Facilitating terminal discharge: fulfilling the hospitalised patient's wish for home death in the final hours.
Int J Palliat Nurs
; 22(11): 541-548, 2016 Nov 02.
Article
em En
| MEDLINE
| ID: mdl-27885905
ABSTRACT
BACKGROUND:
Terminal discharge (TD) is the rapid discharge of a hospitalised patient when death is imminent. Its time-limited nature makes it challenging, particularly for ward nurses.AIM:
To report the development of a structured TD framework, and determine if the framework can expedite TD processes and improve nurses' experience in conducting TDs.METHODS:
A 3-phase audit was carried out in a Singapore hospital. The baseline and post intervention audits evaluated the time taken for TD, incidence of prescription errors, continuity of care, and timeliness of equipment arrangement. Nurse satisfaction was assessed through a written survey. Interventions encompassed the implementation of workflow changes and a TD guide.RESULTS:
The mean time taken to complete TDs was shorter in the post-compared to pre-intervention phase (2.9±1.4 vs. 4.6±2.3 hours respectively, p<0.01). Approximately 89% of nurses who used the TD guide were satisfied that it made TDs easier.CONCLUSION:
A structured TD framework is effective in expediting TDs and improving nurse satisfaction.Palavras-chave
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Alta do Paciente
/
Assistência Terminal
/
Atitude do Pessoal de Saúde
/
Continuidade da Assistência ao Paciente
/
Morte
/
Preferência do Paciente
/
Lista de Checagem
/
Recursos Humanos de Enfermagem Hospitalar
Tipo de estudo:
Prognostic_studies
/
Qualitative_research
Limite:
Adult
/
Aged
/
Aged80
/
Humans
/
Middle aged
País/Região como assunto:
Asia
Idioma:
En
Ano de publicação:
2016
Tipo de documento:
Article