Multiple risk factors for unplanned readmissions within 1 month of hospital discharge in acute care hospitals in Japan.

Aim: The aim of this study is to analyse the risk factors for unplanned readmissions within 1 month after hospital discharge to develop a seamless support system from discharge to home care.

Background: With shorter hospital stay lengths, understanding the characteristics of patients with multiple risk factors is important to prevent rehospitalization.

Design: This is a single-centre retrospective descriptive study.

Developing an Instrument to Assess the Readiness for Advance Care Planning.

Context: In recent times, advance care planning for patients' end-of-life care preferences has attracted much attention worldwide.

Objectives: To develop the Readiness for Advance Care Planning (RACP) Scale.

Methods: Participants included 624 Japanese citizens who were registered with a web-based survey company as of February 2019.

Defining a good death for people with dementia: A scoping review.

Aim: End-of-life care for people with dementia is becoming increasingly important as the global population ages. However, there is no agreed definition of a good death for people with dementia. The current review examined previous literature to establish the current state of knowledge on this issue.

Developing an instrument to self-evaluate the Discharge Planning of Ward Nurses.

Aims: To develop the Discharge Planning of Ward Nurses (DPWN), a Japanese self-evaluation instrument for ward nurses' discharge planning practices.

Design: Cross-sectional survey.

Methods: Participants were 624 ward nurses from six hospitals in Japan with a discharge planning department.

[Effect of a Discharge Planning Educational Program in a University Hospital].

The purpose of this study was to investigate the effect of a discharge planning educational program on multidisciplinary team staff in a community. We provided training to nurses of a university hospital. The training covered an introduction to discharge planning, decision-making support, home care medicine and home nursing care, the medical social welfare system, and case review meetings.

[The verification of effectiveness of home medical care workshop for hospital nurses: the result was based on before/after questionnaire survey].

Since 2006, the department of home nursing care at Tokyo Women's Medical University Hospital has held a half year long 6-courses home medical care workshop for our hospital nurses by inviting local medical and welfare specialists as their lecturers. The objective of the workshop was to gain a wider range of knowledge and understanding of hospital discharge support system and home medical care services. In order to evaluate the level of understanding and achievement obtained from the workshop, a questionnaire survey was conducted in 2010 asking the participants to fill out a self evaluation form before and after the course.

[Change in unit nurses' knowledge and practice before or after the intervention by using a discharge support planning tool at highly advanced medical center].

A survey was conducted to 75 unit-nurses to verify the change in nurses' knowledge and practice before or after the intervention by using a discharge support planning tool at highly advanced medical center. The discharge support planning tool was made from four sheets: Screening Sheet I - an identification sheet for patient who needs a discharge plan at an early stage, Screening Sheet II - an activity evaluation sheet to check the patient's daily activities, Screening Sheet III - a direction confirmation sheet for the family and medical practitioners, and Screening Sheet IV - a discharge flow chart to show overall discharge arrangements. In the survey results, the unit nurses' knowledge and practice was significantly increased after the use of the discharge support planning tool(p<0.