Phonpruk Kodchanipa, Flowers Karen, Fulbrook Paul, Naughton Geraldine
Faculty of Nursing, Suratthani Rajabhat University, Surat Thani, Thailand.
Faculty of Health Sciences, Australian Catholic University, Brisbane, QLD, Australia.
Australas Emerg Care. 2018 May;21(2):56-63. doi: 10.1016/j.auec.2018.05.001. Epub 2018 Jun 1.
To identify paediatric emergency department nurses' perceptions of factors influencing parents' understanding of discharge information.
Content analysis was used to analyse data from three semi-structured focus groups with nurses from a paediatric ED.
Findings were interpreted within the three domains of structure, process, and outcomes from the Donabedian model. Within the structure domain, barriers to effective provision of discharge information included inexperienced emergency department staff and time policies. Enablers included availability of interpreter services. Process-related barriers included parents' health related behaviour and health literacy, while enablers included ensuring parents understood discharge information. Nurses' perceptions of ineffective outcomes involved the risk of parents receiving incomplete or inappropriate information. Nurses perceived effective outcomes in quality of care were related to their professional experience and competence in being able to provide useful information to parents.
This study investigated ED nurses' perceptions of factors that influence parents' understanding of discharge information. Interpreting findings within the Donabedian model provided important directions for future improvements to structure, processes and outcomes for provision of discharge information to parents leaving a paediatric ED. Ultimately, the findings from this study could inform future research to maximise the role of ED nurses in providing a high quality of discharge care for children discharged from the ED.
确定儿科急诊科护士对影响家长理解出院信息的因素的看法。
采用内容分析法对来自儿科急诊科的护士参加的三个半结构化焦点小组的数据进行分析。
研究结果在唐纳贝迪安模型的结构、过程和结果这三个领域内进行解读。在结构领域，有效提供出院信息的障碍包括急诊科工作人员缺乏经验和时间政策。促进因素包括口译服务的可用性。与过程相关的障碍包括家长的健康相关行为和健康素养，而促进因素包括确保家长理解出院信息。护士对无效结果的看法涉及家长收到不完整或不适当信息的风险。护士认为护理质量方面的有效结果与他们向家长提供有用信息的专业经验和能力有关。
本研究调查了急诊科护士对影响家长理解出院信息的因素的看法。在唐纳贝迪安模型内解读研究结果为未来改进向离开儿科急诊科的家长提供出院信息的结构、过程和结果提供了重要方向。最终，本研究的结果可为未来研究提供参考，以最大限度地发挥急诊科护士在为从急诊科出院的儿童提供高质量出院护理方面的作用。
