Krook Maura, Iwarzon Marie, Siouta Eleni
Karolinska University Hospital, Stockholm, Sweden.
Department of Neurobiology, Care Sciences and Society, Division of Nursing, Karolinska Institute, Stockholm, Sweden.
SAGE Open Nurs. 2020 Jan 20;6:2377960819900707. doi: 10.1177/2377960819900707. eCollection 2020 Jan-Dec.
Inadequacy in discharge planning, preparation of readiness, and unplanned readmissions are closely linked and could cause misutilization of hospital services, creating higher costs to the health-care system. The information given before discharge is vital and of great importance for the well-being of the patient. The study's objective was to describe the patient's experience of their discharge process. A descriptive study was designed. Fifteen ( = 15) interviews with patients at one University Swedish hospital were held, and a qualitative content analysis was made from the collected data. The results show that , , , , and are pivotal in future development in the discharge process. The findings of this study indicate that in affirmation with the patient's experiences and desires, there is a great urgency for improvement in the discharge process. There is a need to focus on information and communication at discharge by initiating interaction from the nurses together with the doctors at a specific time in the discharge process. The discharge process needs to be more individualized and person-centered which could lead to better patient governance. Both accessibility and continuity need to be improved. The information given needs to be met with the patient's level of understanding.
出院计划不完善、准备不足以及非计划再次入院密切相关，可能导致医院服务利用不当，给医疗保健系统带来更高成本。出院前提供的信息至关重要，对患者的福祉非常重要。该研究的目的是描述患者对其出院过程的体验。设计了一项描述性研究。在瑞典一所大学医院对15名患者进行了访谈，并对收集到的数据进行了定性内容分析。结果表明， 、 、 、 和 在出院过程的未来发展中至关重要。本研究结果表明，根据患者的经历和愿望，出院过程有极大的改进紧迫性。需要通过护士在出院过程中的特定时间与医生一起发起互动，来关注出院时的信息和沟通。出院过程需要更加个性化和以患者为中心，这可能会带来更好的患者管理。可及性和连续性都需要改善。提供的信息需要与患者的理解水平相匹配。
