Benefits and Challenges of Nursing in Multifunctional Long-Term Care in a Small Group Home And Home-Visit Nursing, and Ideas for Nursing: An Analysis of Nurses' Perceptions

Characteristics of first-time users of the nursing small-scale multifunctional home care service: a pooled cross-sectional study using Japanese long-term care insurance claims data from 2012 to 2019

“…After the introduction of the NSMHC, nurses working under NSMHC reported that ‘when a patient’s condition deteriorates, he/she can stay in the NSMHC instead of being hospitalised’. 18 As hospitalisation may shorten older adults’ life expectancy, 20 providing continuous and coordinated care to prevent avoidable hospitalisations is necessary. 21 Future research can analyse the effectiveness of NSMHC with a more robust design to further investigate its efficacy.…”

“…Nevertheless, few studies have investigated this new service. Studies related to NSMHC were primarily qualitative studies conducted from the perspective of care providers [15][16][17][18][19] -two agency-level surveys investigated the characteristics of NSMHC agencies 16 17 : one qualitative interview survey on 11 NSMHC nurses investigated the benefits and challenges of nursing practice in NSMHC 18 and one review of care reports investigated the strengths and problems of NSMHC service. 19 Although previous studies suggested that NSMHC helped individuals continue to live in their homes, avoid hospitalisation and improve physical activities among users in need of midto-severe levels of medical care, they were, as mentioned above, qualitative and highlighted the perspectives of nurses or agencies.…”

Relationship between nurses' perceptions of the benefits/challenges of nursing and degree of interprofessional and intraprofessional collaboration in all‐inclusive services combining day services, overnight stays and home‐visit nursing for the older people living at home

“…Responses were on a 5‐point Likert scale ranging from “Strongly agree” to “Strongly disagree” (“Strongly agree” corresponded to a rating of “5” on the Likert scale). These benefits and challenges were identified through the results of our previous survey of MLSH nurses in the Kansai area, 8 and an additional survey in another area. We created a draft benefits/challenges questionnaire after adding items and modifying expressions based on the feedback received from those nurses.…”

“…These benefits and challenges were identified through the results of our previous survey of MLSH nurses in the Kansai area, 8 and an additional survey in another area. We created a draft benefits/challenges questionnaire after adding items and modifying expressions based on the feedback received from those nurses.…”

“…Compared with MSGH, MLSH has enhanced nursing functions, meaning MLSH facilities can provide support and end‐of‐life care for older people with high levels of medical care dependency. Various nursing benefits that characterize MLSH services have been reported, including enabling users to continue their home lives (even in difficult cases) and expanding the scope of care through interprofessional and intraprofessional cooperation 8 . However, some challenges have also been noted, such as inappropriate acceptance of or care for users, and difficulty educating and cooperating with care workers 8 ; these areas require improvement.…”