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Safe Discharge Process: The Role of Nurses and Informing the Patients

Author: Manar Aslan, Ergin Toros

Category: JMSR Nursing


The aim of this study was to determine the information status of patients during the safe discharge process and the role of nurses in the relevant process. The sample of the study consisted of 506 patients who were discharged from the general surgery, orthopedics and urology services, where most operations occur, in a state hospital and a university hospital. Data were collected by using the practices for safe discharge at university and state hospitals form and personal description form. The practices for safe discharge form consisted of five dimensions: medication, food and drinks, activity/special restrictions, appointment and support services. The medication dimension (7.56 ± 2.08) and activity/special restrictions dimension (7.46 ± 1.14) of the practices for safe discharge form was found to be lower than the other dimensions (food, appointment and support services). It was determined that nurses did not participate actively in the patient informing process during discharge. Patient companions were reported to be given more attention and to be informed compared to other situations. According to the results of the study, it was determined that post-discharge patients were not informed adequately about medication and activity/special restrictions, and nurses did not actively participate in patient information processes during safe discharge. In addition, it was determined that the companions were excluded from the safe discharge process of the patients.

Keywords: After care, continuity of patient care, nursing process, patient discharge, patient safety

DOI: 10.46327/msrjg.1.000000000000178



[1]- Mabire, C., Lecerf, T., Bula, C., Morin, D., Blanc, G., & Goulet, C. Translation and psychometric evaluation of a French version of the Readiness for Hospital Discharge Scale. J Clin Nurs. 2015; 24(19-20): 2983-2992. doi: 10.1111/jocn.12937

[2]- Hesselink, G., Schoonhoven, L., Plas, M., Wollersheim, H., & Vernooij-Dassen, M. Quality and safety of hospital discharge: a study on experiences and perceptions of patients, relatives and care providers. Int J Qual Health Care. 2013; 25(1): 66-74. doi: 10.1093/intqhc/mzs066

[3]- Waring, J., Bishop, S., & Marshall, F. A qualitative study of professional and carer perceptions of the threats to safe hospital discharge for stroke and hip fracture patients in the English National Health Service. BMC Health Serv Res. 2016;16(1): 297. doi: 10.1186/s12913-016-1568-2

[4]- Weiss, M. E., Piacentine, L. B., Lokken, L., Ancona, J., Archer, J., Gresser, S., Holmes, S. B., Toman, S., Toy, A., & Vega-Stromberg, T. Perceived readiness for hospital discharge in adult medical-surgical patients. Clin Nurse Spec. 2007; 21(1): 31-42. doi: 10.1097/00002800-200701000-00008

[5]- Forster, A. J., Murff, H. J., Peterson, J. F., Gandhi, T. K., & Bates, D. W. The incidence and severity of adverse events affecting patients after discharge from the hospital. Ann Intern Med. 2003; 138(3): 161-167. doi: 10.7326/0003-4819-138-3-200302040-00007

[6]- Roy, C. L., Poon, E. G., Karson, A. S., Ladak-Merchant, Z., Johnson, R. E., Maviglia, S. M., & Gandhi, T. K. Patient safety concerns arising from test results that return after hospital discharge. Ann Intern Med. 2005; 143(2):121-128. doi: 10.7326/0003-4819-143-2-200507190-00011

[7]- Lima, L. F., Martins, B. C. C., de Oliveira, F. R. P., Cavalcante, R. M. D., Magalhaes, V. P., Firmino, P. Y. M., Adriano, L. S., da Silva, A. M., Flor, M. J. N., & Neri, E. D. R. Pharmaceutical orientation at hospital discharge of transplant patients: strategy for patient safety. Einstein-Sao Paulo. 2016; 14(3):359-365. doi: 10.1590/S1679-45082016ao3481

[8]- Laugaland, K., Aase, K., & Barach, P. Interventions to improve patient safety in transitional care--a review of the evidence. Work. 2012;41 Suppl 1(Supplement 1): 2915-2924. doi: 10.3233/WOR-2012-0544-2915

[9]- Houghton, A., Bowling, A., Clarke, K. D., Hopkins, A. P., & Jones, I. Does a dedicated discharge coordinator improve the quality of hospital discharge? Qual Health Care. 1996; 5(2): 89-96. doi: 10.1136/qshc.5.2.89

[10]- Utzolino, S., Kaffarnik, M., Keck, T., Berlet, M., & Hopt, U. T. Unplanned discharges from a surgical intensive care unit: readmissions and mortality. J Crit Care. 2010; 25(3): 375-381. doi: 10.1016/j.jcrc.2009.09.009

