Dissemination of knowledge for urination independence support in mixed wards

Abstract

The revision of medical fees in fiscal year 2020 newly established an “additional fee for urination independence support” and urination care teams were launched in Hospital A. Knowledge dissemination in mixed wards and evaluation of learning were performed as an intervention to improve team activities. Based on data from self-administered anonymous surveys and interviews before the intervention, study sessions to address the shortage of knowledge and instructional sessions using actual cases were held. A similar survey six months after the intervention showed an overall improvement in knowledge. The number of consultations with the urination care team also increased. We believe that design of the intervention based on a preliminary understanding of the situation prior to the intervention led to this improvement in knowledge. However, a follow-up survey at one year after the intervention showed deterioration of the overall results. This suggests that the learning effects were temporary and that continued intervention is desirable in the future.