11:40-12:15
Present Situation of Japanese Home Care
12:30-13:30 Lunch
13:30-14:30
Using Research for Clinical Practice
The evidence in the literature for discharge planning includes primary studies, systematic reviews, case histories, and practice information based on experience. Relevant literature has to include a broad area in order to understand the necessary information for care. For example, philosophical and ethical literature to clarify personal values are the types of information that are very important in community care. In addition, government or agency policy documents along with community standards and policies are essential grey literature.
There are two types of studies that are critical in community care-primary studies and systematic reviews. There are advantages and disadvantages to both. The advantages of systematic reviews is that is summarizes the results of a large number of primary studies. Many of the systematic reviews have been done in comunity care, for example studies cover topics such as the effectiveness of home visiting and effectiveness of interventions for elder abuse. Another study focused on home visiting as a strategy for pre natal and post natal clients. The conclusions were that interventions with women at high risk have a greater impact than those of advantaged clients. Another meta-analysis was one to determine whether anticipatory care impacted hospitalization and admission to long term care. The study demonstrated that people could stay in the community longer. Sometimes there is not strong evidence to maintain present programs and it is necessary to continue to conduct studies that evaluate present practice.
14:30-14:45 Break
14:45-16:30
Work Group Sessions
Issues and solutions to discharge planning will be discussed with The participants.
