Keywords
Community comprehensive care ward
Ward nurses
Care managers
Collaborative activities
Submitted : 2024-05-05
Accepted : 2024-05-20
Published : 2024-06-04
Abstract
Objective: The purpose of this study was to clarify the collaborative activities and mutual recognition between community comprehensive care unit nurses (Ns) and care managers (CM) in supporting the discharge of the elderly from the hospital. Methods: A total of 300 nurses working in community comprehensive care wards and 360 care managers working in B City in A Prefecture were surveyed using an anonymous self-administered questionnaire. Results: The highest percentage of responses regarding necessary collaborative activities with multiple professions in supporting hospital discharge were the same for Ns and CMs. The items regarding practice with the highest percentages were “relationship as a team” for Ns, and “user-centered awareness” for CM. While these professionals were willing to share information about their patients’ lives after discharge, the percentage of those explaining their expertise was low. It is thought that collaborative activities focusing on these aspects would lead to more appropriate discharge support.
References
Japanese Ministry of Health, Labour and Welfare, 2020, Approximate Number of Patients Surveyed in 2020. https://www.mhlw.go.jp/toukei/saikin/hw/kanja/20a/index.html
Overview of the 2014 Revision of Medical Reimbursement, https://www.mhlw.go.jp/file/06-Seisakujouhou-12400000-Hokenkyoku/0000039378.pdf
Commissioned by the Medical Care Coordination Policy Division, Health Insurance Bureau, Ministry of Health, Labor and Welfare, 2016, Report on Survey and Research on Strengthening Cooperation between Medical and Nursing Care in Local Communities in Fiscal 2016 (How Cooperation Should Provide Efficient and Effective Support for Hospital Discharge),https://www.mhlw.go.jp/file/06-Seisakujouhou-12400000-Hokenkyoku/0000161398.pdf
Utsunomiya H, 2009, Practical Cases of Discharge Support and Discharge Coordination Starting from Hospital Wards. Japan Nurses Association Press, 10–37.
Kurokami M, Ito T, 2020, Cooperative Support Among Discharge Support Nurses, Ward Nurses, and Visiting Nurses During the Transition to Home. Medical Nursing Research, 16(2): 47–53.
Miyashita M, 2018, Perception of Collaboration Between Ward Nurses and Visiting Nurses in Discharge Support. Bulletin of Tohoku Bunka Gakuen University School of Nursing, 7(1): 27–37.
Tsutsui T, 2003, The Actual Situation of Cooperation Activities of “Specialists” Engaged in Community Welfare Rights Advocacy Services and Development of “Evaluation Scale for Cooperation Activities” (Part 1). Shakai Hoken Junpo, 2183: 18–24.
Tsutsui T, 2003, Actual Conditions of Collaborative Activities of “Specialists” Involved in Community Welfare Rights Protection Services and Development of “Collaborative Movement Evaluation Scale” (Part 2). Shakai Hoken Junpo, 2184: 24–28.
Masunobu F, 2015, Multidisciplinary Cooperation Skills Required in Home Care Situations for the Elderly. Bulletin of Graduate School of Social and Cultural Sciences Okayama University, 39: 169–178.
Sakai I, Otsuka M, Fujinuma K, et al., 2015, Establishment of Professional Collaboration Competencies From the Development of Chiba University Inohana IPE. Journal of Nursing Education, 56(2): 112–115.
Naruse K, Uta M, 2018, Difficulties and Challenges in Multidisciplinary Cooperation in Home Care. Bulletin of Kobe City College of Nursing, 22: 9–15.
Kawaguchi M, Shizuko Y, 2019, Awareness of Medical and Nursing Care of Welfare Professionals Supporting Community Life – Clarification of Awareness of Cooperation and Common Recognition by Free Descriptions. Nihon Fukushi University Journal of Social Welfare, 141: 83–94.
Tsutsui T, Sadonori H, 2011, Study on the Actual Condition of “Collaboration” among Municipal Public Health Nurses in Japan. Japan Kouei Journal, 53(10): 762–776.
Maekawa K, Taniyama M, 2018, Current Status and Issues of Home Care Support by Nurses in a Community Comprehensive Care Ward in an Urban Area. Journal of the Japan Society for Healthcare Management, 18(4): 242–246.
Miharu O, Hideko E, Tomomi A, et al., 2014, An Analysis of Free Descriptions by Text Mining of Actions that Nurses Practicing Team Medicine Value in Cooperation and Collaboration with Multiprofessionals. Konan Women‘s University Research Bulletin (Nursing and Rehabilitation Science Edition), 8: 1–11.
Mihoko S, Sumie K, Tae N, 2021, Process of Discharge Support Practiced by Nurses in a Community Comprehensive Care Ward. Journal of Japan Academy of Nursing Science, 41: 905–914.
Institute of Social Insurance, 2018, Interpretation of Long-Term Care Fees 3QA: Laws and Regulations, 855.
Makoto F, Kiyomi W, Yukari K, et al., 2020, A Study of Issues to be Addressed by Ward Nurses to Improve the Quality of Discharge Support. Bulletin of Gifu Prefectural College of Nursing, 20(1): 145–155.
Aikawa M, Izumi K, Shogenji M, 2012, Factors Affecting Changes in Life Function in Elderly Patients During Hospitalization in a General Hospital. Gerontological Nursing, 16(2): 47–56.
Japanese Ministry of Health, Labour and Welfare, 2008, Survey on the Effectiveness of the FY 2008 Revision of Long-Term Care Compensation and Research Study,https://www.mhlw.go.jp/content/12601000/000500278.pdf