@article{oai:iuhw.repo.nii.ac.jp:00001178,
 author = {矢田, 有佑 and YATA, Yusuke and 谷山, 牧 and TANIYAMA, Maki and 山下, 留理子 and YAMASHITA, Ruriko},
 issue = {1},
 journal = {国際医療福祉大学学会誌, Journal of the International University of Health and Welfare},
 month = {Feb},
 note = {目的：退院調整看護師が認識する入院前面談の効果，課題を明らかにすることである．
方法：A 県内の医療機関に勤務する退院調整看護師に半構造化面接を行い，内容分析を行った．
結果：退院調整看護師 9 名のインタビューの結果，入院前面談の効果として【入院計画に対する患者の自己管理能力と理解の向上】【早期からのスクリーニングと連携調整】【多面的な患者情報の共有と把握】を認識していた．また，課題として【病棟看護師における退院支援の不十分さ】【外来で実施する退院支援のジレンマ】【新たな支援体制による患者の負担】を捉えていた．
考察：退院調整看護師は，入院前面談の効果として患者の自己管理能力と理解の向上，早期からの調整が可能になること，多面的な患者情報の把握ができるようになったことを認識していた．さらに，患者の意思決定を後押しする効果も確認されており，現行の入退院支援は患者の不安を軽減し主体的に医療を受けるための支援として有益なものであると考えられる．しかし，病棟看護師が実施する退院支援の不十分さや，多職種を含めた外来部門などの連携に対する課題が指摘されており，退院支援体制の改善が必要である．, Purpose: To elucidate the effect and issues of pre-admission interviews as perceived by discharge-planning nurses.
Methods: We conducted semi-structured interviews with discharge-planning nurses at medical institutions in a prefecture and analyzed the interview’s content. The questions comprised three items: what types of changes and effects were felt upon commencing discharge support from before admission; for what types of patients and which medical departments are discharge support from before admission more effective; what is required before admission to make such discharge support more effective; and what are the issues involved?
Results: In the interview of nine discharge-planning nurses, it was revealed that they found that the pre-admission interviews serve “to improve the patients’ self-management ability and understanding of the admission plan,” “to conduct early screening by and obtain cooperation among medical professionals,” and “to share and ascertain various patient information by medical professionals.” Pre-admission interviews also allowed discharge-planning nurses to provide support to patients for decision making. Furthermore, “the inadequacy of discharge support by ward nurses,” “dilemma of implementing discharge support on an outpatient basis,” and “the burden of a new support system on the patient” were perceived as issues.
Conclusion: Discharge-planning nurses perceived pre-admission interviews as methods to prepare patients for hospital
admission upon thoroughly understanding the medical care to be provided and to support patients’ decision-making.
However, it was clarified that there are problems in cooperation with outpatient departments, including multidisciplinary cooperation.},
 pages = {43--52},
 title = {退院調整看護師が認識する「入院前からの退院支援」の効果と課題},
 volume = {27},
 year = {2022},
 yomi = {ヤタ, ユウスケ and タニヤマ, マキ and ヤマシタ　, ルリコ}
}