Reasons for Nursing Telephone Counseling From Individuals Discharged in the Early Postoperative Period After Breast Surgery

Kanan, Nevin

doi:10.1111/j.1744-6198.2010.00169.x

Cited by 8 publications

(5 citation statements)

References 33 publications

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“…Recommendations to improve patient care include redesigning the current assessment tool to include a psychosocial evaluation, revising the educational booklet to include information about potential feelings of social isolation following discharge from hospital and including strategies to cope with these emotions. A further recommendation was to present a business case to hospital management for the introduction of a telephone follow-up service (O'Brien et al, 1999;Sayin and Kanan, 2010). The final recommendation was to present the results of this study to the allied health team for their review and intervention.…”

Section: Discussionmentioning

confidence: 98%

The patient's experience of early discharge following total hip replacement

Reay

Horner

Duggan

2015

International Journal of Orthopaedic and Trauma Nursing

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Section: Discussionmentioning

confidence: 98%

The patient's experience of early discharge following total hip replacement

Reay

Horner

Duggan

2015

International Journal of Orthopaedic and Trauma Nursing

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“…15 Post-discharge clinician-initiated phone calls are an effective strategy for evaluating such concerns, enabling minor issues to be addressed via telephone counseling and providing a means to identify major issues that require escalation of the level of care. [15][16][17][18][19][20] These calls also have the potential to identify patients at high-risk for readmission. 15,16 However, such efforts are limited by the challenge of successfully reaching all patients via telephone, as prior data have shown that contact could not be made with up to 50% of patients.…”

Section: Introductionmentioning

confidence: 99%

Optimizing Discharge After Shorter Hospitalizations: Lessons Learned Through After-Hours Calls with Thoracic Surgical Patients

Blumenthaler

Zhou

Parikh

et al. 2021

Innovations�(Phila)

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Objective Minimally invasive procedures coupled with enhanced recovery pathways enable faster postoperative recovery and shorter hospitalizations. However, patients may experience unexpected concerns after return home, prompting after-hours calls. We aimed to characterize concerns prompting after-hours calls to improve discharge strategies. Methods A single-institution, retrospective review was conducted of thoracic surgical patients from 11/4/2019 to 6/14/2020. Records were reviewed and elements of patient demographics, surgical procedures, postoperative courses, reasons for calls, and outcome of calls were collected. We compared characteristics of patients who made after-hours calls to those who did not, and performed multivariable analysis to identify characteristics associated with making an after-hours call. Results During the study period, 379 patients underwent thoracic surgical procedures, among whom 88 (23.2%) initiated after-hours calls. Of these, 62 (70%) addressed patient symptoms, while 26 (30%) addressed patient questions including drain management, medications, and hospital policy questions. Patients making after-hours calls more frequently had undergone complex operations (26.1% vs 8.2%, P = 0.001), and were less likely to have received a standardized, clinician-initiated post-discharge telephone follow-up (29.5% vs 54.3%, P < 0.001). Complex operations increased likelihood of after-hours calls (OR: 3.33, 95% CI: 1.69-6.57, P < 0.001), while receipt of clinician-initiated telephone follow-up decreased likelihood of after-hours calls (OR: 0.38, 95% CI: 0.22-0.64, P < 0.001). There were no differences in emergency visits between the 2 groups (11% vs 8%, P = 0.370). Conclusions Despite efforts to optimize patient symptoms and knowledge prior to discharge, a substantial number of patients still have concerns after discharge. Many after-hours calls are related to knowledge gaps that may be addressed with improved predischarge education. Moreover, clinician-initiated telephone follow-up shows benefit in reducing after-hours calls.

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“…Moreover, telephone consultation can reduce the anxiety of patients and take away any doubts in a limited amount of time, resulting in an increased intensity of the bond with professionals and the satisfaction of patients who receive care. "Telephone Consultation" was primarily designed for the follow-up of patients with chronic diseases, but a few studies report use of this intervention for surgical conditions such as urologic procedures, breast reconstruction, hip surgery, and heart surgery [7][8][9][10][11].…”

Section: Introductionmentioning

confidence: 99%

Telephonic nursing intervention for laparoscopic cholecystectomy and hernia repair: A randomized controlled study

Schulz

Santana²,

Santos

et al. 2020

BMC Nurs

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Background: Patient undergoing surgery may be afraid and concerned about the diagnosis, the treatment, the procedure, the postoperative care, and the surgical recovery. Good communication between staff and patients can minimize or prevent this situation. This study aimed to evaluate the effectiveness of a Telecare nursing intervention, "Telephone consultation", in reducing the "Delayed surgical recovery" nursing diagnosis in patients undergoing laparoscopic cholecystectomy and hernia repair. Methods: This study was performed in two different institutions located in Rio de Janeiro, Brazil. A total of 43 patients were enrolled. The experimental group consisted of 22 patients who had access to the telephone followup intervention, and the control group consisted of 21 patients who received conventional treatment without telephone follow-up. This was a randomized controlled study with patients who were 60 years or older and awaiting operative procedures of hernia repair and laparoscopic cholecystectomy who had a mobile or landline phone and were available for telephone contact. Results: There was a reduction in "loss of appetite with nausea" (p = 0.013); "need help to complete self-care" (p = 0.041); "pain" (p = 0.041); and "postoperative sensation" (p = 0.023). The experimental group showed a significantly larger decrease in factors related to the "Delayed surgical recovery" diagnosis, suggesting a positive effect of the intervention compared to the effect in control group.\. Conclusion: Telephone consultation identified factors that increased the risk of complications after surgery, recognized potential patients for delayed surgical recovery and helped perioperative nurses provide accurate interventions to prevent or mitigate delayed recovery. This study was registered in the platform Brazilian Registry of Clinical Trials (ReBEC)-link: http://www. ensaiosclinicos.gov.br under registration number RBR-4C249M, retrospectively registered on April 13, 2020.

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Reasons for Nursing Telephone Counseling From Individuals Discharged in the Early Postoperative Period After Breast Surgery

Abstract: The study found that home follow-up of patients undergoing mastectomy was particularly important.

Cited by 8 publications

References 33 publications

The patient's experience of early discharge following total hip replacement

The patient's experience of early discharge following total hip replacement

Optimizing Discharge After Shorter Hospitalizations: Lessons Learned Through After-Hours Calls with Thoracic Surgical Patients

Telephonic nursing intervention for laparoscopic cholecystectomy and hernia repair: A randomized controlled study

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