Overmann Kevin M, Vukovic Adam A, Britto Maria T
Division of Emergency Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.
Department of Pediatrics, College of Medicine, University of Cincinnati, Cincinnati, OH, USA.
J Patient Exp. 2021 Nov 23;8:23743735211060773. doi: 10.1177/23743735211060773. eCollection 2021.
Quality emergency department (ED) discharge communication is critical to understanding of disease progression, home management, and return instructions. Addressing social aspects of disease burden are important to improving satisfaction and healthcare utilization. The objective of this study was to understand the extent to which written ED discharge instructions address multifaceted aspects of disease to meet the comprehensive needs of families with common childhood illnesses. We analyzed a national sample of 28 written discharge instructions from pediatric EDs using thematic and inductive content analysis. Seven themes were identified. Nearly all discharge instructions devoted a majority of content to themes related to disease physiology. Other themes common to instructions were related to parental instructions for caring for the child and when to return for further care. Content on caregiver reassurance, returning to daily activities, improving well-being, and promoting community health were not a focus of discharge instructions. Inclusion of multifaceted discharge materials which address both medical and social aspects of disease may help improve family-centered emergency care and the quality of care transitions for common childhood illnesses.
高质量的急诊科出院沟通对于理解疾病进展、家庭管理及复诊说明至关重要。关注疾病负担的社会层面对于提高满意度和医疗保健利用率很重要。本研究的目的是了解书面急诊科出院指导在多大程度上涉及疾病的多方面内容，以满足患有常见儿童疾病家庭的综合需求。我们使用主题和归纳性内容分析，对来自儿科急诊科的28份书面出院指导的全国样本进行了分析。确定了七个主题。几乎所有出院指导都将大部分内容用于与疾病生理学相关的主题。指导中常见的其他主题与照顾孩子的家长指导以及何时复诊有关。关于照顾者安心、恢复日常活动、改善健康状况和促进社区健康的内容并非出院指导的重点。纳入涵盖疾病医学和社会两方面的多方面出院材料，可能有助于改善以家庭为中心的急诊护理以及常见儿童疾病护理过渡的质量。
