2016 Volume 17 Issue 1 Pages 28-32
It is imperative for acute care hospitals to establish a treatment system to promote early recovery of inpatients and their adaptation to everyday life after hospital discharge. In this study, we focused on the nursing services that were necessary for perioperative patients and categorized the services into those which had already been moved to the outpatient department from the hospital ward and those which seemed appropriate to be moved to the outpatient department from the standpoint of a ward nurse who admits patients.
Anonymous questionnaire survey was conducted on nursing managers in the perioperative wards of 274 institutions in the South Kanto area. It found that confirmation of and guidance for hospital admission and preoperative preparation were considered as appropriate to be conducted at the outpatient department and some of them had already been shifted to the outpatient department. On the other hand, 2 items in the confirmation of patient's basic background, 7 items in the explanation of and guidance on the day of surgery and the postoperative recovery period, and 10 items in the confirmation of and guidance for the life after admission were found to account for less than half even after the services shifted to the outpatient department and those considered as appropriate to be conducted at the outpatient department were combined. It can be said that it is necessary to clarify the issues facing patients in the perioperative period and to create a system for the outpatient department, the hospital ward, and the home care assistance department to work collaboratively so that patients themselves can take proactive steps and adapt to the changes of the postoperative life.
