新冠疫情期间家访护理机构管理者的风险沟通经验：一项质性描述性研究

Experiences of risk communication among managers of home-visit nursing agencies during the COVID-19 pandemic: a qualitative descriptive study.

作者信息

Murakawa Sho, Ueda Izumi

机构信息

Department of Nursing, Sapporo Medical University, South 1 West 17, Chuo-ku, Sapporo, Japan.

School of Nursing, Sapporo City University, Kita 11, Nishi 13, Chuo-ku, Sapporo, Japan.

出版信息

BMC Nurs. 2025 Aug 5;24(1):1024. doi: 10.1186/s12912-025-03669-7.

DOI:10.1186/s12912-025-03669-7

PMID:40764560

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12323097/

Abstract

BACKGROUND

The coronavirus disease 2019 (COVID-19) pandemic has significantly affected home-visit nursing agencies, making risk communication crucial to service continuity. However, little is known about how agency managers handle risk communication during this crisis. This study aimed to explore the experience of risk communication among managers of home-visit nursing agencies during the COVID-19 pandemic.

METHODS

A qualitative descriptive study was conducted with 10 managers of home-visit nursing agencies in City A, Japan. Data were collected through semi-structured interviews conducted between December 2021 and October 2022. The interviews explored managers' experiences across six domains: home-visit nursing activities, information management, communication with clients and staff, inter-organizational communication, behavioral influence, and emergency preparedness. The interview data were analyzed using qualitative descriptive analysis.

RESULTS

Five main categories emerged: "Challenges of the infodemic and coping strategies," "Stepwise risk communication based on trust with clients and families," "Collaborative risk communication with staff within one's own agency," "Coordinated risk communication with other organizations," and "Organizational crisis management to sustain home-visit nursing services." Managers established systematic information management processes and implemented individualized communication strategies tailored to the diverse needs of stakeholders. These practices were supported by organizational crisis management systems.

CONCLUSIONS

The study revealed that managers developed multilayered risk communication practices in response to infodemic challenges. Key recommendations for practical initiatives include establishing information management systems, systematizing communication strategies tailored to specific stakeholders, and developing organizational crisis management frameworks. These findings can inform the creation of risk communication strategies for home-visit nursing agencies during pandemics.

CLINICAL TRIAL NUMBER

Not applicable.

摘要

背景

2019年冠状病毒病（COVID-19）大流行对上门护理机构产生了重大影响，使得风险沟通对于服务的连续性至关重要。然而，对于机构管理者在这场危机中如何进行风险沟通却知之甚少。本研究旨在探讨COVID-19大流行期间上门护理机构管理者的风险沟通经验。

方法

对日本A市10家上门护理机构的管理者进行了一项定性描述性研究。数据收集于2021年12月至2022年10月期间通过半结构化访谈进行。访谈探讨了管理者在六个领域的经验：上门护理活动、信息管理、与客户和员工的沟通、组织间沟通、行为影响和应急准备。访谈数据采用定性描述性分析方法进行分析。

结果

出现了五个主要类别：“信息疫情的挑战及应对策略”、“基于与客户和家庭信任的逐步风险沟通”、“与本机构内员工的协作风险沟通”、“与其他组织的协调风险沟通”以及“维持上门护理服务的组织危机管理”。管理者建立了系统的信息管理流程，并实施了针对利益相关者不同需求的个性化沟通策略。这些做法得到了组织危机管理系统的支持。