Yuki Maeda
RN. Mukogawa Women’s University School of Nursing,Graduate School of Nursing
Title: Appropriate supports of discharge for pediatric patients – Factors associated with discharge difficulty
Biography
Biography: Yuki Maeda
Abstract
Background; It is well known that the early support of discharge by expert nurses and patients support team is important for hospitalized pediatric patients, and these efforts have translated to develop providing maxim time for developing an organized discharge plan, more time for discharge teach by staff nurses for elder and pediatric patients, and also their family engagement and efficiently need coordination of care service. The discharge supports have been focusing in elderly patients in Japan and other Western countries, and not fully discussed in pediatric patients. Then we have identified the factors of discharge difficulty and proposed the resolving methods regarding supports for early discharge in pediatric patients. This study has been approved in the ethical committee of our institution. Purpose and Methods; We have performed a semi-structured interview using a qualitative approach by 18 experienced nurses for pediatric patients care, and the average period of work experiences was 15.6 years. The interview was also intended to compare the factors for discharge difficulty of pediatric and elderly patients. Results; We have referred Holland’s results (J Pediat Nurs2014) to adjust Japanese pediatric patients. The reasons for the difficulty of early discharge were found for 17 categories including Poor nutrition, Unstable condition, Home nursing visit after discharge, Difficulty of a caring child, Bother about the decision of treatment, Difficulty of a caring child, Unstable family relationships, Financial concerns. Discussion; We have clarified the risk factors of discharge difficulty for pediatric patients such as patients’ and caregiver factors and home environment. The difference of discharge difficulty between pediatric and elderly patients was that pediatric patients have factors associated with problems of patients and caregivers and home environment. The reason why these factors are dominant in Japan is that the main persons for home care might be caregivers.