Discharge processes and medicines communication from the patient perspective: A qualitative study at an internal medicines ward in Norway
Research output: Contribution to journal › Journal article › Research › peer-review
Standard
Discharge processes and medicines communication from the patient perspective : A qualitative study at an internal medicines ward in Norway. / Rognan, Stine Eidhammer; Kälvemark Sporrong, Sofia; Bengtsson, Kajsa; Lie, Helene Berg; Andersson, Yvonne; Mowé, Morten; Mathiesen, Liv.
In: Health Expectations, Vol. 24, No. 3, 2021, p. 892-904.Research output: Contribution to journal › Journal article › Research › peer-review
Harvard
APA
Vancouver
Author
Bibtex
}
RIS
TY - JOUR
T1 - Discharge processes and medicines communication from the patient perspective
T2 - A qualitative study at an internal medicines ward in Norway
AU - Rognan, Stine Eidhammer
AU - Kälvemark Sporrong, Sofia
AU - Bengtsson, Kajsa
AU - Lie, Helene Berg
AU - Andersson, Yvonne
AU - Mowé, Morten
AU - Mathiesen, Liv
N1 - Funding information: The study was funded by the Hospital Pharmacies Enterprise, South Eastern Norway, and the University of Oslo.
PY - 2021
Y1 - 2021
N2 - 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.
AB - 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.
KW - hospital discharge
KW - medicines communication
KW - observational study
KW - patient empowerment
KW - patient perspective
KW - patient-centred care
U2 - 10.1111/hex.13232
DO - 10.1111/hex.13232
M3 - Journal article
C2 - 33761170
AN - SCOPUS:85102921473
VL - 24
SP - 892
EP - 904
JO - Health Expectations
JF - Health Expectations
SN - 1369-6513
IS - 3
ER -
ID: 259516925