The effectiveness of a nursing discharge programme to improve medication adherence and patient satisfaction in the psychiatric intensive care unit

Virgolesi, Michele; Pucciarelli, Gianluca; Colantoni, Anna Maria; D'Andrea, Fabio; Donato, Barbara Di; Giorgi, Fabio; Landi, Lidia; Salustri, Eleonora; Turci, Carlo; Proietti, Maria Grazia

doi:10.1111/jocn.13776

Cited by 24 publications

(30 citation statements)

References 61 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Comprehending and using the discharge education poses challenge for some patients due to limited health literacy, cognitive impairments and language barriers (De Oliveira, McCarthy, Wolf, & Holl, ; Simoes, Wallwiener, Kusicka, & Brucker, ). Poor comprehension of instructions culminates in patients poor adherence to treatment plans (Michele et al, ) and decreased coping ability (Weiss et al, ).…”

Section: Introductionmentioning

confidence: 99%

General surgical patients’ experience of hospital discharge education: A qualitative study

Kang

Gillespie

Tobiano

et al. 2019

Journal of Clinical Nursing

View full text Add to dashboard Cite

Aims and objectives To explore adult general surgical patients’ perceptions of, and satisfaction with, discharge education provided by healthcare providers. Background Discharge education is essential for general surgical patients as it equips them with the required knowledge and skills to engage in their care after discharge. Insufficient knowledge to self‐manage or assess their symptoms can result in postdischarge complications, unplanned hospital readmission and overall dissatisfaction with the hospital experience. Design A constructivist‐interpretivist paradigm using qualitative interviews. Methods Telephone interviews were conducted with 13 patients between August 2018 and November 2018 and analysed using inductive content analysis. COREQ guidelines were adopted for the conduct and reporting of the study. Results Four themes were uncovered: (a) The quality of discharge information influences patients’ postdischarge experience; (b) The negative impact of contextual influences on delivery of discharge education; (c) Patients actively participating in their surgical journey; (d) Patients’ preferences with the delivery of discharge education. Conclusion Inadequate discharge education leads to patients’ inability to self‐manage their recovery process. Information sharing with patients fosters shared understanding towards goals and expectations. Relevance to clinical practice Understanding patients’ view may inform the design of patient‐centred discharge education interventions for patients to self‐manage their recovery postdischarge.

show abstract

Section: Introductionmentioning

confidence: 99%

General surgical patients’ experience of hospital discharge education: A qualitative study

Kang

Gillespie

Tobiano

et al. 2019

Journal of Clinical Nursing

View full text Add to dashboard Cite

show abstract

“…In a study conducted by Virgolesi et al on psychiatry patients, the adherence of the patients to the treatment plan was achieved through trainings given by nurses which had increased the disease management capabilities of the patients [26].…”

Section: Discussionmentioning

confidence: 99%

Medication adherence of patients with chronic diseases: a study in the Black Sea region of Turkey

Yapar¹

2017

Med-Science

View full text Add to dashboard Cite

Chronic diseases are among the most common causes of morbidity and mortality in the world. Chronic diseases can be controlled and their frequencies can be reduced through fight against risk factors such as obesity, smoking, and insufficient physical exercise; early diagnosis, and appropriate treatment. In this study, we aim to assess the medication adherence of individuals with chronic diseases. In this descriptive study, the sample includes individuals who have been diagnosed with chronic diseases and who have applied to a public hospital. The data collection is performed with a questionnaire form with questions on socio-demographic features and on the chronic illness, and with the Morisky Medication Adherence Scale-8. 68% of the patients who participated in the study were female and 32% of them were male. It has been found that 51.4% of the patients (5.35±2.5) had low medication adherence. For those patients who have stated that they got information regarding the treatment and who had high levels of belief that the treatment could help them control the disease, the medication adherence score was significantly higher (p<0.05). Informing the patients about the characteristics of the treatment, the medications, and the effects of the treatment on the disease increases the medication adherence of the individuals with chronic diseases.

show abstract

“…The introduction of a case management role was found not to reduce readmissions [42]. However, a nursing discharge programme was found to improve medication adherence [43]. In summary, rolebased interventions are introduced to address different aspects of the discharge process and, therefore comparison is difficult.…”

Section: Role-based Interventionsmentioning

confidence: 99%

“…A number of studies aimed to improve treatment adherence [35,36,43,52,56,60,65,66]. The few interventions that report success in improving treatment or medication adherence tend to be brief [56,65], involve a co-ordinating agent [43,60,65] or use technology enhanced contact methods [35,66]. Unlike readmission, the successful interventions that aim to increase treatment adherence tend to be role-based and some included a co-ordinating agent either a nurse [43,52] or a pharmacist [60].…”

Section: Improving Treatment And/or Medication Adherencementioning

confidence: 99%

Interventions to Improve Discharge from Acute Adult Mental Health Inpatient Care to the Community: Systematic Review and Narrative Synthesis

Wright

Waring

2019

Preprint

View full text Add to dashboard Cite

Background: The transition from acute mental health inpatient care to community care is often a vulnerable period in the pathway, where people can experience additional risks and anxiety. Researchers globally have developed and tested a number of interventions that aim to improve continuity of care and safety in the transitions. However, there has been little attempt to compare and contrast the interventions and specify the variety of safety threats they attempt to resolve. Methods: The study aimed to identify the evidence base for interventions to support continuity of care and safety in the transition from acute mental health inpatient service to community care services at the point of discharge. Electronic Databases including PsycINFO, MEDLINE, Embase, HMIC, CINAHL, IBSS, Cochrane Library Trials, ASSIA, Web of Science and Scopus, were searched between 2000 and May 2018. Peer reviewed papers were eligible for inclusion if they addressed adults admitted to an acute inpatient mental health ward and reported on health interventions surrounding discharge from the acute ward to the community. The results were analysed using a narrative synthesis technique. Results: The total number of papers from which data was extracted was 45. The review found various interventions implemented across continents, addressing problems related to different aspects of discharge. Some interventions followed a distinct named approach (i.e. Critical Time Intervention, Transitional Discharge Model) others were grouped based on key components (i.e. peer support, pharmacist involvement). The primary problems interventions looked to address were reducing readmission, improving wellbeing, reducing homelessness, improving treatment adherence, accelerating discharge, reducing suicide. The 69 outcomes reported across studies were heterogeneous, meaning it was difficult to conduct comparative quantitative meta-analysis or synthesis. Conclusions: The interventions reviewed are spread across a spectrum ranging from addressing a single problem within a single agency with a single solution, to multiple solutions addressing multi-agency problems. We recommend that future research attempts to improve homogeneity in outcome reporting.

show abstract

The effectiveness of a nursing discharge programme to improve medication adherence and patient satisfaction in the psychiatric intensive care unit

Abstract: A patient-nurse communication programme could help to analyse the individual patient circumstances that might become barriers to adherence and to apply nursing interventions that promote better patient adherence.

Cited by 24 publications

References 61 publications

General surgical patients’ experience of hospital discharge education: A qualitative study

General surgical patients’ experience of hospital discharge education: A qualitative study

Medication adherence of patients with chronic diseases: a study in the Black Sea region of Turkey

Interventions to Improve Discharge from Acute Adult Mental Health Inpatient Care to the Community: Systematic Review and Narrative Synthesis

Contact Info

Product

Resources

About