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Planning for the Discharge, not for Patient Self-Management at Home - An Observational and Interview Study of Hospital Discharge
Karolinska Institutet;Karolinska University Hospital.
Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences. Karolinska Institutet.ORCID iD: 0000-0002-4108-391x
2017 (English)In: International Journal of Integrated Care, ISSN 1568-4156, E-ISSN 1568-4156, Vol. 17, article id UNSP 1Article in journal (Refereed) Published
Abstract [en]

Introduction and objective: Despite recent interest in care transitions, little is known about how patients are prepared for the self-management tasks following the hospitalization. The objective of the study was to explore how discharge information is prepared and provided to patients in the transition from hospital to home. Method: The discharge process at three hospitals in Sweden was observed over 12 days spread over ten weeks. In total, 30 discharge encounters were observed followed by interviews with patients and professionals. Data were analysed using qualitative content analysis. Results: Much time, effort and resources were used to prepare the discharge; home-going teams and registered nurses planned the practical and social aspects of the discharge and the physicians compiled a plain-language discharge letter. Less focus was given on the actual discharge information to the patients. The discharge encounters lasted for a median of 4: 46 minutes and the information had a retrospective focus with information on the hospitalization period, though omitting self-management tasks and lifestyle advice. Conclusion: The discharge letter constitutes the basis for all patient information at discharge. The focus of the discharge encounter needs to be extended beyond mere information to include patient understanding, motivation and skills for self-management at home.

Place, publisher, year, edition, pages
Ubiquity Press, 2017. Vol. 17, article id UNSP 1
Keyword [en]
care transition, discharge encounter, discharge letter, self-management
National Category
Nursing
Research subject
Health and Caring Sciences, Nursing
Identifiers
URN: urn:nbn:se:lnu:diva-69774DOI: 10.5334/ijic.3003ISI: 000418499600001OAI: oai:DiVA.org:lnu-69774DiVA: diva2:1173479
Available from: 2018-01-12 Created: 2018-01-12 Last updated: 2018-01-31Bibliographically approved

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Ekstedt, Mirjam

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CiteExportLink to record
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Cite
Citation style
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf