General surgical patients' experience of hospital discharge education: a qualitative study

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Author(s)
Kang, Evelyn
Gillespie, Brigid M
Tobiano, Georgia
Chaboyer, Wendy
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2019
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Abstract

Aims and objectives: To explore adult general surgical patients' perceptions of and satisfaction with, discharge education provided by health care 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 post discharge 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 to November 2018 and analysed using inductive content analysis. COREQ guidelines was adopted for the conduct and reporting of the study. Results: Four themes were uncovered: i) The quality of discharge information influences patients' post‐discharge experience; ii) The negative impact of contextual influences on delivery of discharge education; iii) Patients actively participating in their surgical journey; iv) 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 post‐discharge.

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Journal of Clinical Nursing

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ARC

NHMRC

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DE120100402

APP1058963

GNT1081026

APP1068707

GNT1158379

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© 2019 John Wiley & Sons Ltd. This is the peer reviewed version of the following article: General surgical patients' experience of hospital discharge education: a qualitative study, Journal of Clinical Nursing, which has been published in final form at 10.1111/jocn.15057. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving (http://olabout.wiley.com/WileyCDA/Section/id-828039.html)

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Subject

Nursing

Health services and systems

discharge education

discharge instructions

general surgery

inductive content analysis

post-discharge

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Kang, E; Gillespie, BM; Tobiano, G; Chaboyer, W, General surgical patients' experience of hospital discharge education: a qualitative study., Journal of Clinical Nursing, 2019

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