支援プロセスから見た看護師に対するコンサルテーションの実際 : 褥瘡予防に向けた業務改善への取組み事例より

consultation

看護総合科学研究会誌

The present study aimed to clarify the level of support and identify future issues that will need to be addressed in the field of consultation by focusing on nurses working towards "Improved practices to prevent bedsores" in chronic phase hospital wards. Maintaining a relationship of trust with the administration was crucial to systematic intervention of our support program. While "task-oriented consultation" generally requires less time between problem identification and data collection than "process-oriented consultation", in this program it required more time as I encouraged submission of improvement proposals from within the system. Given the increase in consultees and enhanced activity within the system, I conclude that "task-oriented consultation" is efficacious. To further develop well-planned consultation activities, an emphasis on temporal structure, group consensus techniques and interpersonal relationships will be critical.