - D)。A组主要由公共卫生护士组成,被归类为“开展旨在提供信息和建议活动的类型”。B组包括注册营养师和职员,被归类为“利用多学科协作开展工作的类型”。C组包括临床护士,被归类为“更有可能在组织中作为领导者开展活动的类型”。D组主要由药剂师组成,被归类为“以提供关于药物剂量和给药说明为中心推动活动的类型”。结论 我们的研究表明,协调员的专业技能和能力体现在他们所开展活动的内容中,并且为了充分履行其职责,他们除了需要具备本职工作所需技能外,还必须掌握其他技能。为了实施高质量的肝炎应对措施,需要营造一个促进协调员之间合作以及建立关系的环境。