After critical care: a study to explore patients’ experiences of a follow‐up service

Pattison, Natalie; Dolan, Shelley; Townsend, Patricia K.; Townsend, Rachel

doi:10.1111/j.1365-2702.2006.01589.x

Cited by 40 publications

(56 citation statements)

References 37 publications

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“…Supporting the idea that enhanced patient education during the transition of care will improve patient knowledge, post-discharge nurse visits result in improved understanding of expectations for patient recovery, as reported by patients themselves 40 . The emphasis of these programs on repeated education regarding the expected stages of recovery, with selective intervention if the clinical situation worsens, is crucial.…”

Section: Discussionmentioning

confidence: 98%

Using Human Factors and Systems Engineering to Evaluate Readmission after Complex Surgery

Acher

LeCaire

Hundt

et al. 2015

Journal of the American College of Surgeons

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OBJECTIVE To utilize a human factors and systems engineering approach to understand contributors to surgical readmissions from a patient and provider perspective. BACKGROUND Prior studies on readmission neglect the patient perspective. To address this gap and to better inform intervention design, we evaluated how transitions of care relate to and influence readmission from the patient and clinician perspective using the Systems Engineering Initiative for Patient Safety (SEIPS) model. METHODS Patients readmitted within 30 days of discharge following complex abdominal surgery were interviewed. A focus group of inpatient clinician providers was conducted. Questions were guided by the SEIPS framework and content analyzed. Data were collected concurrently from the medical record for a mixed-methods approach. RESULTS Readmission occurred at a median 8 days (range, 1–25) following discharge. All patients had follow-up scheduled with their surgeon, but readmission occurred prior to this in 72% of patients. Primary readmission diagnoses included infection, gastrointestinal complications, and dehydration. Patients (n=18) and clinician providers (n=6) identified a number of factors during the transition of care that may have contributed to readmission, including poor patient and caregiver understanding; inadequate discharge preparation for home care; insufficient educational process and materials, negatively impacted by electronic health record design; and inadequate care team communication. CONCLUSIONS This is the first study to utilize a human factors and systems engineering approach to evaluate the impact of the quality of the transition of care and its influence on readmission from the patient and clinician perspective. Important targets for future interventions include enhancing the discharge process, improving education materials, and increasing care team coordination, with the overarching theme that improved patient and caregiver understanding and engagement are essential to decrease readmission and post-discharge health care utilization.

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Section: Discussionmentioning

confidence: 98%

Using Human Factors and Systems Engineering to Evaluate Readmission after Complex Surgery

Acher

LeCaire

Hundt

et al. 2015

Journal of the American College of Surgeons

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“…Structure of ward visits and appointment(s) to an ICU follow-up clinic Ward visits followed by appointment to an ICU clinic consisted of single (Crocker 2003, Jones et al 2003, Cuthbertson et al 2009, Petersson et al 2011, Schandl et al 2011 or multiple visits (Cutler et al 2003, Pattison et al 2007, Samuelson & Corrigan 2009). ICU nurses arranged the follow-up appointments themselves or functioned within a larger multidisciplinary team.…”

Section: Ward Visits and Appointment(s) To An Icu Follow-up Clinicmentioning

confidence: 99%

Integrative review of nurse‐led follow‐up after discharge from theICU

Jónasdóttir

Klinke

Jónsdóttir

2015

Journal of Clinical Nursing

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“…Reassurance has previously been described as a phenomenon that is an under-researched caring construct and relationally achieved in a satisfactory environment from interactional and communicational skills [21][22][23][24]. The Swedish description of competence for nurse anesthetists stresses the purpose of professional anesthesia nursing as being partly a contribution to reassurance during the short interaction time prior to surgery [1].…”

Section: Discussionmentioning

confidence: 99%

The Interaction Between the Patient and Nurse Anesthetist Immediately Before Elective Coronary Artery Bypass Surgery

Berg¹,

Kaspersen²,

Unby³

et al. 2013

Journal of PeriAnesthesia Nursing

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Establishing a purposive interaction with a patient who is in a vulnerable situation prior to coronary artery bypass graft (CABG) surgery poses a challenge for the nurse anesthetist. The aim of this study was to identify and describe the interaction between the patient and nurse anesthetist immediately prior to elective CABG surgery. An observational study including 11 situations where the patient and the nurse anesthetist interacted was performed. A theoretical selection of patients and nurse anesthetists was made and data were analyzed using constant comparative method. The core category, Reassurance, emerged from the categories Continuity, Confirmation and Control. Continuity was characterized by expedient anesthesia nursing of high quality, Confirmation was related to communication in a trusting atmosphere and Control was associated with skilled nursing interventions in the thoracic operating theatre.In conclusion, reassurance can be achieved through a well-structured anesthesia nursing performance at the thoracic operating theatre, and by focusing on the patient and continuously giving him/her information during the preoperative preparation.

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After critical care: a study to explore patients’ experiences of a follow‐up service

Abstract: This research into nurse-led follow-up clinics after critical care highlights an important, and often neglected, part of the critical illness continuum. Attending such clinics may help reassure patients after discharge from critical care.

Cited by 40 publications

References 37 publications

Using Human Factors and Systems Engineering to Evaluate Readmission after Complex Surgery

Using Human Factors and Systems Engineering to Evaluate Readmission after Complex Surgery

Integrative review of nurse‐led follow‐up after discharge from theICU

The Interaction Between the Patient and Nurse Anesthetist Immediately Before Elective Coronary Artery Bypass Surgery

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