Strengths and Problems of Nursing in Multifunctional Long-term Care in a Small Group Home and Home-visit Nursing: A Literature Study

Katahira, Nobuko; Maruo, Satomi; Ogawa, Tokuo

doi:10.14442/generalist.42.32

Cited by 5 publications

(4 citation statements)

References 4 publications

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“…16 Using the stay function of the NSMHC, individuals can receive nursing support (eg, instructions regarding medical techniques to users/ families/caregivers) to ensure a smooth hospital-home transition. 19 Additionally, we found that individuals who started using the NSMHC service did not use it temporarily, such as only for 1 month, but continued to do so for an average of about 4 months. Furthermore, 14.3% of NSMHC users continued to use the service until their death.…”

Section: Characteristics Of Users As They Begin Using Nsmhc Servicesmentioning

confidence: 74%

“…A literature review identified that the NSMHC service’s strength lies in ‘caring for users with high medical needs, including end-of-life care’. 19 Moreover, nurses working at NSMHC facilities provide medical care services for users with higher medical needs. 15 Thus, our results suggest that the NSMHC supports community residents with severe ADL dysfunction and medical needs.…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

“…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. No study has yet determined the characteristics of NSMHC users using individual data, which is crucial to understand which populations are using the service as expected or contrary to expectations.…”

Section: Strengths and Limitations Of This Studymentioning

confidence: 99%

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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

Morioka,

Kashiwagi,

Kashiwagi

et al. 2024

BMJ Open

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ObjectivesIn April 2012, the Japanese government launched a new nursing service called the nursing small-scale multifunctional home care (NSMHC) to meet the nursing care demands of individuals with moderate-to-severe activities of daily living (ADLs) dysfunction and who require medical care, thereby allowing them to continue living in the community. We aimed to preliminarily analyse the characteristics of first-time users of NSMHC service.DesignThis pooled cross-sectional study used the Japanese long-term care insurance (LTCI) claims data from the users’ first use of NSMHC (from April 2012 to December 2019).SettingNSMHC includes nursing home visits, home care, daycare, overnight stays and medical treatment.ParticipantsThe study population included LTCI beneficiaries who received their first long-term care requirement certification in Japan from April 2012 onwards, died between April 2012 and December 2019, and used any LTCI service at least once.ResultsAmong the 836 563 individuals who used any LTCI service at least once, 3957 (0.47%) used NSMHC. We analysed 3634 individuals without any missing data regarding long-term care requirement certification. Most individuals were aged 80 years or older, with 64.3% requiring care level 3 or above, indicating complete assistance with ADLs. Regarding ADLs in individuals with dementia, 70.6% were at level 2 or below, indicating they can live almost independently even with dementia. A large proportion of NSMHC users availed the service approximately 6 months before death, with no prior use of any LTCI services; they continued using the service for around 4 months, although some people continued to use NSMHC until their month of death.ConclusionsUsing individual data on nationwide LTCI, we described the characteristics of first-time users of NSMHC among those who died within 7.5 years from the first certification of care needs. Further studies are needed to investigate the effect of NSMHC use on user outcomes.

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Section: Characteristics Of Users As They Begin Using Nsmhc Servicesmentioning

confidence: 74%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Strengths and Limitations Of This Studymentioning

confidence: 99%

See 2 more Smart Citations

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

Morioka,

Kashiwagi,

Kashiwagi

et al. 2024

BMJ Open

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Medical and Care Collaboration between Nurse and Care-worker in a ‘Kantaki ’Setting;

Fukuyama

Kido²,

Shinchi

et al. 2020

AJHS

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Background: An increasing number of clients with special health care needs receive long-term mechanical ventilatory support at home. This study presents the types of care given to old-aged clients with special health care needs in a Japanese 'Kantaki' home-care institution. Methods: The care given was followed closely using 24-hour audio-video recording. Results: The type of care given by the nurse alone was mostly medical care, by the care-worker alone was assistance in eating, toilet, and medical care, and the care given by both together was bathing. Conclusion: Findings are first direct evidence quantifying the type and respective amounts in such a care home for the old-aged persons with special health care needs. ＜Key-words＞ home care, kantaki, group home, home mechanical ventilation, special health-care needs.

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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

Katahira¹,

Ogawa²,

Maruo³

2020

An Official Journal of the Japan Primary Care Association

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Strengths and Problems of Nursing in Multifunctional Long-term Care in a Small Group Home and Home-visit Nursing: A Literature Study

Cited by 5 publications

References 4 publications

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

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

Medical and Care Collaboration between Nurse and Care-worker in a ‘Kantaki ’Setting;

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

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