title: Relational coordination among home healthcare professions and goal attainment in nursing care.
abstract: OBJECTIVE
  To examine whether interprofessional coordination is related to goal attainment in home visit nursing care.
  
  
  METHODS
  Self-administered questionnaire surveys were administered to home visit nursing agencies in Chiba Prefecture, Japan, from July to December 2014. Nurses evaluated their interprofessional coordination with professional groups (nursing colleague and managers, home doctors, care managers, home care workers, visiting therapists, day service and day care professionals, visiting bath professionals, and short stay professionals) using the Japanese version of the Relational Coordination Scale (RCS-J). Goal attainment across all clients during the most recent 3 months was measured with a rating scale ranging from incompletely attained (0) to completely attained (10). Data were analyzed with multivariate logistic regression analysis.
  
  
  RESULTS
  A total of 83 nurses in 14 agencies responded, and data from 74 nurses were analyzed. The mean RCS-J and goal attainment scores were 3.59 (standard deviation = 0.47) and 6.51 (1.40), respectively. The RCS-J scores of the low and high goal attainment groups were 3.41 (0.46) and 3.73 (0.42), respectively. Multivariate logistic regression analysis revealed that RCS-J scores were positively associated with goal attainment (odds ratio, 5.71; 95% confidence interval, 1.65-19.79).
  
  
  CONCLUSIONS
  The finding of this study suggest that well-coordinated professionals may fulfill client needs better than poorly coordinated professionals do. Future research is needed to determine whether similar results are obtained in individual clients using a well-validated goal attainment scale.
authors.affiliation: Department of Community Health Nursing, Division of Health Sciences and Nursing, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.
authors.forename: Mahiro
authors.initials: M
authors.lastname: Sakai
authors.affiliation: Department of Community Health Nursing, Division of Health Sciences and Nursing, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.
authors.forename: Takashi
authors.initials: T
authors.lastname: Naruse
authors.affiliation: Department of Community Health Nursing, Division of Health Sciences and Nursing, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.
authors.forename: Satoko
authors.initials: S
authors.lastname: Nagata
mesh_terms: D000328:Adult; D003430:Cross-Sectional Studies; D005260:Female; D006040:Goals; D006699:Home Care Services / Q000458:organization & administration*; D006792:House Calls; D006801:Humans; D007564:Japan; D008297:Male; D008875:Middle Aged; D064691:Nurses, Community Health; D011795:Surveys and Questionnaires
keywords: cross-sectional study; goal attainment; home care; nurse; relational coordination