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Volume 2, Issue 4 (Suppl)
J Healthc Commun
ISSN: 2472-1654 JHC, an open access journal
July 31- August 01, 2017 Melbourne, Australia
International Meeting on
Nursing Research and Evidence Based Practice
Nursing Meeting 2017
July 31- August 01, 2017
Page 29
Nursing change model in Japan: Nursing specialized outpatient clinic opened and operated by nurse
Kikuko Iwanaga
Niigata College of Nursing, Japan
Statement of the Problem:
In Japan, aging has progressed, medical costs have increased due to complication and chronicity of disease
structures, medical doctors and nurses are short and medical places are shifting to home in the area. In this social situation, it is
important to expand and change the role of nursing. The purpose of this study is to develop a nursing specialized outpatient system
operated by a nurse who collaborated with a conventional outpatient clinic.
Methodology &Theoretical Orientation:
We established a nursing specialized outpatient clinic at model hospital by action research,
systemized it, promoted generalization and conducted observational research on the condition of consultation.
Findings:
Nursing specialized outpatient clinic in nine fields such as cancer nursing and relaxation was established in the model
hospital. There were 10,814 examinees in 9 fields in 3 years, of which 3,609 outpatients for cancer consultation were the most numerous
among them. Nationwide, in 2014, 43 nursing specialized outpatient clinics were opened; clinical nurses’ specialists and certified
nurses were in charge. When examining 56 subject patients (average age 58.7 years old), a large number of visits were made in the
order of diabetes and cancer treatment/consultation. The same was true for fields supported by 113 subject nurses (average age 42.3
years old). The outpatient felt the nurse as a person closer to the doctor and the nurse carefully aided the outpatient, but outpatient
wanted the number of nurses in charge to be increased.
Conclusion & Significance:
Many patients visited nursing specialized outpatient clinics managed by nurses working in demonstrated,
suggesting that a nursing specialized outpatient system can contribute to future medical treatment in Japan.
Biography
Kikuko Iwanaga studies the evaluation and improvement of nursing practice to improve the quality of nursing. She has presented a new model through nursing and
management at medical institutions, education and research experience at university.
iwanaga@niigata-ca.ac.jpKikuko Iwanaga, J Healthc Commun 2017, 2:4 (Suppl)
DOI: 10.4172/2472-1654-C1-002