The Relationship Between Perceived Difficulty and Reflection in the Practice of Discharge Planning Nurse in Acute Care Hospitals: A Nationwide Observational Study
The Relationship Between Perceived Difficulty and Reflection in the Practice of Discharge Planning Nurse in Acute Care Hospitals: A Nationwide Observational Study
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急症护理医院出院计划护士实践中感知困难与反思之间的关系：一项全国观察性研究
DOI：
10.1111/jocn.15111
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发表时间：
2020
影响因子：
4.2
通讯作者：
Miyuki Makaya
中科院分区：
文献类型：
--
作者：
Eiko Moriya;Noriko Nagao;Shinya Ito;Miyuki Makaya
目的和目的了解急诊科医院出院计划护士的特点和实践情况，阐明实践中主观困难感知与反思的关系。出院计划对于从医院到护理机构的有效过渡的重要性正在增加。然而，在急症护理医院，尚不清楚出院计划护士为高度依赖医疗的患者做了什么，他们在实际活动中感受到的主观困难，以及护士的反思是否可以减轻这些困难。DesignCross截面调查。方法本调查于2018年6月1日至6月30日在日本2379家急症护理医院进行。出院计划实习活动调查考察了9个因素。回答说他/她确实反思过自己的做法的护士被定义为自我反思护士。完成了STROBE语句检查表。结果共回收问卷760份，回复率为32.1%。出院计划护士的出院计划经验少于36个月。在参与出院支持13个月以上的护士中，自我反思护士在实践活动中感受到的困难比非自我反思护士少。结论具有13个月及以上出院计划护理经验的护士，通过实践活动反思，主观困难感较低。日常实践中的反思可以减轻出院计划护士实践活动的主观难度，需要建立一种有效的培训方法来促进这种反思。在未来，有必要为出院计划护士构建和评估一个有效的教育计划，其中包括对实践案例的自我反思。
Aims and objectivesTo clarify the characteristics and practice of discharge planning nurses in acute care hospitals and to elucidate the relationship between subjective difficulty perceived in practice and reflection.BackgroundThe importance of discharge planning for an effective transition from the hospital to a care facility is increasing. In acute care hospitals, however, it is not clear what discharge planning nurses are doing for patients who are highly dependent on medical treatment, the subjective difficulties they perceive in practical activities, and whether reflection by nurses can be expected to mitigate those difficulties.DesignCross‐sectional survey.MethodsThis survey was conducted in 2,379 acute care hospitals in Japan from 1 June–30 June 2018. The survey of discharge planning practice activities examined nine factors. A nurse who answered that he/she did reflect on his/her practices was defined as a self‐reflecting nurse. The STROBE statement checklists were completed.ResultsQuestionnaires were collected from 760 respondents (response rate = 32.1%). The discharge planning nurses had fewer than 36 months of experience with discharge planning. Among the nurses who had been involved in hospital discharge support for 13 months or more, the self‐reflecting nurses had fewer perceived difficulties in their practice activities than the non‐self‐reflecting nurses did.ConclusionsIt was shown that discharge planning nurses with 13 months or more of experience and who practiced reflection on their practical activities perceived less subjective difficulty. Reflection in daily practice may mitigate the subjective difficulty of practical activities experienced by discharge planning nurses, and the establishment of an effective training method that promotes such reflection is required.Relevance to clinical practiceIn the future, it will be necessary to construct and evaluate an effective education programme for discharge planning nurses that includes self‐reflection on practice cases.