Developing an instrument to self-evaluate the discharge planning of ward nurses

Shima Sakai, Noriko Yamamoto-Mitani, Yukari Takai, Hiroki Fukahori, Yasuko Ogata

Research output: Contribution to journalArticlepeer-review

8 Citations (Scopus)


Aims To develop the Discharge Planning of Ward Nurses (DPWN), a Japanese self-evaluation instrument for ward nurses’ discharge planning practices. Design Cross-sectional survey. Methods Participants were 624 ward nurses from six hospitals in Japan with a discharge planning department. Items about discharge planning practices were collected from literature and interviews with nurses and researchers. Construct validity, concurrent validity, internal consistency and test-retest reliability were tested. Results Initially, 55 items were collected. Examination of the floor effect, item-total, good-poor analyses and exploratory factor analysis yielded a four-factor model with 24 items (‘teaching home-care skills with community/hospital professionals,’ ‘identifying clients’ potential needs early in the discharge process,’ ‘introducing social resources’ and ‘identifying client/family wishes and building consensus for discharge’). The four-factor structure was supported by confirmatory factor analysis. The DPWN correlated with scales ascertaining similar concepts, supporting concurrent validity. Internal consistency and test-retest reliability were generally satisfactory.

Original languageEnglish
Pages (from-to)30-40
Number of pages11
JournalNursing Open
Issue number1
Publication statusPublished - 2016 Jan
Externally publishedYes


  • Discharge planning
  • Instrument development
  • Japan
  • Psychometric testing
  • Ward nurses

ASJC Scopus subject areas

  • General Nursing


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