Nurse-led discharge

Page, Carole

doi:10.7748/nm2010.12.17.8.26.c8144

Cited by 3 publications

(2 citation statements)

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“…The original aim of this project was to reduce waiting times, which has been shown to improve patient satisfaction [ 6 , 7 ]. Nurse-led discharges in ambulatory patients have improved patient experience and are more cost-effective in other trusts [ 8 ]. However, with the staffing level, this could not be done safely in this department.…”

Section: Discussionmentioning

confidence: 99%

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Creation of a Patient Information Video to Improve the Patient Experience of the Surgical Assessment Unit

Pringle,

Ragatha,

Myintmo

et al. 2024

Cureus

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Background: Patients who attend emergency surgical services are entering an unfamiliar environment whilst often being unwell and in pain. Patient satisfaction in emergency surgical units is often low due to poor communication with attendees and long wait times.Methods: A pilot patient questionnaire identified areas where patient satisfaction was low during attendance at the surgical assessment unit (SAU). The aim of this intervention was to improve patient satisfaction with their experience whilst attending the SAU. An education video was filmed to address the areas where services were falling short of expectations, and this was played in the waiting room. Further questionnaire results tailored the frequency of the video to achieve maximum impact.Results: Data were collected at three time points: firstly, prior to the introduction of the video (n=34); secondly, with the video played hourly (n=15); and finally with the video played every 30 minutes at a higher volume (n=15). Mean satisfaction scores after the final cycle improved to 7.3 from 4.9 (p=0.0009). Additionally, 94% of patients agreed that the video was in keeping with their personal experience of the SAU and agreed that the video improved their understanding of what to expect from the visit.Conclusions: Interventions that improve communication with patients and adjust their expectations play an important role in improving patient satisfaction and their overall perception of care. This can be achieved with a simple patient information video.

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Section: Discussionmentioning

confidence: 99%

“…The primary outcome measure was the self-reported patient satisfaction score (1)(2)(3)(4)(5)(6)(7)(8)(9)(10), where a score of 10 represented perceived excellent care. The questionnaire collected further information regarding their stay on a 5-point Likert scale.…”

Section: Methodsmentioning

confidence: 99%

Creation of a Patient Information Video to Improve the Patient Experience of the Surgical Assessment Unit

Pringle,

Ragatha,

Myintmo

et al. 2024

Cureus

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Nurse led discharge: improving efficiency, safely

Bowen

Kumar

Howard³

et al. 2014

Clinical Governance: An International Journal

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Purpose – The purpose of this paper is to demonstrate that nurse led discharge (NLD) could improve the efficiency of simple discharges from a short stay surgical ward without compromising patient safety. Design/methodology/approach – A protocol for NLD was designed and implemented. Introduction of the protocol was audited and re-audited prospectively. Findings – Introduction of the nurse led discharge protocol significantly reduced the rate of delayed discharge (p>0.001). The protocol successfully identified all patients for whom a NLD would be inappropriate and no patients discharged by the nursing team were re-admitted. Research limitations/implications – No formal measure of staff and patient satisfaction with the new protocol was performed. Practical implications – The nursing team are now able to more effectively manage patient flow through the short stay surgical ward. Mismatch between demand for beds and capacity has reduced. Social implications – Patient experience has been improved by the release of time to care for our nurses and the elimination of unnecessary delay in discharge. Originality/value – Formal protocol driven NLD can be a safe way of improving efficiency in patient flow. This pattern of discharge could be applied in many hospital systems.

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Enhanced recovery after surgery in patients with colorectal cancer: a non-systematic summary of the evidence

Sousa

2020

Cancer Nursing Practice

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Nurse-led discharge

Cited by 3 publications

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Creation of a Patient Information Video to Improve the Patient Experience of the Surgical Assessment Unit

Creation of a Patient Information Video to Improve the Patient Experience of the Surgical Assessment Unit

Nurse led discharge: improving efficiency, safely

Enhanced recovery after surgery in patients with colorectal cancer: a non-systematic summary of the evidence

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