The Effect of Case Studies on Discharge Support Activity by Nurses in a Special Functioning Hospital

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  • 特定機能病院看護職の退院支援活動に事例検討会が及ぼした効果
  • トクテイ キノウ ビョウイン カンゴショク ノ タイイン シエン カツドウ ニ ジレイ ケントウカイ ガ オヨボシタ コウカ

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Abstract

Objective: The present study clarifies that the case studies with home visiting nurses had an effect on the discharge support of the hospital nurses. <br> Methods: 125 nurses participated in the case study program. Ten case study conferences were held over a period of 2 years at which nurses were asked to fill out an anonymous questionnaire. <br> Results: The most useful item was "The necessity of cooperation has been understood" (92 people; 73.6%). The next most useful item was "Expansion of the aspect of caring" (82 person; 65.6%). There were no items that were not useful. After the case study, about 60 percent of the nurses saw a positive change in discharge support of patient and family. About 40 percent of the nurses began confirming the physician's treatment plan and could prepare a discharge support plan earlier. Nurses also began holding discharge adjustment conferences. 13 people's behavior remained unchanged were significantly low compared with 112 people who's behavior changed according to "The necessity of cooperation has been understood", (p < .01). <br> Conclusion: These results suggest that case studies with home visiting nurses are useful for the expansion of nurses' views and their understanding of the necessity for cooperation concerning discharge support.

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