Readiness for Discharge from Hospital after Myocardial Infarction: A Cross-Sectional Study

Hydzik, Paulina; Kolarczyk, Ewelina; Kustrzycki, Wojciech; Kubielas, Grzegorz; Kałużna‐Oleksy, Marta; Szczepanowski, Remigiusz; Uchmanowicz, Bartosz

doi:10.3390/ijerph18136937

Cited by 17 publications

(18 citation statements)

References 27 publications

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“…This review found that nurse-led interventions increased the self-care capacity of patients who participated in educational programs, as corroborated by other studies [ 49 , 50 ]. After hospital discharge, these patients usually showed psychological disorders, changes in family dynamics, and even professional problems; therefore, home monitoring and social support allow them to improve self-efficacy [ 51 ].…”

Section: Discussionsupporting

confidence: 83%

Continuity of Nursing Care in Patients with Coronary Artery Disease: A Systematic Review

Posadas-Collado

Membrive‐Jiménez²,

Romero‐Béjar

et al. 2022

IJERPH

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Coronary artery disease is the leading cause of death worldwide and patient continuity of care is essential. Health professionals can help in the transition stage by providing resources to achieve pharmacological treatment adherence, as well as social and emotional support. The objective was to analyse the effects of nursing interventions based on continuity of care in patients with coronary artery disease after hospital discharge. A systematic review of randomised controlled trials and quasi-experimental studies was carried out. Cochrane, CINAHL, Health & medical collection, Medline, and Scopus databases were consulted in January 2022. PRISMA guidelines were followed with no time limits. In total, 16 articles were included with a total of 2950 patients. Nurse-led continuity of care programs improved the monitoring and control of the disease. Positive effects were found in the quality of life of patients, and in mental health, self-efficacy, and self-care capacity dimensions. Clinical parameters such as blood pressure and lipid levels decreased. The continuity of care provided by nurses had a positive influence on the quality of life of patients with coronary artery disease. Nurse-led care focused on the needs and resources, including continuity of care, plays a key role.

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Section: Discussionsupporting

confidence: 83%

Continuity of Nursing Care in Patients with Coronary Artery Disease: A Systematic Review

Posadas-Collado

Membrive‐Jiménez²,

Romero‐Béjar

et al. 2022

IJERPH

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“…Patients who were older, unrelated, lived alone, less educated, and unemployed were less prepared for discharge. And the acceptance of illness was positively associated with RHD (Hydzik et al, 2021). The effective implementation of discharge planning for MI patients should include an assessment of factors influencing RHD and acceptance of illness.…”

Section: Resultsmentioning

confidence: 97%

Patient Readiness for Hospital Discharge

GUO²,

YOU³

et al. 2022

IntHealthcRev

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Background: With the development of the "person-centered" model of nursing care, for a better understanding of patient self-reported Readiness for Hospital Discharge (RHD) the theme is being studied extensively by researchers and professionals around the world. Methods: Using search terms such as "readiness for hospital discharge", (RHD) we systematically searched the PubMed database for relevant articles on patients with RHD from 2019 to the present. Screening was performed strictly according to the inclusion and exclusion criteria, and finally, the relevant literature was read and summarized. Results: A total of 8 articles met the criteria published between 2019 and 2022. The probability of being unprepared for discharge varied by disease type. Factors influencing patient RHD included demographic characteristics, psychological status, disease-related information, and hospital setting factors. Conclusions: Studies of RHD patients have been extensively developed in recent years. There is evidence to sustain that some patients leave the hospital unprepared, and in conditions that would require further attention of clinical staff. The issue may not be receiving the best required attention in what should be a priority of healthcare management and concern with impacts on the patients’ quality of life. Contribution to Evidence-Based Care: The article contributes to an update on how to identify patients with low RHD in the context of busy nursing workloads and make clear interventions, thus improving the efficiency of nursing care. In addition, according to the factors affecting patients' RHD, scientific discharge plans were constructed and used clinically to promote the application of nursing research results in nursing practice. Finally, the article sustains taht evidence-based nursing care can ensure better quality ofcare and contribute to the improvement of impacts on patients' quality of life.

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“…Physical evaluation in MI patients includes cardiac symptoms, electrocardiogram (ECG) changes, cardiac enzymes, angiography, echo, exercise test, examination of catheterization, angiography, angioplasty, etc. (Hydzik et al, 2021;Kosobucka et al, 2020).…”

Section: Defining Attributesmentioning

confidence: 99%

“…Preparing the patient for autonomy after MI allows them to return to normal life and increases disease acceptance. Therefore, a patient's RHD is recognized as an important component in clinical practice (Hydzik et al. , 2021).…”

Section: Introductionmentioning

confidence: 99%

Readiness for discharge from hospital: a concept analysis

Monfared

Dehghan–Nayeri

Javadi-Pashaki

et al. 2022

QRJ

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PurposeThis study aimed to analyze and define the concept of readiness for hospital discharge (RHD) in patients with myocardial infarction (MI).Design/methodology/approachWalker and Avant's approach was used for concept analysis. Electronic text searches were performed using valid databases with “readiness for hospital discharge” and “MI” keywords. The research included quantitative and qualitative studies related to RHD published between 1997 and 2021 in English and Persian. Out of 103 obtained articles, 29 met the inclusion criteria.FindingsIn the analysis, the authors identified stable physical state, desirable individual and social conditions, psychological stability, adequate support, adequate information and knowledge, and multidisciplinary care as the attributes of the determinants of RHD. Antecedents were divided into two categories, including preadmission conditions (economic and social, etc.) and postadmission conditions (disease severity and patient health needs, etc). The consequences were also identified as both positive (e.g. self-care) and side effects (e.g. reduced readmission).Originality/valueThe results showed that the concept of RHD in MI patients is a complex and multidimensional condition that applies to all patients on discharge. It is critical for the care team to pay attention to its attributes and scopes in the process of preparing the patient for discharge. It is also suggested that the concept be used as a nursing diagnosis on the North American Nursing Diagnosis Association (NANDA) list. The Association provides nurses with an up-to-date list of nursing diagnoses.

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Readiness for Discharge from Hospital after Myocardial Infarction: A Cross-Sectional Study

Cited by 17 publications

References 27 publications

Continuity of Nursing Care in Patients with Coronary Artery Disease: A Systematic Review

Continuity of Nursing Care in Patients with Coronary Artery Disease: A Systematic Review

Patient Readiness for Hospital Discharge

Readiness for discharge from hospital: a concept analysis

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