Discharge education delivered to general surgical patients in their management of recovery post discharge: A systematic mixed studies review

Kang, Evelyn; Gillespie, Brigid M.; Tobiano, Georgia; Chaboyer, Wendy

doi:10.1016/j.ijnurstu.2018.07.004

Cited by 71 publications

(72 citation statements)

References 47 publications

(118 reference statements)

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“…Hospital discharge is a key transition phase for patients and caregivers. Assessing patients’ readiness for discharge is an essential component of the discharge planning process 238. Detailed education should be provided to the patient and caregiver.…”

Section: Resultsmentioning

confidence: 99%

Guidelines for perioperative care in gynecologic/oncology: Enhanced Recovery After Surgery (ERAS) Society recommendations—2019 update

Nelson¹,

Bakkum-Gamez

Kalogera

et al. 2019

Int J Gynecol Cancer

520

364

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BackgroundThis is the first updated Enhanced Recovery After Surgery (ERAS) Society guideline presenting a consensus for optimal perioperative care in gynecologic/oncology surgery.MethodsA database search of publications using Embase and PubMed was performed. Studies on each item within the ERAS gynecologic/oncology protocol were selected with emphasis on meta-analyses, randomized controlled trials, and large prospective cohort studies. These studies were then reviewed and graded according to the Grading of Recommendations, Assessment, Development and Evaluation (GRADE) system.ResultsAll recommendations on ERAS protocol items are based on best available evidence. The level of evidence for each item is presented accordingly.ConclusionsThe updated evidence base and recommendation for items within the ERAS gynecologic/oncology perioperative care pathway are presented by the ERAS® Society in this consensus review.

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Section: Resultsmentioning

confidence: 99%

Guidelines for perioperative care in gynecologic/oncology: Enhanced Recovery After Surgery (ERAS) Society recommendations—2019 update

Nelson¹,

Bakkum-Gamez

Kalogera

et al. 2019

Int J Gynecol Cancer

520

364

View full text Add to dashboard Cite

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“…Involving patients in the decision making with their plan of care on discharge has been associated with improved patient outcomes (Uldry, Schäfer, Saadi, Rousson, & Demartines, 2013). Although there has been a focus on using a patient-centred approach in the delivery of discharge education, a review identified factors such as insufficient staffing, lack of time and nurses not considering discharge education as their primary role as reasons for not engaging patients in discharge education (Kang, Gillespie, Tobiano, and Chaboyer (2018).…”

Section: Introductionmentioning

confidence: 99%

General surgical patients’ experience of hospital discharge education: A qualitative study

Kang

Gillespie

Tobiano

et al. 2019

Journal of Clinical Nursing

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Aims and objectives To explore adult general surgical patients’ perceptions of, and satisfaction with, discharge education provided by healthcare providers. Background Discharge education is essential for general surgical patients as it equips them with the required knowledge and skills to engage in their care after discharge. Insufficient knowledge to self‐manage or assess their symptoms can result in postdischarge complications, unplanned hospital readmission and overall dissatisfaction with the hospital experience. Design A constructivist‐interpretivist paradigm using qualitative interviews. Methods Telephone interviews were conducted with 13 patients between August 2018 and November 2018 and analysed using inductive content analysis. COREQ guidelines were adopted for the conduct and reporting of the study. Results Four themes were uncovered: (a) The quality of discharge information influences patients’ postdischarge experience; (b) The negative impact of contextual influences on delivery of discharge education; (c) Patients actively participating in their surgical journey; (d) Patients’ preferences with the delivery of discharge education. Conclusion Inadequate discharge education leads to patients’ inability to self‐manage their recovery process. Information sharing with patients fosters shared understanding towards goals and expectations. Relevance to clinical practice Understanding patients’ view may inform the design of patient‐centred discharge education interventions for patients to self‐manage their recovery postdischarge.

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“…High risk patients for post-operative complications should be identified and may need a post-operative follow-up. Adequate discharge education of patients about the normal post-operative course and complications enhances the participation in their healthcare management [ 16 ]. Additionally, mismatch in expectancy of patient and doctor in different healthcare domains could lead to overrating low value healthcare [ 6 ].…”

Section: Discussionmentioning

confidence: 99%

Need for post-operative outpatient appointments after discharge following cervical spinal surgery - a narrative review

Bree

Atsma

Lindert

et al. 2020

BMC Musculoskelet Disord

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Background In the Netherlands most patients are currently seen in an outpatient clinic after an anterior cervical discectomy, which is an effective neurosurgical procedure with relatively low rate of severe complications. In this back sight, the need for patients returning to the post-operative outpatient clinic could be questioned. The aim of the study is to evaluate whether a post-operative outpatient appointment after anterior cervical discectomy could be replaced by an alternative or be omitted without adversely impacting, or increasing, the value of healthcare and patient satisfaction for this procedure. Methods A narrative review was performed to evaluate the quality of care and patient satisfaction for patients with and without a post-operative outpatient appointment after spinal surgery. A literature search of the previous ten years was performed in Pubmed, CENTRAL and EMBASE. Results A total of 403 articles were identified. Four studies remained after title and abstract selection by 3 independent reviewers. No papers were selected for further analysis, due to the absence of interventional studies that compared the utility of a post-operative outpatient clinic appointment with an intervention after spinal surgery. Conclusions Currently, there is a lack of evidence for the need of a post-operative follow-up after anterior cervical discectomy. Nor is there any literature in favor of omitting these appointments. No determinants which patients benefits from these outpatient appointments could be identified. Potential harmful and beneficial effects of omitting these post-operative follow-ups should be investigated to identify possible determinant for patients who might benefit from a post-operative appointment.

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Discharge education delivered to general surgical patients in their management of recovery post discharge: A systematic mixed studies review

Cited by 71 publications

References 47 publications

Guidelines for perioperative care in gynecologic/oncology: Enhanced Recovery After Surgery (ERAS) Society recommendations—2019 update

Guidelines for perioperative care in gynecologic/oncology: Enhanced Recovery After Surgery (ERAS) Society recommendations—2019 update

General surgical patients’ experience of hospital discharge education: A qualitative study

Need for post-operative outpatient appointments after discharge following cervical spinal surgery - a narrative review

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