Constructing post-surgical discharge instructions through a Delphi consensus methodology
| Autor: | David H. Berger, Augustus J. Rush, James W. Suliburk, Aanand D. Naik, Elizabeth A. Alore, Cody J. Sanderson, Aaron R. Scott |
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| Rok vydání: | 2018 |
| Předmět: |
Adult
Male medicine.medical_specialty Consensus Delphi Technique Best practice media_common.quotation_subject Delphi method Patient Discharge Summaries Literacy 03 medical and health sciences 0302 clinical medicine Patient Education as Topic Reading (process) medicine Humans Medical physics 030212 general & internal medicine media_common computer.programming_language Surgeons Physician-Patient Relations business.industry Communication General Medicine Continuity of Patient Care Middle Aged Texas Patient Discharge Readability Health Literacy Reading 030220 oncology & carcinogenesis Thyroidectomy Female Comprehension Discharge instructions business computer Delphi Patient education |
| Zdroj: | Patient Education and Counseling. 101:917-925 |
| ISSN: | 0738-3991 |
| DOI: | 10.1016/j.pec.2017.12.004 |
| Popis: | Objective Patient education materials are a crucial part of physician-patient communication. We hypothesize that available discharge instructions are difficult to read and fail to address necessary topics. Our objective is to evaluate readability and content of surgical discharge instructions using thyroidectomy to develop standardized discharge materials. Methods Thyroidectomy discharge materials were analyzed for readability and assessed for content. Fifteen endocrine surgeons participated in a modified Delphi consensus panel to select necessary topics. Using readability best practices, we created standardized discharge instructions which included all selected topics. Results The panel evaluated 40 topics, selected 23, deemed 4 inappropriate, consolidated 5, and did not reach consensus on 8 topics after 4 rounds. The evaluated instructions’ reading levels ranged from grade 6.5 to 13.2; none contained all consensus topics. Conclusion Current post surgical thyroidectomy discharge instructions are more difficult to read than recommended by literacy standards and omit consensus warning signs of major complications. Our easy-to-read discharge instructions cover pertinent topics and may enhance patient education. Delphi methodology is useful for developing post-surgical instructions. Practice implications Patient education materials need appropriate readability levels and content. We recommend the Delphi method to select content using consensus expert opinion whenever higher level data is lacking. |
| Databáze: | OpenAIRE |
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