Thursday, 8 October 2015

Discharge planning in Japan

Roger Watson, Editor

The aim of this study from Japan by Sakai et al. (2015) titled 'Developing an instrument to self-evaluate the Discharge Planning of Ward Nurses' and published in Nursing Open was 'To develop the Discharge Planning of Ward Nurses (DPWN), a Japanese self evaluation instrument for ward nurses’ discharge planning practices.'  As the authors explain: As part of this shift in the healthcare system, enormous
efforts have been attempted to shorten the average length of hospital stay. As a result of this shortened length of hospital stay, older adult patients often leave the hospital with altered independence levels and vulnerable health conditions. These older adults frequently have difficulty when leaving the hospital.'  For this reason, and especially in Japan where families get very anxious at discharge and feel their relatives have been rushed out of hospital, improved assessment is necessary.

An initial 55 items was reduced statistically to produce a 25-item scale with four dimensions.  The authors conclude: 'The DPWN might be used for various purposes, such as to enable ward nurses to self-evaluate their own practices and to assess the effectiveness of educational programmes for ward nurses. Additionally, it might be useful in creating educational tools aimed at developing nurses’
discharge planning competencies; moreover, new nurses may also be mentored using the tools, thus aiding the development of an educational pathway. Furthermore, assessing discharge outcomes such as patient/family satisfaction might be possible. More studies are needed to further examine the clinical utility of the DPWN both nationally and internationally.

Reference

Sakai1 S, Yamamoto-Mitani N, Takai Y, Fukahori H, Ogata Y (2015) Developing an instrument to self-evaluate the Discharge Planning of Ward Nurses Nursing Open doi: 10.1002/nop2.31

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