Practical wisdom of discharge planning nurses sensing discord within families

2015 Fiscal Year Final Research Report

• Project/Area Number: 25670939
• Research Category: Grant-in-Aid for Challenging Exploratory Research
• Allocation Type: Multi-year Fund
• Research Field: Fundamental nursing
• Research Institution: University of Shizuoka,Shizuoka College
• Principal Investigator: KAGEYAMA Yoko 静岡県立大学短期大学部, その他部局等, 助教 (50566065)
• Co-Investigator(Renkei-kenkyūsha): ASANO Midori 名古屋大学, 大学院医学系研究科, 教授 (30257604)
• Project Period (FY): 2013-04-01 – 2016-03-31
• Keywords: 退院支援 / 家族 / 代理意思決定 / 実践知 / 退院調整看護師

Outline of Final Research Achievements

The aim of the present study was to elucidate the practical wisdom of discharge planning nurses (DPNs) in assisting families making surrogate decisions for patients, particularly in cases in which the DPN sensed discord within the family and helped achieve resolution by performing discharge assistance. Individual interviews were conducted two to four times with six DPNs and one person with experience as a DPN in an acute care hospital classifiable as a general bed hospital. Data on similarities in DPN practices were noted and categorized using qualitative content analysis, and how the DPNs handled the discord they sensed within families was described.
Effective discharge assistance is accomplished through the DPNs' practical wisdom, sharing the patient's daily life with the family, viewing the patient as a single individual in the family group, and collaborative decision-making through discussion with those close to the patient.

Free Research Field

成人看護学　家族看護学