Journal of Japan Academy of Community Health Nursing
Online ISSN : 2432-0803
Print ISSN : 1346-9657
Factors Related to Difficulty with Information-sharing during Discharge Planning : Focus on Discharge Planning between Acute Phase Hospitals and Rehabilitation Hospitals for Stroke Cases
Masami Abe
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2015 Volume 18 Issue 2-3Comb-No Pages 61-68

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Abstract
Objective : This study aimed to analyze information-sharing difficulties and factors during discharge planning for stroke patients being transferred from acute phase hospitals to rehabilitation hospitals. Method : A questionnaire was conducted with 590 acute phase hospitals. Respondents were categorized as "Having difficulty", "No difficulty" and "Neither" with sharing information. The associations between difficulty of information-sharing and the contextual factors - "general information about the hospital", "coordination", "acute phase hospital factors from management's perspective", "acute phase hospital factors from the staff's perspective", "cooperative partner" and "patient and family" were analyzed using a rank order logistic regression analysis. Results : 139 (23.6%) of the hospitals were analyzed. Compared to "No Difficulty" hospitals, "Having difficulty" hospitals were more likely to have ability difference concerning discharge planning among staffs (β= -1.872, p = 0.001) and lack of understanding by staff about the function of rehabilitation hospitals (β= -1.474, p = 0.009). Conclusion : Efforts are needed to better inform and educate the medical community including acute hospital staffs about the functions and roles of different facilities and institutions.
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© 2015 Japan Academy of Community Health Nursing
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