[11]- Waring, J., Marshall, F., Bishop, S., Sahota, O., Walker, M. F., Currie, G., Fisher, Rebecca J Avery, & Tony J. An ethnographic study of knowledge sharing across the boundaries between care processes, services and organisations: the contributions to ‘safe’hospital discharge. Health Services and Delivery Research. 2014; 2(29): 1-160. doi: 10.3310/hsdr02290

[12]- Clark, P. A., Drain, M., Gesell, S. B., Mylod, D. M., Kaldenberg, D. O., & Hamilton, J. Patient perceptions of quality in discharge instruction. Patient Educ Couns. 2005; 59(1): 56-68. doi: 10.1016/j.pec.2004.09.010

[13]- Vahdat, S., Hamzehgardeshi, L., Hessam, S., & Hamzehgardeshi, Z. Patient involvement in health care decision making: a review. Iran Red Crescent Med J. 2014; 16(1): e12454. doi: 10.5812/ircmj.12454

[14]- Weiss, M. E., & Lokken, L. Predictors and outcomes of postpartum mothers' perceptions of readiness for discharge after birth. J Obstet Gynecol Neonatal Nurs. 2009; 38(4): 406-417. doi: 10.1111/j.1552-6909.2009.01040.x

[15]- Knier, S., Stichler, J. F., Ferber, L., & Catterall, K. Patients' perceptions of the quality of discharge teaching and readiness for discharge. Rehabil Nurs. 2015; 40(1): 30-39. doi: 10.1002/rnj.164

[16]- Vesterlund, M., Granger, B., Thompson, T. J., Coggin, C., 3rd, & Oermann, M. H. Tailoring your heart failure project for success in rural areas. Qual Manag Health Care. 2015; 24(2): 91-95. doi: 10.1097/QMH.0000000000000055

[17]- Mabire, C., Bachnick, S., Ausserhofer, D., Simon, M., & Match, R. N. S. G. Patient readiness for hospital discharge and its relationship to discharge preparation and structural factors: A cross-sectional study. Int J Nurs Stud. 2019; 90:13-20. doi: 10.1016/j.ijnurstu.2018.09.016

[18]- Zhu, Q. M., Liu, J., Hu, H. Y., & Wang, S. Effectiveness of nurse-led early discharge planning programmes for hospital inpatients with chronic disease or rehabilitation needs: a systematic review and meta-analysis. J Clin Nurs. 2015; 24(19-20): 2993-3005. doi: 10.1111/jocn.12895

[19]- Pompeo, D. A., Pinto, M. H., Cesarino, C. B., Araújo, R. R. D. F. d., & Poletti, N. A. A. Nurses' performance on hospital discharge: patients' point of view. Acta Paulista de Enfermagem. 2007;20(3):345-350. doi: 10.1590/s0103-21002007000300017

[20]- Lalani, N. S., & Gulzar, A. Z. Nurses' role in patients' discharge planning at the Aga Khan University Hospital, Pakistan. Journal for Nurses in Professional Development.2001; 17(6): 314-319.

[21]- Borgsteede, S. D., Karapinar-Carkit, F., Hoffmann, E., Zoer, J., & van den Bemt, P. M. Information needs about medication according to patients discharged from a general hospital. Patient Educ Couns. 2011;83(1):22-28. doi: 10.1016/j.pec.2010.05.020

[22]- Smith, J., & Liles, C. Information needs before hospital discharge of myocardial infarction patients: a comparative, descriptive study. Journal of Clinical Nursing. 2007; 16(4): 662-671. doi: 10.1111/j.1365-2702.2006.01689.x

[23]- Rufenacht, U., Ruhlin, M., Wegmann, M., Imoberdorf, R., & Ballmer, P. E. Nutritional counseling improves quality of life and nutrient intake in hospitalized undernourished patients. Nutrition. 2010;26(1): 53-60. doi: 10.1016/j.nut.2009.04.018

[24]- Grafft, C. A., McDonald, F. S., Ruud, K. L., Liesinger, J. T., Johnson, M. G., & Naessens, J. M. Effect of hospital follow-up appointment on clinical event outcomes and mortality. Arch Intern Med. 2010; 170(11):955-960. doi: 10.1001/archinternmed.2010.105

[25]- Pieper, B., Sieggreen, M., Freeland, B., Kulwicki, P., Frattaroli, M., Sidor, D., Palleschi, M. T., Burns, J., Bednarski, D., & Garretson, B. Discharge information needs of patients after surgery. J Wound Ostomy Continence Nurs. 2006; 33(3): 281-289; quiz 290-281. doi: 10.1097/00152192-200605000-00009