The Meaning of Discharge Planning for Nurses in Palliative Care Unit

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  • Mizui Midori
    Community Care Team KAEDENOKAZE
  • Kageyama Masako
    Area of Integrated Health and Nursing Science, Osaka University Graduate School of Medicine
  • Mikoshiba Naoko
    Department of Gerontological Home-Care & Long-term Care Nursing/Palliative Care Nursing Graduate School of Health Sciences & Nursing Faculty of Medicine, The University of Tokyo
  • Yokoyama Keiko
    Department of Nursing, Faculty of Health Sciences, Saitama Prefectural University
  • Nagata Satoko
    Faculty of Nursing and Medical Care, Keio University

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  • 緩和ケア病棟の看護師にとっての退院支援の意味
  • カンワ ケア ビョウトウ ノ カンゴシ ニ トッテ ノ タイイン シエン ノ イミ

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Abstract

<p>Objectives: The purpose of this study was to reveal the meaning of discharge planning for nurses working in a Palliative Care Unit (PCU).</p><p>Methods: Using an ethnographic design, data collection included participant observation, field notes, and semi-structured interviews with PCU nurses in an urban hospital in Japan. Spradley’s Developmental Research Sequence method was used for data analysis.</p><p>Results: The following was the general theme: “Discharge planning presented a challenge for nurses as they supported the patient’s and family’s transition to home and facilitated the patient’s return to his/her genuine self.” Discharge planning was a challenge for nurses because they had to try to help the patient’s transition to home and support the patient to be his/her genuine self despite the risk that the transition may disturb the patient’s and the family’s well-being. Additionally, the nurses faced a dilemma, along with discharge planning, when the patient chose to be discharged and while preparing for discharge. Therefore, nurses saw off the patient to his/her home with a guarantee that he/she would come back to the PCU.</p><p>Conclusion: Discharge planning from the PCU presented a challenge for nurses. This study suggests ways nurses experience and should help improve the discharge planning process in the future.</p>

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