Reiley P, Iezzoni L I, Phillips R, Davis R B, Tuchin L I, Calkins D
Harvard Medical School, Boston, MA, USA.
Image J Nurs Sch. 1996 Summer;28(2):143-7. doi: 10.1111/j.1547-5069.1996.tb01207.x.
Planning for hospital discharge is an important component of nursing. Results are presented of a study to determine how well primary nurses predict the functional ability of their patients following discharge and to assess whether patients and nurses agree about their patients' understanding of the post-discharge treatment plan. Comparing nurses' predictions with patients' reports of functional status 2 months following discharge, we found that nurses consistently underestimate the functional ability of their patients. Comparing nurses' perceptions of their patients' understanding of their post-discharge treatment plan with patients' reports about their understanding, significant differences were found between nurses' perceptions and patients' reports. Nurses' perceptions were that patients were much more knowledgeable than their patients reported. These preliminary data suggest that hospital discharge planning is an area for further investigation and intervention. Nurses should explore new paradigms for patient education as lengths of hospital stay decrease and care shifts from acute care to community care.
医院出院计划是护理工作的一个重要组成部分。本文呈现了一项研究的结果，该研究旨在确定责任护士对患者出院后功能能力的预测准确性，并评估患者与护士对于患者对出院后治疗计划的理解是否达成一致。通过比较护士的预测与患者出院2个月后的功能状态报告，我们发现护士一直低估了患者的功能能力。比较护士对患者对出院后治疗计划理解的认知与患者自身的理解报告，发现护士的认知与患者的报告之间存在显著差异。护士认为患者比其报告中所显示的更有知识。这些初步数据表明，医院出院计划是一个需要进一步研究和干预的领域。随着住院时间的缩短以及护理从急性护理转向社区护理，护士应探索患者教育的新范式。
