Discharge planning for cooperation and collaboration of ward and discharge planning nurses

2018 Fiscal Year Final Research Report

• Project/Area Number: 16K20716
• Research Category: Grant-in-Aid for Young Scientists (B)
• Allocation Type: Multi-year Fund
• Research Field: Fundamental nursing
• Research Institution: Sapporo Medical University
• Principal Investigator: Nakamura Madoka 札幌医科大学, 保健医療学部, 助手 (10737505)
• Project Period (FY): 2016-04-01 – 2019-03-31
• Keywords: 意思決定支援 / 退院支援 / 退院調整看護師 / 病棟看護師 / 役割認識 / 看護

Outline of Final Research Achievements

This study aimed to examine awareness of the roles of hospital ward and discharge planning nurses in supporting patients’ decision making to be discharged from hospital. There was a total of 13 participants in this study, including 7 ward nurses and 6 discharge planning nurses. The obtained data were qualitatively analyzed. Ward nurses were aware of their own role of "ascertaining and respecting the intentions of patients and their families" and their expectations of discharge planning nurses for "understanding the situation from a continuous perspective". Discharge planning nurses were aware of their own role of "coordination among a broad range of stakeholders" and their expectations of ward nurses for " clarifying the stance and judgment of ward nurses". Our findings suggest that role engagements for each specialized nursing type should be promoted, even though these staff share a common awareness of their responsibility to be closely involved in recuperation of their patients.

Free Research Field

看護学

Academic Significance and Societal Importance of the Research Achievements

本研究により、病棟看護師と退院調整看護師という密接な連携・協働体制が必要な看護職は、それぞれの特性を発揮し、補完し合いながら患者・家族の退院に伴う意思決定支援を担う役割を相互に認識していることが明らかとなった。
このことは、わが国が推進する地域包括ケアシステムの実現に向けて、患者・家族が安心して医療機関から退院し、次の療養場所へ移行するための支援を担う看護職の人材育成や支援の質評価のための有益な資料となるといえる。