2013 Volume 23 Issue 1 Pages 31-42
〔Purpose〕The purpose of this study is to clarify nurse’s performance and patient’s experience of nursing practice related to the explanation and carrying out of treatment and care based on the patient’s will.
〔Methods〕We conducted a survey of nursing practice related to providing information, confirmation, treatment decision making and factors influencing information imparting practices for nurses working in general wards. We also conducted a survey on patient’s needs and experience of nursing practice related to the explanation and implementation of treatment and care based on the patient’s will. The survey for nurses was a self-administered anonymous questionnaire. Structured interviews based on the questionnaire were conducted with patients in the same hospital.
〔Results〕There were 263 valid responses from nurses and 65 valid responses from patients. The findings revealed that 72.0 to 100% of patients experienced all 4 items regarding treatment/care explanation and confirmation including: ‘explanation,’ ‘confirming understanding,’ ‘waiting for the patient’s decision,’ and ‘carrying out treatment based on the patient’s will,’ in relation to 12 nursing practices. This result was higher than the nurse’s practice rate of 51.8 to 76.5%.
〔Discussion〕The implication of this study was that we could assess nurse’s performance and the patient’s experience of nursing practice related to the explanation and carrying out of treatment and care based on the patient’s will by surveying 4 items regarding treatment/care explanation and confirmation including ‘explanation,’ ‘confirming understanding,’ ‘waiting for the patient’s decision,’ and ‘carrying out treatment based on the patient’s will.’
