Learning from Patients: A Discharge Planning Improvement Project

Reiley, Peggy; Pike, Adele W.; Phipps, Marion; Weiner, Mal; Miller, Nancy A.; Stengrevics, Sue S.; Clark, Lisa; Wandel, Jane Corrigan

doi:10.1016/s1070-3241(16)30235-8

Cited by 27 publications

(18 citation statements)

References 2 publications

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“…In particular, they note insufficient opportunities for input or exchange of information about the patients' conditions, limitations, and needs when returning home (Bull & Jervis, 1995;McWilliam, 1992;McWilliam & Sangster, 1994). In sum, current skills and opportunities for communication between staff nurses and family caregivers may be inadequate, resulting in misunderstandings that can hamper discharge planning, especially for frail elderly patients who are too physically or cognitively impaired to participate (Reiley et al, 1996a(Reiley et al, , 1996b). In sum, current skills and opportunities for communication between staff nurses and family caregivers may be inadequate, resulting in misunderstandings that can hamper discharge planning, especially for frail elderly patients who are too physically or cognitively impaired to participate (Reiley et al, 1996a(Reiley et al, , 1996b).…”

Section: Nurses' and Family Caregivers' Perceptions Of Hospital Care mentioning

confidence: 99%

Nurse Versus Family Caregiver Perspectives on Hospitalized Older Patients: An Exploratory Study of Agreement at Admission and Discharge

Rose

Bowman²,

Kresevic³

2000

Health Communication

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Staff nurses and family caregivers of hospitalized elderly patients (> or = age 70) play crucial roles in the health care and recovery of patients. This exploratory study identified and compared nurse and family caregiver perceptions about the patient's health condition, needs to stay healthy, and problems in self-care at admission and discharge. Agreement between nurse and caregiver reports at both time points was assessed. Overall, findings confirmed a lack of agreement between nurses and family caregivers. At both time points, fewer nurses than caregivers focused on disease in describing the patients' health condition, and there was low agreement about diseases when mentioned. Although the great majority of nurses and caregivers reported one or more patient needs to stay healthy, and problems with self-care, there was little agreement about specific needs or problems mentioned at either time point. Findings may be attributed, in part, to current limitations on staff nurses' bedside time or insufficient opportunities, skills, or both to communicate with families about patients as part of comprehensive discharge planning. Organizational factors in large tertiary care hospitals may serve as a deterrent to nurse-family caregiver contact and communication during hospitalization.

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Section: Nurses' and Family Caregivers' Perceptions Of Hospital Care mentioning

confidence: 99%

Nurse Versus Family Caregiver Perspectives on Hospitalized Older Patients: An Exploratory Study of Agreement at Admission and Discharge

Rose

Bowman²,

Kresevic³

2000

Health Communication

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show abstract

“…Patients, family members, and health care practitioners may have different perceptions of a patient's readiness for discharge (Reiley, Pike, et al, 1996). In a study of elderly patients, the patient often indicated readiness for discharge, whereas the family indicated a lack of readiness and the nurse expressed uncertainty about discharge readiness (Congdon, 1994).…”

mentioning

confidence: 99%

Psychometric Properties of the Readiness for Hospital Discharge Scale

Weiss

Piacentine²

2006

J Nurs Meas

180

313

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Abstract:The purpose of the study was to assess the psychometrics properties of the (Korttila, 1991) and continue their recovery at home or in an intermediate care facility. The need to assess readiness for hospital discharge and transition to another location and level of care has become increasingly important to patient safety, satisfaction, and outcomes. The purpose of this study was to evaluate the psychometric properties of the Readiness for Hospital Discharge Scale (RHDS), an instrument developed to measure patients' perception of their readiness for hospital discharge.

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“…However, these studies have rarely addressed patients' knowledge about their condition or their experiences with care (12). Patients usually report that they do not receive sufficient teaching or preparation for discharge before they leave the hospital (13,14).…”

mentioning

confidence: 99%