School of Nursing, Takarazuka University, Osaka, Japan.
Faculty of Health Science, Osaka Yukioka College of Health Science, Osaka, Japan.
Mod Rheumatol. 2024 Jul 6;34(4):711-719. doi: 10.1093/mr/road079.
This study aimed to identify the challenges faced by nurses engaged in rheumatology care in Japan.
We conducted a questionnaire survey of nurses in Japan in 2020 on challenges experienced in rheumatology care. The participants were nurses certified by the Japan Rheumatism Foundation. Participants' answers were coded and categorized based on relevant phrases and words. Content analysis was performed on the findings.
Responses were collected from 162 participants, and a total of 228 issues were identified. Eighteen categories with 56 subcategories emerged from the data analysis, which were grouped into five types of challenges: (1) communication, (2) understanding, (3) expertise, (4) system, and (5) collaboration. In particular, the results highlighted deficiencies in needs-based multidisciplinary team care.
This study elucidated issues experienced by rheumatology nurses in clinical settings in Japan. Furthermore, this investigation revealed the necessity of patient-centred multidisciplinary team care, including health professionals, patients, and other relevant individuals. This study provided practical directions to facilitate the implementation of effective care focused on improving patients' quality of life.
本研究旨在确定在日本从事风湿病护理的护士所面临的挑战。
我们于 2020 年对日本的护士进行了一项关于风湿病护理中所经历挑战的问卷调查。参与者为日本风湿病基金会认证的护士。根据相关短语和词汇对参与者的回答进行编码和分类。对研究结果进行内容分析。
共收集到 162 名参与者的回复，共确定了 228 个问题。从数据分析中得出了 18 个类别，包含 56 个子类别，分为五类挑战：（1）沟通，（2）理解，（3）专业知识，（4）系统，和（5）协作。特别是，研究结果强调了基于需求的多学科团队护理的不足。
本研究阐明了日本风湿病临床护理护士所面临的问题。此外，该研究还揭示了以患者为中心的多学科团队护理的必要性，包括卫生专业人员、患者和其他相关人员。本研究为实施以提高患者生活质量为重点的有效护理提供了实用方向。
