Development of educational programs to improve the quality of discharge support in small hospitals

2022 Fiscal Year Final Research Report

• Project/Area Number: 17K17406
• Research Category: Grant-in-Aid for Young Scientists (B)
• Allocation Type: Multi-year Fund
• Research Field: Fundamental nursing
• Research Institution: Yamagata Prefectural University of Health Science
• Principal Investigator: Saito Ai 山形県立保健医療大学, 保健医療学部, 助教 (80779679)
• Project Period (FY): 2017-04-01 – 2023-03-31
• Keywords: 退院支援 / 地域包括ケア病床 / 小規模病院 / 人材育成 / クリニカルラダー

Outline of Final Research Achievements

We requested 149 small hospitals (less than 200 beds) with community-based integrated care beds in the Tohoku region to cooperate in our study. We mailed 207 questionnaires to the 55 hospitals that agreed to participate. 80 (38.6%) responses were received. Of these, 73 (35.3%) were included in the analysis. There are many difficult cases in discharge support provided in small hospitals. We were able to clarify the content of knowledge and skills related to discharge support required of nurses at each level of the clinical ladder. It was suggested that there is a need to clarify the goals to be achieved at each level and to implement training in accordance with the ladder levels.

Free Research Field

基礎看護学

Academic Significance and Societal Importance of the Research Achievements

地域包括ケア病床を有する小規模病院の退院支援の人材育成システムを検討することで、病棟で働く様々な看護師に適した教育の場を設けることが可能となり、退院支援の質の向上につながる。クリニカルラダーに退院支援に関する学習目標を設定することで、多くの小規模病院で退院支援に関する教育の機会を提供することが可能となる。