Developing an instrument to self‐evaluate the Discharge Planning of Ward Nurses

Sakai, Shima; Yamamoto‐Mitani, Noriko; Takai, Yukari; Fukahori, Hiroki; Ogata, Yasuko

doi:10.1002/nop2.31

Cited by 13 publications

(12 citation statements)

References 29 publications

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“…In this study, we used the Discharge Planning Scale for Ward Nurses (DPWN) (Sakai, Mitani, Takai, Fukahori & Ogata, 2015), an international scale that covers the perspectives of continuous care and the contents of discharge support activities in collaboration with multidisciplinary professionals, to examine the implementation of effective discharge planning for alcoholics. This scale was developed in Japan and is considered to be appropriate for the Japanese situation.…”

Section: Methodsmentioning

confidence: 99%

Hospital organizational structure factors related to discharge planning activities for alcoholics by nurses in Japan

Adachi

Koji

Watai

2022

Japan Journal Nursing Sci

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Aim: Nurses play a significant role in providing discharge support for alcoholics. We aimed to explore the organizational structures of hospitals that are related to effective discharge planning activities provided by nurses. Methods: We conducted a cross-sectional survey of Japanese hospitals with psychiatric wards that accept alcoholics. The survey questionnaire was administered to one nurse per hospital from August to September 2019. The Discharge Planning Scale for Ward Nurses (DPWN) was used to assess the actual status of the hospital nurse teams' discharge planning activities. The DPWN consists of four subscales: subscale I, "collect information from patients and their families"; subscale II, "supports for decision-making for the patients and families"; subscale III, "utilization of social resources"; and subscale IV, "discharge guidance by cooperating with community support teams and multidisciplinary teams."Results: From the valid responses of 116 hospitals, scores on subscale IV were significantly lower than scores on subscales I, II, and III, indicating that medical care guidance through multidisciplinary collaboration between hospitals and the community was inadequate. In addition, multiple regression analysis showed that "hospital management and administrators understanding about nurses' discharge support activities," and "planning discharge schedules, such as using clinical paths" were significantly and independently related to the total DPWN and each of subscale scores, regardless of the hospital's establishment body and size. "Multidisciplinary discharge support" was significantly related to subscale II.Conclusions: These findings have implications for the management of discharge planning activities provided by nurses for alcoholics through multidisciplinary collaboration.

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Section: Methodsmentioning

confidence: 99%

Hospital organizational structure factors related to discharge planning activities for alcoholics by nurses in Japan

Adachi

Koji

Watai

2022

Japan Journal Nursing Sci

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“…Discharge planning practice for end-stage cancer patients was assessed using the self-reported Discharge Planning of Ward Nurses (DPWN) scale developed by Sakai et al [ 14 ]. The scale was developed to measure general discharge planning practice in nurses who do not specialize in working with patients with end-stage cancer.…”

Section: Methodsmentioning

confidence: 99%

“…Regarding skills, it was found that communication skills were important and had an impact on discharge planning practice [ 13 ]. General ward nurses’ discharge planning practice consists of understanding the intentions and wishes of patients and their families, providing information to them, supporting decision making, and cooperating with other healthcare providers [ 14 , 15 ]. To fulfill these roles, communication skills are indispensable.…”

Section: Introductionmentioning

confidence: 99%

General Ward Nurses’ Self-Efficacy, Ethical Behavior, and Practice of Discharge Planning for End-Stage Cancer Patients: Path Analysis

Aoyanagi

Shindo²,

Takahashi

2022

Healthcare

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General ward nurses play a key role in discharge planning for end-stage cancer patients. It is necessary to assess the factors regarding their practice to promote discharge planning in accordance with end-stage cancer patients’ wishes. This study aimed to investigate the relationships between general ward nurses’ practice of discharge planning for end-stage cancer patients, self-efficacy, ethical behavior, attitude, knowledge and experience, perceived skills, and perceived barriers. A total of 288 general ward nurses from nine hospitals in a city in Japan completed the questionnaire. Path analysis was conducted to test the hypotheses. The results showed that nurses’ self-efficacy, ethical behavior (do-no-harm, do-good), knowledge (experience of attending home care seminars), and perceived skills (assertiveness) were positively and directly related to the practice of discharge planning. Nursing experience and perceived skills (assertiveness) were positively associated with discharge planning practice, while perceived barriers (death discussion) and attitude (degree of leaving it to discharge planning nurses (DPNs)) were negatively associated, with self-efficacy acting as a mediator. Thus, our findings show that it is important to enhance self-efficacy and nursing ethical behavior to improve the practice of discharge planning. Accordingly, education regarding home care, assertive communication skills, death discussion, and ethics is needed for general ward nurses.

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“…To improve discharge planning practice, scales have been developed for nurses to self‐evaluate discharge support (home transfer support), which have helped nurses effectively. The currently used validated self‐evaluation scales for discharge planning in Japan are the Discharge Planning of Ward Nurses (DPWN) scale (Sakai et al, 2016), the Discharge Planning‐Process Evaluation Measurement (Chiba, 2005), and the Nurses' Discharge Planning Ability Scale (Tomura et al, 2013). These self‐evaluation scales are valuable instruments.…”

Section: Introductionmentioning

confidence: 99%

Development and validation of the Care Transitions Scale for Patients with Heart Failure: A tool for nurses to assess patients' readiness for hospital discharge

Yoshimura

Kawamura

Hasegawa

et al. 2023

Japan Journal Nursing Sci

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Aim: This study aimed to develop and assess the validity and reliability of the Care Transitions Scale for Patients with Heart Failure (CTS-HF) as a nursereported measure for evaluating patients' readiness for hospital discharge. Methods: We conducted a cross-sectional study of cardiovascular ward nurses from 163 hospitals across Japan. Structural validity was assessed using exploratory factor analysis with development participants and confirmatory factor analysis with validation participants. Convergent validity was assessed by correlation with the Discharge Planning of Ward Nurses scale (DPWN). Hypotheses testing for construct validity was performed as comparisons between subgroups of transitional care practice.Results: Valid responses were obtained from 704 nurses (development participants, n = 352; validation participants, n = 352). The final scale comprised 21 items divided into six factors: "Clear preparation for how to manage health at home," "Adjusting to home care/support system," "Transitions of medication management from hospital to home," "Dealing with patients' concerns and questions," "Transitions of disease management from hospital to home," and "Family support." Indices of fit supported these results (comparative fit index = 0.944, root mean square error of approximation = 0.057). The CTS-HF was significantly correlated with the DPWN. The nurses' subgroup with higher transitional care practice had higher CTS-HF scores. Cronbach's alpha was .93 for the CTS-HF. Conclusions:The CTS-HF showed sufficient reliability and validity for use in evaluating discharge care. Further studies are needed regarding the usefulness of this scale in nursing practice.

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Developing an instrument to self‐evaluate the Discharge Planning of Ward Nurses

Cited by 13 publications

References 29 publications

Hospital organizational structure factors related to discharge planning activities for alcoholics by nurses in Japan

Hospital organizational structure factors related to discharge planning activities for alcoholics by nurses in Japan

General Ward Nurses’ Self-Efficacy, Ethical Behavior, and Practice of Discharge Planning for End-Stage Cancer Patients: Path Analysis

Development and validation of the Care Transitions Scale for Patients with Heart Failure: A tool for nurses to assess patients' readiness for hospital discharge

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