Discharge processes and medicines communication from the patient perspective: A qualitative study at an internal medicines ward in Norway.

Autor: Rognan SE; Department of Pharmaceutical Services, Oslo Hospital Pharmacy, Oslo, Norway.; Hospital Pharmacies Enterprise, South Eastern Norway, Oslo, Norway., Kälvemark Sporrong S; Department of Pharmacy, University of Copenhagen, Copenhagen, Denmark., Bengtsson K; Department of Pharmacy, University of Oslo, Oslo, Norway., Lie HB; Department of Pharmacy, University of Oslo, Oslo, Norway., Andersson Y; Hospital Pharmacies Enterprise, South Eastern Norway, Oslo, Norway., Mowé M; Division of Medicine, Oslo University Hospital, Oslo, Norway.; Institute of Clinical Medicine, University of Oslo, Oslo, Norway., Mathiesen L; Department of Pharmacy, University of Oslo, Oslo, Norway.
Jazyk: angličtina
Zdroj: Health expectations : an international journal of public participation in health care and health policy [Health Expect] 2021 Jun; Vol. 24 (3), pp. 892-904. Date of Electronic Publication: 2021 Mar 24.
DOI: 10.1111/hex.13232
Abstrakt: Background: Patients are expected to participate in the hospital discharge process, assume self-management after discharge and communicate relevant information to their general practitioner; however, patients report that they are not being sufficiently empowered to take on these responsibilities. The aim of this study was to explore and understand the discharge process with a focus on medicines communication, from the patient perspective.
Methods: Patients were included at a hospital ward, observed during health-care personnel encounters on the day of discharge and interviewed 1-2 weeks after discharge. A process analysis was performed, and a content analysis combined data from observations and data from patient interviews focusing on medicines communication in the discharge process.
Results: A total of 9 patients were observed on the day of discharge, equalling 67.5 hours of observations. The analysis resulted in the following themes: (a) the observed discharge process; (b) patient initiatives; and (c) the patient role. The medicines communication in the discharge process appeared unstructured. Various patient preferences and needs were revealed. The elements of the best practice structured discharge conversation were observed; however, some patients did not have a discharge conversation at all.
Conclusions: The study contributes to a broader understanding of the discharge process, how patients experience it, including their role. It is evident that the discharge process is not always tailored to meet the patients' needs. More focus on early patient involvement and communication, in order to better prepare patients for self-management of their medications, is important for their health outcomes.
(© 2021 The Authors. Health Expectations published by John Wiley & Sons Ltd.)
Databáze: MEDLINE
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