title: Identifying structure and aspects that 'continuing nursing care' used in discharge support from hospital to home care in Japan.
abstract: This study investigated nursing practice in continuing nursing care with the aim of identifying the key factors in nursing practice during discharge support. A literature review of papers published in Japanese in 2000 and 2011 was conducted using 'case management', 'care management', 'continuing nursing care', 'discharge support', 'discharge planning' and 'elderly person' as key words. An analysis of 54 papers revealed the following five aspects of continuing nursing care: (i) a cyclical approach aimed at realising the lifestyle desired by the person concerned; (ii) management of medical conditions for lifestyle stability; (iii) support for the patient as someone who can live independently; (iv) support to raise the ability of families to care for themselves; and (v) team approach to achieve implementation of patient-centred care. Understanding these aspects allows nurses to recreate the lifestyle of patients and families and facilitate the implementation of a systematic team approach.
authors.affiliation: Graduate School of Nursing, Chiba University, Chiba, Japan. h-nagae@faculty.chiba-u.jp
authors.forename: Hiroko
authors.initials: H
authors.lastname: Nagae
authors.forename: Shizuko
authors.initials: S
authors.lastname: Tanigaki
authors.forename: Mari
authors.initials: M
authors.lastname: Okada
authors.forename: Yoko
authors.initials: Y
authors.lastname: Katayama
authors.forename: Chie
authors.initials: C
authors.lastname: Norikoshi
authors.forename: Yuko
authors.initials: Y
authors.lastname: Nishina
authors.forename: Masako
authors.initials: M
authors.lastname: Sakai
mesh_terms: D000368:Aged; D003266:Continuity of Patient Care; D006699:Home Care Services; D006761:Hospitals; D006801:Humans; D007564:Japan; D009736:Nursing Process; D010351:Patient Discharge; D010360:Patient Transfer