A Model for Hospital Discharge Preparation

Abstract

There has been a proliferation of initiatives to improve discharge processes and outcomes for the transition from hospital to home and community-based care. Operationalization of these processes has varied widely as hospitals have customized discharge care into innovative roles and functions. This article presents a model for conceptualizing the components of hospital discharge preparation to ensure attention to the full range of processes needed for a comprehensive strategy for hospital discharge.

Sugestões De Orientações Para Alta De Crianças No Pós-Transplante De Células-Tronco Hematopoiéticas

“…Corroborando a questão, estudo realizado nos EUA reforça a indicação de que os processos para a alta hospitalar devem ser constantemente melhorados, sendo cada vez mais pontuados como prioridade na agenda nacional como meio de redução de readmissões evitáveis. Ressalta também que o planejamento de alta deve ser implementado para que haja continuidade de cuidado assertivo (8) .…”

“…Assim, os materiais didáticos devem ser alicerçados em literatura científica e abarcar os aspectos biológicos, psicossociais e espirituais do paciente e família, tendo como objetivo minimizar as dúvidas e ansiedades que porventura surgirão com as práticas orientadas, possibilitando a adesão ao tratamento no domicílio. Portanto, a utilização de ferramentas estruturadas e meios pedagógicos apropriados, para apoiar o planejamento de alta, é válida para a padronização deste processo (8,(16)(17) .…”

Teaching students to teach patients: A theory-guided approach

“…Much of this is centered on discharge teaching, a primary function for hospitalbased nurses. [14] Ineffective discharge teaching can result in a lack of patient understanding and adherence that may prolong the recovery period and, worse, result in hospital readmission. The U. S. Bureau of Labor Statistics (2018), reports that a combined 79% of nurses work in hospitals or ambulatory care.…”

“…This teaching is intended to prepare the patient and family/caregiver for the transition from hospital to home. [14] Traditional nursing approaches to discharge teaching often involve unidirectional communication such as telling the patient what to do after discharge and providing those instructions in standardized written form. Sometimes, an instructional video or return skill demonstration is used.…”

“…[13] Discharge teaching is a primary function of hospital-based nurses. [14] While preparatory teaching for discharge should be incorporated into every patient encounter throughout the patient's hospital stay, [15,16] it becomes a focal priority near the time of discharge. This teaching is intended to prepare the patient and family/caregiver for the transition from hospital to home.…”