A Patient-Centered Model of Care for Hospital Discharge

Anthony, Mary K.; Hudson-Barr, Diane

doi:10.1177/1054773804263165

Cited by 95 publications

(115 citation statements)

References 35 publications

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“…65,71 Knier and colleagues suggested that healthcare providers often inundate patients with information at discharge "in a rushed last minute method without careful planning…" or without consideration of individual patient's needs. 65 (Page 31) Pharmacists remarked that it was not unusual to face competition for patients' time and attention at the time of discharge by many different healthcare professionals who also needed to discuss post discharge care with patients.…”

Section: Competing For Patient's Time At Dischargementioning

confidence: 99%

Hospital pharmacists' perceptions of medication counseling: A focus group study

Chevalier

Watson

Barras

et al. 2016

Research in Social and Administrative Pharmacy

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BackgroundMedication counselling sessions are key times for a pharmacist to speak to patients about their medications and the changes made to their therapies during their hospital stay. ObjectivesTo explore hospital pharmacists' perceptions of their roles and goals in patient medication counselling, and perceived barriers and facilitators to achieving their goals. MethodsHospital pharmacist focus groups were held in two tertiary referral hospitals. Eligible pharmacists had provided medication counselling within the previous six months in inpatient and/or outpatient settings. Interested pharmacists attended a focus group designed to elicit their opinions and perceptions of patient medication counselling. Focus groups were audio recorded and transcribed verbatim. Inductive thematic analysis was applied to the data to identify initial patterns (codes) which were then organized into common overarching themes using NVivo ® software. The codes were reviewed for reliability by pharmacists independent of the focus groups. ResultsSix, one-hour focus groups were conducted with a total of 24 pharmacists participating. Saturation of information was determined after four focus groups. Greater than 80% consensus was achieved for reliability of the identified codes. A number of themes emerged from these codes around the goals, roles, and the barriers and facilitators to meeting these goals. Pharmacists' patient-centred goals in medication counselling were to build rapport, to empower patients and to improve patients' experience, health and safety. These goals would be accomplished through specific roles such as being an assessor, educator and problem-solver. Pharmacists frequently cited time pressures caused by systemic (hospital), and pharmacy specific processes as key challenges to achieving their goals. Factors that enabled pharmacists to meet their goals were those related to effective interprofessional collaboration and the quality of professional practice (such as training, expanded roles and advanced planning for discharge). ConclusionsHospital pharmacists emphasised patient-centred goals in medication counselling and outlined the challenges to meet those goals. The findings from this study will be used to develop strategies for effective communication and inform pharmacy practice changes to improve patient care. Key Words Hospital pharmacist Focus group Goal Role Communication M A N U S C R I P T A C C E P T E D ACCEPTED MANUSCRIPTPage 2 of 27 IntroductionDischarge from hospital to community or to other healthcare facilities marks an important transition in care for patients. Discharge and other transitions such as admission to hospital or transfers within a hospital have been identified as particular times when patients may be at risk of experiencing medication errors and adverse events. 1-3 Medication counselling opportunities are key times for pharmacists to speak to patients about their medications and the changes made to their therapies during their hospital stay. 2,[4][5][6][7] Failure by a hospital phar...

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Section: Competing For Patient's Time At Dischargementioning

confidence: 99%

Hospital pharmacists' perceptions of medication counseling: A focus group study

Chevalier

Watson

Barras

et al. 2016

Research in Social and Administrative Pharmacy

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“…investigated the information desired by patients before discharge, primarily via surveys or qualitative interviews. 3,4,44 In our study, participants expressed a desire for specific details about worrisome clinical signs or symptoms and findings that prompt additional evaluation. Interventions designed to address informational needs and gaps identified by caregivers may improve feelings of discharge readiness and perceived preparation for transition home.…”

Section: Figurementioning

confidence: 99%

The Family Perspective on Hospital to Home Transitions: A Qualitative Study

Solan

Beck²,

Brunswick³

et al. 2015

Pediatrics

125

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on behalf of the H2O Study Group abstract BACKGROUND AND OBJECTIVE: Transitions from the hospital to home can be difficult for patients and families. Family-informed characterization of this vulnerable period may facilitate the identification of interventions to improve transitions home. Our objective was to develop a comprehensive understanding of hospital-to-home transitions from the family perspective.

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“…The way information is provided is very important though, and the resources used can help to apprehend its contents and enhance satisfaction with the process (14)(15) .…”

Section: Resultsmentioning

confidence: 99%

A importância da comunicação durante o período de recuperação pós-operatória

Razera

Braga

2011

Rev. esc. enferm. USP

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Portuguese / English: www.scielo.br/reeusp RESUMO Este estudo teve como objetivo conhecer a importância da comunicação durante as orientações pós-operatórias fornecidas pela equipe de enfermagem a pacientes e/ou familiares de uma instituição privada e apreender a percepção destes indivíduos acerca das orientações recebidas. Foi um estudo transversal, descritivo, com abordagem qualitativa, que utilizou o referencial teórico da Comunicação Interpessoal e o referencial metodológico da Análise de Conteúdo. Participaram do estudo 16 pacientes entrevistados no período pós-operatório mediato. Os resultados evidenciaram que a equipe de enfermagem focaliza as orientações nas téc-nicas instrumentais da profissão, não abordando o indivíduo de forma holística. Também foi possível perceber que, quando o profissional enfermeiro permanece afastado do paciente e/ou não presta informações adequadas gera sentimentos de ansiedade, medo, insegurança e sensação de falta de cuidado. Por outro lado, quando a equipe de enfermagem se fez presente com cuidado e informações coerentes, os clientes relataram um alto nível de satisfação e a sensação de ser bem cuidado. DESCRITORES

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A Patient-Centered Model of Care for Hospital Discharge

Cited by 95 publications

References 35 publications

Hospital pharmacists' perceptions of medication counseling: A focus group study

Hospital pharmacists' perceptions of medication counseling: A focus group study

The Family Perspective on Hospital to Home Transitions: A Qualitative Study

A importância da comunicação durante o período de recuperação pós-operatória

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