Clinical Prectice Guideline for colonic fecal retention
This “Clinical Practice Guidelines for Colonic Fecal Retention Assessment during Constipation for Nursing Care” is the second guideline to be published by the Japan Academy of Nursing Science. The guideline development protocol was compliant with the “Minds Medical Practice Guideline Development Manual 2020 ver. 3.0.” This clinical practice guideline was also adopted by the Japan Agency for Medical Research and Development (AMED) for research on the creation of Medical Arts (development of new medical technologies and software for surgery, oncology, nursing, rehabilitation, etc.) field 1 Medical Technology Development, which was conducted from FY2016 to FY2018, and was entitled “Advanced Nursing Technology Construction of a Multidisciplinary Cooperative System to Support Eating, Swallowing, and Defecation of Patients Treated at Home and in Nursing Facilities by Introducing Advanced Nursing Technology (Principal Investigator: Hiromi Sanada, Professor Emeritus, University of Tokyo; President, Ishikawa Prefectural College of Nursing).”
The formulation of clinical practice guidelines for the assessment of colonic fecal retention has enabled standardization of nursing care related to defecation. We believe this is a tangible step toward translating research evidence into clinical practice, which was the goal of establishing the committee. Further research is required to identify the best approach for implementing and disseminating standardized assessments.
We hope that this guideline will help improve the quality of defecation care for subjects who are not always able to communicate their discomfort and needs regarding defecation.
Clinical Practice Guideline for Aspiration and Pharyngeal Residue
This Clinical Practice Guideline was produced in pursuit of JANS’ ethos of nursing care development and standardization, as a mechanism for feeding back and applying the results of nursing research to clinical practice. This Clinical Practice Guideline (Research and Development Representative Hiromi Sanada, Professor of the University of Tokyo) was accepted by the Japan Agency for Medical Research and Development (AMED). As a result of research into aspiration and pharyngeal residue, this Guideline was created for the purpose of giving back to the patients who require such care and the nurses who provide such care.
The topics of this Clinical Practice Guideline focus on nursing care related to basic medical treatment life support for ‘sleeping, eating, and excreting’, and work started on the urgent issue of “Assessment of aspiration during swallowing and pharyngeal residue’ relating to aspiration of elderly people. In accordance with the ‘Minds Manual for Guideline Development 2017’, this Guideline consists of two parts, Part 1: ‘Basic characteristics of aspiration and pharyngeal residue during swallowing’ and Part 2: ‘Recommendation for each CQ (Clinical Question) and systematic review’. Part 2 includes technology development supported by AMED, and the physical examination technology and screening tests that have been performed in the past.
Use of this Clinical Practice Guideline will create a positive feedback cycle wherein the standardization of nursing care will progress, and the application of evidence in the field will not only promote scientific nursing care, but will also lead to more new technological development and promote further nursing research.
Please make good use of this Clinical Practice Guideline, a product of the activities of the Japan Academy of Nursing Science, whose mission is to contribute to society both domestically and internationally by contributing to further development of ‘Nursing Science’.
