Nursing assistance at the hospital discharge after cardiac surgery: integrative review

Jesus, Daniela Fraga de; Marques, Patrí­cia Figueiredo

doi:10.5935/1678-9741.20130087

Cited by 2 publications

(3 citation statements)

References 26 publications

(31 reference statements)

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“…15 Orientation on care after surgical incision is directly related to decreased risk of infection or major complications, since having received clear and objective orientation, the patient understands and performs aseptic techniques and other procedures in order to avoid possible infection or at least identifies early signs of an infectious process. 16 In the present study, we found that 05 (31.25%) of the individuals who did not receive health guidance developed an infectious process in the postoperative period, which represents the most prevalent complication.…”

Section: Resultsmentioning

confidence: 49%

Correlation between the healthcare guidance and thoracic and upper abdominal post-operative care

Santos

Silva

Nunes

et al. 2020

R.pesq.:cuid.fundam.Online

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Objetivo: Avaliar a influência das orientações em saúde nas complicações no pós-operatório de cirurgias torácicas e abdominais altas. Metodologia: Estudo quantitativo transversal realizada com 266 pacientes. Os dados foram coletados por um questionário sociodemográfico, clínico e assistencial. Foram incluídos pacientes de ambos os sexos, faixa etária de 18 a 80 anos, que estivessem na enfermaria em pós-operatório de cirurgias torácicas e ou abdominais alta. Resultados: Somente 30% dos pacientes receberam orientações no período de pós-operatório e 70% não receberam nenhum tipo de orientação. Quatro dos pacientes que tiveram orientações, desenvolveram algum tipo de complicação e 16 dos que não receberam tiveram complicações; não apresentando resultados estatisticamente significativos quanto aos pacientes que tiveram orientação e os que não tiveram orientações. Conclusão: A maioria dos pacientes, independentemente de ter recebido ou não orientação em saúde não apresentaram uma alta prevalência de complicações no pós-operatório.

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Section: Resultsmentioning

confidence: 49%

Correlation between the healthcare guidance and thoracic and upper abdominal post-operative care

Santos

Silva

Nunes

et al. 2020

R.pesq.:cuid.fundam.Online

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“…Studies have shown the need for effective MDT input in discharge planning 7 and it is suggested in national guidance. 2 It is important to have the input of each member of the healthcare team in patient management to understand the complex issues that surround a patient's discharge.…”

Section: Discussionmentioning

confidence: 99%

“…6 Planning for the discharge of a patient should have multidisciplinary and multiagency team involvement to ensure all aspects of patient care are considered. 2 Studies have shown a need for nursing discharge planning, 7 highlighting there is work to be done to improve multidisciplinary discharge planning. The main reasons for delay in discharge have remained constant over the past 20 years despite advances in technology and guidelines.…”

mentioning

confidence: 99%

Improving the quality of vascular surgical discharge planning in a hub centre

Wariyapola

Littlehales

Abayasekara³

et al. 2016

annals

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INTRODUCTION Discharge planning improves patient outcomes, reduces hospital stay and readmission rates, and should involve a multidisciplinary team (MDT) approach. The efficacy of MDT meetings in discharge planning was examined, as well as reasons for delayed discharge among vascular surgical inpatients. METHODS Dedicated weekly MDT meetings were held on the vascular ward in Royal Derby Hospital for three months. Each patient was presented to the discharge planning meeting and an expected date of discharge was decided prospectively. Patients who were discharged after this date were considered 'delayed' and reasons for delay were explored at the next meeting. RESULTS Overall, 193 patients were included in the study. Of these, 42 patients (22%) had a delayed discharge while 29 (15%) had an early discharge. The main reasons for delay were awaiting beds (30%), social (14%) and medical (45%). In 64%, the cause for delay was avoidable. Two-thirds (67%) of all delays were >24 hours. This totalled 115 bed days, of which 67 could have been avoided. However, 32 bed days were saved by early discharge. This equates to a net loss of 35 bed days, at a net cost of £2,936 per month or £35,235 per year. The MDT meetings also improved the quality of discharge planning; the variability between expected and actual discharge dates decreased after the first month. CONCLUSIONS Discharge planning meetings help prepare for patient discharge and are most effective with multidisciplinary input. The majority of delayed discharges from hospital are preventable. The main causes are awaiting transfers, social services input and medical reasons (eg falls). There is an obvious financial incentive to improve discharge planning. The efficiency of the MDT at discharge planning improves with time and this should therefore be continued for best results.

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Nursing assistance at the hospital discharge after cardiac surgery: integrative review

Cited by 2 publications

References 26 publications

Correlation between the healthcare guidance and thoracic and upper abdominal post-operative care

Correlation between the healthcare guidance and thoracic and upper abdominal post-operative care

Improving the quality of vascular surgical discharge planning in a hub centre

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