identified, and named. Then, relationships between themes and categories were
considered.
8.5.2 Results
Experience of Negative Emotions During Discharge Planning
Participants reported that the following negative emotions occurred during discharge
planning:
“A home-care nurse told me that the necessary information was not included in the
discharge summary when it was sent from an acute-care hospital.”
“I did not know what the home-care nurse wanted.”
“We do not know which information patients need for their home-based care.”
What Was the Reasoning Behind These Emotions?
Value
“The value of a good discharge summary differs between acute-care hospital nurses
and home-care nurses.”
“Acute-care hospital nurses think that information about in-hospital treatment
processes is important.”
“Home-care nurses think that information about treatments, tests, and medicines
are important.”
Terminology
“The terminology used in creating discharge summaries differs between acute-care
hospital nurses and home-care nurses.”
“Hospital nurses use the terminology for a ‘nursing diagnosis,’ while home-care
nurses do not use it.”
Patients’ Everyday Lives
“Acute-care hospital nurses cannot imagine the provision of treatment in the
patient’s living environment.”
What Are Nursing Professionals?
“They are able to use the standardized nursing planning packages for the Electronic
Medical Information System easily.”
“Nursing care is not based on professional judgment and left to the medical
team.”
“Hospital nurses cannot explain nursing practice.”
What Should Nursing Managers Do?
“Create an opportunity for hospital nurses to watch home-care nurses’ practice.”
Current Status and Issues with Japan’s Community-Based Integrated Care System:. . .
169
considered.
8.5.2 Results
Experience of Negative Emotions During Discharge Planning
Participants reported that the following negative emotions occurred during discharge
planning:
“A home-care nurse told me that the necessary information was not included in the
discharge summary when it was sent from an acute-care hospital.”
“I did not know what the home-care nurse wanted.”
“We do not know which information patients need for their home-based care.”
What Was the Reasoning Behind These Emotions?
Value
“The value of a good discharge summary differs between acute-care hospital nurses
and home-care nurses.”
“Acute-care hospital nurses think that information about in-hospital treatment
processes is important.”
“Home-care nurses think that information about treatments, tests, and medicines
are important.”
Terminology
“The terminology used in creating discharge summaries differs between acute-care
hospital nurses and home-care nurses.”
“Hospital nurses use the terminology for a ‘nursing diagnosis,’ while home-care
nurses do not use it.”
Patients’ Everyday Lives
“Acute-care hospital nurses cannot imagine the provision of treatment in the
patient’s living environment.”
What Are Nursing Professionals?
“They are able to use the standardized nursing planning packages for the Electronic
Medical Information System easily.”
“Nursing care is not based on professional judgment and left to the medical
team.”
“Hospital nurses cannot explain nursing practice.”
What Should Nursing Managers Do?
“Create an opportunity for hospital nurses to watch home-care nurses’ practice.”
Current Status and Issues with Japan’s Community-Based Integrated Care System:. . .
169