Investigating discharge communication for chronic disease patients in three hospitals in India

Humphries, Claire; Jaganathan, Suganthi; Jeemon, Panniyammakal; Singh, Sanjeev; Prabhakaran, Dorairaj; Price, Malcolm J; Gill, Paramjit; Greenfield, Sheila; Lilford, Richard; Manaseki‐Holland, Semira

doi:10.1371/journal.pone.0230438

Cited by 7 publications

(6 citation statements)

References 56 publications

(69 reference statements)

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Section: Discussionmentioning

confidence: 93%

“…The information is combined both verbal and non-verbal methods of education information, for instance banners, pamphlets and inquiring to consultation with healthcare provider via LINE group. 17 This approach has also been established by few other studies, [18][19][20][21] which shows that the literacy is further increased because of the patient has an opportunity to interact with the respective diseases and get educated. 22 This study also showed that diet behavior among T2DM patients played a highly significant role in blood sugar levels control with increased odds ratio in the model of multivariate analysis (AOR=9.71; 95%CI=5.98-15.77; p-value<0.001).…”

Section: Discussionmentioning

confidence: 94%

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Health literacy and behaviors influencing blood sugar level control among type 2 diabetes patients in primary care units, Thailand: A cross-sectional study

2022

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Background: Type 2 Diabetes Mellitus (T2DM) remains a significant cause of death globally. In addition, T2DM is among the top five chronic diseases which leads to mortality in the Thai population. Patients with T2DM need a wide self-management protocol. However, patients with low health literacy experience difficulty in recognizing health-related information and have difficulties in expressing their status to health care providers, resulting in poor self-management which results in worsening of the health condition. This study aimed to identify the health literacy among patients with type 2 diabetes to determine its association between factors with blood sugar level control in the patients who are treated in primary care units. Methods: A total of 605 subjects were randomly selected from four districts of Nakhon Ratchasima Province, Northeastern Thailand. Data were collected using a structured questionnaire and a review of their charts. A descriptive statistical analysis was used to describe characteristics of the subjects. In addition, multiple logistic regression was used for the association to estimate effect sizes in terms of an odds ratio with the 95% confidence interval. Results: Of the total 605 respondents, 90.90% of the subjects had a sufficient level of health literacy about diabetes. The present study found the subjects who had sufficient health literacy were significantly associated with blood sugar level control (Adjusted Odds Ratio, (AOR)=2.27; 95% CI: 1.10-4.74; p =0.026). A strongly significant association with blood sugar level control was found with diet behaviors (AOR = 9.71; 95% CI: 5.98-15.77; p<0.001) and exercise behaviors (AOR = 14.50; 95% CI: 8.66-24.27; p<0.001). Conclusions: Health literacy on the changing health related behaviors among the T2DM patients is significantly associated with controlling blood sugar level. Hence, health practitioners should enhance the health literacy on self-care among T2DM patients which will help to control T2DM in an effective manner.

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Section: Discussionmentioning

confidence: 93%

Section: Discussionmentioning

confidence: 94%

Health literacy and behaviors influencing blood sugar level control among type 2 diabetes patients in primary care units, Thailand: A cross-sectional study

2022

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“…Given the importance placed on communication as a human resource factor in every organizational setting and an integral part of interpersonal relations, the current study finds the theory in a better position to explain the discharge communication practices (from the orientation, identification, exploitation and through to the resolution phase) that influence the patient health outcomes of in surgical wards at the Kenyatta National Hospital. Humphries et al (2020) explored the relationship between quality of discharge communication and health outcomes. The studies concentrated on 546 chronic NCD (chronic respiratory disease, cardiovascular disease or diabetes) patients.…”

Section: Peplau's Interpersonal Relations Theorymentioning

confidence: 99%

The Practice of Written Discharge Communication Practices in General Surgery Wards at The Kenyatta National Hospital

Chelimo

Gachoki

Okutoyi

2022

Edith Cowan Journal of Medicine, Nursing and Public health

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Purpose: The current study sought to investigate the practice of written discharge communication practices in general surgery wards at the Kenyatta National Hospital Methodology: The study used the descriptive research design approach. A stratified sampling technique was used to recruit 180 patients who had been discharged in the last one month prior to the study from surgical wards namely the General surgery ward, Urology ward and Neurology ward. A -semi-structured questionnaire was used to collect both qualitative and quantitative data. A statistical Package for Social Sciences (SPSS version 25) was used in the data analysis. Results: The findings revealed that there is a positive and significant association between written discharge communication practices and patient health outcomes at KNH (r=0.587**, p=0.000). It was further noted that 77 of the respondents in the Neurology unit (mean = 2.07) and 52 of them in the general unit (mean = 2.65) agreed with the statements regarding the written discharge communication practices affecting patient health outcomes. However, 51 of them in the general unit (mean = 3.19) were of neutral opinion. There was also a significant difference between the mean responses of the patients in the Neurology ward and General surgery ward (.312*, P=0.011). Likewise, there was a significant difference between the mean responses of the patients in the Urology ward and General surgery ward (-.538*, P=0.000). This was supported by the regression findings that indicated that written discharge communication practices have a positive and significant effect on patient health outcomes at KNH (β= 0.373, p=0.000). This implies that improvement in 1 unit of written discharge communication practices leads to an improvement in patient health outcomes at KNH by 0.373 units. Unique contributions to theory, policy and practice: Based on the study findings, the current study, therefore, recommends an urgent demand for the widespread application of standardized procedures, paperwork, and training to enhance crucial discharge information exchanged between healthcare providers and between Health care providers and discharged patients

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“…Poor communication between healthcare professionals and patients and/or relatives is abundant (Vermeir et al, 2015;Akinyelure et al, 2022) and can lead to decreased medication adherence (Kvarnström et al, 2021) and adverse health outcomes (Giardina et al, 2020;Humphries et al, 2020). A study has shown that physicians' attention to contextual factors with importance for the patients often was compromised, leading to less individualised patient care (Weiner et al, 2010).…”

Section: Introductionmentioning

confidence: 99%

Can literary reading and writing improve pharmacists’ medication counselling? A feasibility study of pharmacists’ efforts to achieve competence in narrative medicine

et al. 2022

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Background: Narrative medicine is an innovative approach where empathetic skills are nurtured through close reading of literary texts and creative writing. The aim of this study was to evaluate the feasibility of a course in narrative medicine for pharmacists. Methods: A 2-day course of narrative medicine was offered to community and hospital pharmacists. Feasibility was assessed using focus group interviews, participant observation, and a questionnaire. Pharmacists’ self-reported level of empathy was also assessed. Results: Eight pharmacists participated in the course. They found participation acceptable, even though some of the sessions required a personal investment far from their routines. The pharmacists were generally satisfied with the course and found it helpful in their daily patient communication. There was no significant change in the pharmacists’ level of empathy. Conclusion: A course in narrative medicine has the potential to improve pharmacist communication with patients but needs further testing, including patient-reported outcomes.

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Investigating discharge communication for chronic disease patients in three hospitals in India

Cited by 7 publications

References 56 publications

Health literacy and behaviors influencing blood sugar level control among type 2 diabetes patients in primary care units, Thailand: A cross-sectional study

Health literacy and behaviors influencing blood sugar level control among type 2 diabetes patients in primary care units, Thailand: A cross-sectional study

The Practice of Written Discharge Communication Practices in General Surgery Wards at The Kenyatta National Hospital

Can literary reading and writing improve pharmacists’ medication counselling? A feasibility study of pharmacists’ efforts to achieve competence in narrative medicine

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