Nurses' performance on hospital discharge: patients' point of view

Abstract

OBJECTIVE: To know the hospital discharge process in place and the nurses' performance in preparing patients for discharge. METHODS: A descriptive study using semi-structured interviews was used to collect data from 43 patients of medical-surgical units of a major teaching hospital in the state of São Paulo, Brazil. RESULTS: The majority of patients (83.72%) received tailored discharge instructions. However, a great number of patients (72.08%) reported discharge instructions were not given by nurses. Almost a half of patients (48.84%) reported that discharge instructions were given by their physicians. CONCLUSION: The findings of this study provide insights to improve the educational process of new nurses and their preparation to provide effective discharge instructions. There is also a need to design and implement a hospital discharge process that promotes the participation of interdisciplinary health care providers who are involved in patient clinical care. This discharge process might be an effective way to change health care providers' attitude toward discharge instructions.

Patients’ views on the quality of transitional care at a health insurance hospital in Alexandria, Egypt

“…Results of a Brazilian study suggest that patients are mostly given discharge instructions at the moment they leave the hospital instead of being developed throughout the hospitalization period [36]. Results of a Brazilian study suggest that patients are mostly given discharge instructions at the moment they leave the hospital instead of being developed throughout the hospitalization period [36].…”

Brazilian version of the Care Transitions Measure: translation and validation

“…Recently, concerns regarding care transitions have increased in Brazil, due to high rates of hospital readmissions and frequent use of emergency departments. Brazilian patients still face gaps when discharged from hospital to community services, such as insufficient instruction on medication management, follow-up appointments and other necessary information to have adequate care at home (Marques & Romano-Lieber 2014;Pompeo et al 2007). Moreover, insufficient communication and information exchange among care providers, as well as ineffective discharge planning and coordination of care, are well documented (Fuji et al 2013;Hesselink et al 2013).…”

Evolução Das Pacientes Submetidas a Cirurgia De Mama Em Drenagem Aspirativa

“…Os enfermeiros são responsáveis pela avaliação dos pacientes durante todo o processo de tratamento, para o entendimento dos cuidados a serem realizados por eles, demonstrando que estes cuidados serão de grande importância para a sua reabilitação (16)(17)(18) . Nesta perspectiva, percebemos que a mulher passa por um período perioperatório estressante e incerto, que gera medo do desconhecido.…”