RNOtherNursing & health sciences2022

Evaluation of the condition of inpatients in acute care hospitals in Japan: A retrospective multicenter descriptive study.

Kenshi Hayashida, Mutsuko Moriwaki, Genki Murakami

PMID 36053988

WHAT IT FOUND

In Japanese acute care hospitals, 30.3% of patient-days met criteria for medical/nursing care need.

ECG monitoring was common, and many patients needed help with dressing, turning, oral care, and transfer.

Key findings

0130.3% of all patient-days met criteria for medical/nursing care need.

02ECG monitoring was the most frequent care item, recorded on 21.0% of patient-days.

03At least 40% of inpatients required assistance for each of dressing, turning, oral care, and transfer.

STILL TO COME

How it was doneWhat they foundWhat it means for RNs

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What it does not show

The study used administrative billing data, not clinical outcomes. Some patients lacked sex and age data. It covered hospitals before the pandemic, so current practice may differ. There was no international comparison.

Declared interests

The authors declared no conflict of interest. Funding was from Japan Society for the Promotion of Science and the Ministry of Health, Labour and Welfare.

The easy way to misread this

Do not read the 30.3% figure as proof that acute care hospitalization is appropriate or efficient. It reports the proportion of patient-days meeting a nursing-care eligibility score, not a comparison with needed care.

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