| Title |
Current situation and issues related to nurse-led discharge support before hospitalization |
| Subtitle |
|
| Authors |
Rika Matsumoto1), Maki Taniyama2), Megumi Hobo3) |
| Authors (kana) |
|
| Organization |
1)Doctoral Program in Nursing, Graduate School of Health and Welfare, International University of Health and Welfare, 2)Nursing Field, Graduate School of Health and Welfare, International University of Health and Welfare, 3)Department of Nursing, Faculty of Health Sciences, International University of Health and Welfare |
| Journal |
The Journal of Japan Society for Health Care Management
|
| Volume |
23
|
| Number |
1
|
| Page |
25-30 |
| Year/Month |
2022 / 6 |
| Article |
Report |
| Publisher |
Japan Society for Health Care Management |
| Abstract |
The purpose of this study is to clarify the current status of discharge support provided before hospitalization to reduce the number of hospitalization days, and the effects and issues recognized by the nurses who implement this support. An independently completed, paper-based survey was distributed to nurses who are responsible for providing entrance and discharge support at community medical support hospitals across Japan. About 90% of community hospitals from whom we received responses provide discharge support before hospitalization. On the effect of the pre-hospitalization support, following items were extracted from the response : a return to nursing approach that respects the person, the need for patients' independent participation in treatment, strengthening collaborative interventions among multi-disciplinary occupations, implementation of treatment plans marked by improvements in work efficiency, and smooth discharge support via early intervention efforts. For issues related to discharge support, they noted the categories of awareness and education of patient-centered in/out support, specific supports and evaluations to reduce patients' burdens, and organizational initiatives for environmental improvement. Changes in the awareness levels of both nurses and patients, as well as the effects of strengthening cooperation and carrying out treatment plans, made it possible to provide smooth discharge support. Future areas of research will include awareness of the professionals involved, education, and measures and evaluations for reducing patients' burdens. Organizational efforts are also needed to provide patient-centered in/out support. |
| Practice |
General medicine |
| Keywords |
discharge support, shortening hospital days, scheduled hospitalized patients, nurse |
