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Cited by 101Hospital Admissions and OutcomesPatient Satisfaction in HealthcareEnhanced Recovery After Surgery

General surgical patients' perspectives of the adequacy and appropriateness of discharge planning to facilitate health decision-making at home

McMurray, Anne, Johnson, Patricia, Wallis, Marianne, Patterson, Elizabeth, Griffiths, Susan·2007·Journal of Clinical Nursing
DOI 10.1111/j.1365-2702.2006.01725.x
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Abstract

Aim. To investigate general surgical patients’ perspectives of the adequacy and appropriateness of their discharge planning. Objectives. To identify any aspects of discharge planning that could be strengthened to assist people in managing their posthospital care and maintaining continuity of care. Background. Appropriate discharge planning is a priority in today's healthcare environment in which patients are discharged ‘quicker and sicker’, sometimes without home support. Adequate and appropriate discharge planning helps promote health literacy, which has benefits for both patients and their caregivers in helping them manage postsurgical recovery at home. Design. A qualitative, interpretive study was designed in which patients were interviewed at least one week after they returned home from hospital. Methods. Purposeful sampling was used to interview 13 general surgical patients from one of three hospitals (two public and one private) in New South Wales and Queensland, Australia. Data were collected in unstructured interviews and analysed using thematic analysis. Reflective analysis by individual research team members generated preliminary themes, which were then analysed collectively by all members of the research team to achieve consensus on patients’ perspectives. Results. Themes included a ‘one‐size‐fits‐all’ approach to providing discharge information; inconsistent or variable advice from different health professionals; a lack of predischarge assessment of their home and/or work conditions and the need for follow‐up assessment of patient and carer needs. Conclusions. The findings of this study illuminate the need for a more individualized approach to discharge planning, taking into account the patient's age, gender, surgical procedure and family and community support for immediate and longer‐term nursing follow‐up. Relevance to clinical practice. Patients would be more adequately prepared for their recovery period at home, by encouraging client‐centred, interdisciplinary communication between health practitioners; adopting a flexible, approach to discharge planning which is tailored to individual needs of postsurgical patients, particularly in relation to advice and information related to recovery; and encouraging and supporting adequate health literacy for self‐management.

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Authors
McMurray, A., Johnson, P., Wallis, M., Patterson, E., & Griffiths, S.
Affiliations
Murdoch University (AU)
ORCID
Venue
Journal of Clinical Nursing
Publisher
Wiley
Published
2007-08-23
Volume
16
Issue
9
Pages
1602-1609
ISSN
  • 0962-1067 (ISSN-L)
  • 1365-2702
DOI
10.1111/j.1365-2702.2006.01725.x
OpenAlex
W2035312402
Cited by
101
References
41
Citations by year
2025: 1 · 2024: 2 · 2023: 2 · 2022: 3 · 2021: 3 · 2020: 2 · 2019: 6 · 2018: 6 · 2017: 10 · 2016: 8 · 2015: 14 · 2014: 7 · 2013: 8 · 2012: 8
FWCI
5.02
Type
journal article
Language
en
Open access
closed
Licence
onlinelibrary.wiley.com/termsAndConditions#vor (vor)
Locations
  • Journal of Clinical Nursing (publishedVersion)
  • PubMed (publishedVersion)
  • Murdoch University Research Portal (submittedVersion)
  • RMIT Research Repository (RMIT University Library) (submittedVersion)
  • Figshare (submittedVersion)
  • Griffith Research Online (submittedVersion)
Funders
Griffith University
Topics
  • Health Sciences › Medicine › Emergency Medicine › Hospital Admissions and Outcomes
  • Health Sciences › Health Professions › General Health Professions › Patient Satisfaction in Healthcare
  • Health Sciences › Medicine › Surgery › Enhanced Recovery After Surgery
Keywords
discharge planning, general surgery, patient perspectives, continuity of care, post-hospital care, health literacy, self-management, postoperative recovery, home care, caregiver needs, individualized care, client-centred care, interdisciplinary communication, follow-up evaluation
MeSH terms
Adult, Aged, Aged, 80 and over, Continuity of Patient Care, Decision Making, Female, Health Services Needs and Demand, Home Nursing, Humans, Male, Middle Aged, New South Wales, Nursing Assessment, Patient Discharge, Patient Education as Topic, Postoperative Care, Queensland, Surveys and Questionnaires, Self Care, Social Support, Surgical Procedures, Operative, Nursing Methodology Research, Patient Satisfaction, Qualitative Research

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