Department of Nursing, University of Girona, Emili Grahït, 77 17003, Girona, Spain.
Health and Healthcare Research Group, University of Girona, Girona, Spain.
BMC Health Serv Res. 2022 May 28;22(1):710. doi: 10.1186/s12913-022-08109-9.
The exchange of information between different healthcare settings through a nursing discharge plan is essential for safe care. However, the factors contributing to achieving the most efficient exchange have not been well studied. This study aimed to evaluate and explore the perceptions of a nursing discharge plan from the perspective of nurses in different healthcare settings.
A mixed methods approach comprising a specifically designed ad hoc questionnaire (n = 437) and a focus group session (n = 8).
Overall, 66.1% out of 437 nurses, and especially those working in nursing homes, were satisfied with the nursing discharge plan. Lack of time to complete the report and poor information about both nursing diagnoses and patients' social assessment were identified as problem areas. Some proposals emerged from the focus group: providing sufficient time for its completion, giving the nursing discharge plan a more flexible structure permitting more open-ended responses, requiring more information to be provided about the social and psychological situation of the patients, training nurses to use standardized language to avoid possible misinterpretations, and getting nurses from the different health care settings to work together in designing continuity of care plans. Elderly and low-income patients are found to need greater attention when filling out nursing discharge plans.
The study has revealed key aspects that need to be improved and some recommendations in implementing the nursing discharge plan in our health area. These include that there should be more time provided to complete the NDP, and also specific details regarding the format, structure, content of the information that is communicated, and the prioritization of the patient profile.
通过护理出院计划在不同医疗保健环境之间交换信息对于安全护理至关重要。然而，对于促成最有效信息交换的因素尚未进行充分研究。本研究旨在评估和探讨不同医疗保健环境中的护士对护理出院计划的看法。
采用混合方法，包括专门设计的特定问卷（n=437）和焦点小组会议（n=8）。
在 437 名护士中，有 66.1%的人对护理出院计划表示满意，尤其是那些在养老院工作的护士。完成报告的时间不足和护理诊断以及患者社会评估信息不足被确定为存在问题的领域。焦点小组提出了一些建议：提供足够的时间完成报告，使护理出院计划具有更灵活的结构，允许更开放的回复，要求提供更多关于患者社会和心理状况的信息，培训护士使用标准化语言以避免可能的误解，以及让不同医疗保健环境中的护士共同设计连续性护理计划。研究发现，在填写护理出院计划时，需要更加关注老年和低收入患者。
本研究揭示了在我们的卫生领域实施护理出院计划需要改进的关键方面和一些建议。其中包括提供更多时间来完成 NDP，以及关于要传达的信息的格式、结构、内容以及患者概况的优先级的具体详细信息。
