Nursing Activities in Discharge Planning for Difficult-to-Discharge Pediatric Patients

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  • 退院困難な小児患者への看護師が実践する退院支援の内容

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To make the transition from hospital to home-based care for children and their families proceed with peace of mind for everybody, this study aims to show details of the discharge planning that nurses provide to children with discharge difficulties and their families. Some patients refuse to be discharged from hospitals even when medical reasons allow discharge. However, we have located no previous studies that report details of discharge planning for children with discharge difficulties, showing what types of support nurses in charge of discharge planning need to provide for such patients - a qualitative study with a descriptive and explorative design. After approval by the Institutional Review Board, we conducted semi-structured interviews using a qualitative approach with pediatric nurses with a mean work experience of 16.2 years. This study followed the Consolidated Criteria for Reporting Qualitative Research (COREQ) reporting guidelines. There were 18 participants, including ward nurses and nurses from a community outreach section of the hospital. The mean length of the interview was 57.6 minutes per nurse. The analysis yielded 396 codes and 26 subcategories in the following 5 categories: ‘Set the direction for discharge,’ ‘Gather information related to discharge planning,’ ‘Provide counseling for children and families,’ ‘Facilitate the home -based care,’ and ‘Share information about discharge planning.’

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