The hospital discharge as evaluated by patients and their caregivers: an integrative literature review

Abstract

Objective: To evaluate hospital discharge among patients and their caregivers. Methods: A integrative literature review was performed in the database of Pubmed, CINAHL and Lilacs from 2000 and 2005, focusing on the adult patient discharge and elderly with clinical-surgical problems, published in the English or Portuguese language. Results: The population was made up of 54 publications and the sample was made up of 23 papers, which were sorted into two theme categories: 13 focused on the effectiveness and 10 on the process inefficiency. Concluding remarks: In the subjects standpoints, the effectiveness of the discharge planning stems to the provision of information related to the disease and its treatment, contents suitable to their socioeducational characteristics and needs, through individual educational strategies, visual and written, and suitable communication among professionals, patients, caregivers and services. Keywords: Patient discharge; Caregivers; Patient satisfaction RESUMO Objetivo: Avaliar a alta hospitalar entre pacientes e cuidadores. Métodos: Realizou-se uma revisão integrativa da literatura indexada nas bases de dados Pubmed, CINAHL e Lilacs de 2000 a 2005, focalizando a alta de pacientes adultos e idosos com problemas clínico-cirúrgicos, publicadas em língua inglesa ou portuguesa. Resultados: A população consistiu de 54 publicações e a amostra foi de 23 artigos, que foram classificados em duas categorias temáticas: 13 focalizaram a efetividade e 10 a ineficácia do processo. Considerações finais: Na visão dos sujeitos, a eficácia do planejamento da alta deve-se ao fornecimento de informações relacionadas à doença e tratamento, com conteúdos apropriados às suas características sócio-educacionais e necessidades, por meio de estratégias educacionais individuais, visuais e escritas, e comunicação adequada entre os profissionais, pacientes, cuidadores e serviços. Descritores: Alta do paciente; Cuidadores; Satisfação do paciente RESUMEN Objetivo: Evaluar el alta hospitalario entre pacientes y cuidadores. Métodos: Se llevó a cabo una revisión integrada de la literatura indexada en las bases de datos Pubmed, CINAHL y Lilacs del 2000 al 2005, enfocando el alta de pacientes adultos y ancianos con problemas clínico-quirúrgicos, publicadas en lengua inglesa o portuguesa. Resultados: La población estuvo constituída de 54 publicaciones y la muestra fue de 23 artículos, clasificados en dos categorías temáticas: 13 enfocaban la efectividad y 10 la ineficacia del proceso. Consideraciones finales: En la visión de los sujetos, la eficacia de la planificación del alta se debe al ofrecimiento de informaciones relacionadas a la enfermedad y tratamiento, con contenidos apropiados a sus características socio-educativas y necesidades, por medio de estrategias educativas individuales, visuales y escritas, y comunicación adecuada entre los profesionales, pacientes, cuidadores y servicios.

O processo de recuperação da criança após a alta hospitalar: revisão integrativa

“…The number of re-admissions in the pediatric area is also concerning, along with the lack of follow up after hospital discharge, which impedes an assessment of the conditions that favor such fact (8) . Therefore, it is relevant to know how the recovery of health has been experienced by children and their families at home, once the hospital discharge planning is a nurses' job (9) , and following up on children's health out of the hospital is part of children's healthcare (10) . In order to contribute to the theoretical subsidies in the hospital nursing area, and to the children's and families' follow up after hospital discharge, the present study aimed to identify available knowledge about a child's recovery process after hospital discharge and the family role in it.…”

Learning Needs of Adult Patients Surgery

“…Similar results of the most frequent learning needs as wound care, complication information, and psychological factors has been reported by Subeh et al 31 Therefore, effective DP is a vital link in the continuity of care post discharge among surgical patients and should be provided by caregivers that have information based on the needs of patients, which depends on the individual health status and the type of care required at discharge. 1 Patient preferences for information are one aspect of effective DP that is important for improve quality of care after surgery. It is the responsibility of nurses to assess patients thoroughly, to evaluate their learning needs and to provide effective individualized information to patients and their families for post discharge recovery from surgical procedures.…”

A importância da comunicação durante o período de recuperação pós-operatória

“…Dissatisfaction with hospital discharge planning entails an opposite connotation, when the process does not respond to the stakeholders' expectations (18) .…”