Defining discharge-readiness from subacute care from all stakeholders’ perspectives: a systematic review

Gledhill, Kate; Hanna, Lisa; Nicks, Rebecca; Lannin, Natasha A.

doi:10.1080/09638288.2020.1733107

Cited by 9 publications

(5 citation statements)

References 33 publications

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“…In America, nearly 14% of patients experience an adverse event while in hospital (Hessels et al, 2019), making timely discharge essential for managing health care costs and patient health (Gledhill et al, 2021). However, more than 40% of Australian hospital patients report gaps in their discharge planning (Dixit & Sambasivan, 2018).…”

Section: Backg Rou N Dmentioning

confidence: 99%

The role of collaborative decision‐making in discharge planning: Perspectives from patients, family members and health professionals

Gledhill

Bucknall

Lannin

et al. 2023

Journal of Clinical Nursing

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AimTo explore discharge planning with a range of key stakeholders in subacute care, including consumers.DesignQualitative descriptive study.MethodsPatients (n = 16), families (n = 16), clinicians (n = 17) and managers (n = 12) participated in semi‐structured interviews or focus groups. Following transcription, data were analysed thematically.ResultsThe overarching facilitator of effective discharge planning was collaborative communication, leading to shared expectations by all stakeholders. Collaborative communication was underpinned by four key themes: patient‐ and family‐centred decision‐making, early goal setting, strong inter‐ and intra‐disciplinary teamwork, and robust patient/family education.ConclusionEffective planning for discharge from subacute care is enabled by shared expectations and collaborative communication between key stakeholders.Implications for the profession and/or patient careEffective discharge planning processes are underpinned by effective inter‐ and intra‐disciplinary teamwork. Healthcare networks should foster environments that promote effective communication between and within multidisciplinary team members as well as with patients and their families. Applying these principles to discharge planning may assist in reducing length of stays and rates of preventable readmissions post‐discharge.ImpactThis study addressed a lack of knowledge about effective discharge planning in Australian subacute care. It found that collaborative communication between stakeholders was an overarching facilitator of effective discharge planning. This finding impacts subacute service design and professional education.Reporting methodCOREQ guidelines were followed in reporting this study.Patient or public contributionNo patient or public contribution in the design, data analysis or preparation of the manuscript.

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Section: Backg Rou N Dmentioning

confidence: 99%

The role of collaborative decision‐making in discharge planning: Perspectives from patients, family members and health professionals

Gledhill

Bucknall

Lannin

et al. 2023

Journal of Clinical Nursing

Self Cite

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“…Rehabilitation care teams are primarily responsible for establishing recommendations and supports necessary to facilitate a safe discharge from the hospital. The weight of this responsibility is heavy—especially in acute cases of life‐changing injury or illness—and recommendations are influenced by many factors, including patient function, social support and the built environment 1 . Physical therapists, occupational therapists, and speech‐language pathologists complete a myriad of outcome measures to track a person's progress over time and gather extensive information about their physical and cognitive abilities.…”

Section: Beyond the Binary: Reframing 24/7 Supervision Recommendation...mentioning

confidence: 99%

Ethical aspects of the disfavored discharge

Tarsney,

Kondrat,

Watters

et al. 2023

PM&R

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“…Ensuring adequate social support is crucial to maximizing hospital-to-home transition. Support needs are identified as a barrier to prepare for discharge, and it is stated that support services should include supporting and caregiving groups at home (Gledhill et al, 2020). The patient's RHD was higher for those who had a caregiver at home (Nurhayati et al, 2019).…”

Section: Defining Attributesmentioning

confidence: 99%

Readiness for discharge from hospital: a concept analysis

Monfared

Dehghan–Nayeri

Javadi-Pashaki

et al. 2022

QRJ

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PurposeThis study aimed to analyze and define the concept of readiness for hospital discharge (RHD) in patients with myocardial infarction (MI).Design/methodology/approachWalker and Avant's approach was used for concept analysis. Electronic text searches were performed using valid databases with “readiness for hospital discharge” and “MI” keywords. The research included quantitative and qualitative studies related to RHD published between 1997 and 2021 in English and Persian. Out of 103 obtained articles, 29 met the inclusion criteria.FindingsIn the analysis, the authors identified stable physical state, desirable individual and social conditions, psychological stability, adequate support, adequate information and knowledge, and multidisciplinary care as the attributes of the determinants of RHD. Antecedents were divided into two categories, including preadmission conditions (economic and social, etc.) and postadmission conditions (disease severity and patient health needs, etc). The consequences were also identified as both positive (e.g. self-care) and side effects (e.g. reduced readmission).Originality/valueThe results showed that the concept of RHD in MI patients is a complex and multidimensional condition that applies to all patients on discharge. It is critical for the care team to pay attention to its attributes and scopes in the process of preparing the patient for discharge. It is also suggested that the concept be used as a nursing diagnosis on the North American Nursing Diagnosis Association (NANDA) list. The Association provides nurses with an up-to-date list of nursing diagnoses.

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Defining discharge-readiness from subacute care from all stakeholders’ perspectives: a systematic review

Cited by 9 publications

References 33 publications

The role of collaborative decision‐making in discharge planning: Perspectives from patients, family members and health professionals

The role of collaborative decision‐making in discharge planning: Perspectives from patients, family members and health professionals

Ethical aspects of the disfavored discharge

Readiness for discharge from hospital: a concept analysis

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