The development of discharge planning model for mild traumatic brain injury patients in emergency room; Rajavithi hospital
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Abstract
Abstract:
The objective of this research and development were to develop a discharge planning model for MTBI patients and to investigate outcomes of using a discharge planning model for MTBI patients. The study’s samples consisted of 1) 120 MTBI patients and caregivers 2) 42 registered nurses. The study was carried out via PDCA: 1) explore problems and develop the draft discharge planning model 2) implement the model 3) inspect, supervise, and monitor 4) continuing evaluate and improve the results. The research instruments comprised of 1) the MTBI patients discharge planning model manual 2) brochures and videos on MTBI patients caring guide 3) follow up and readmission recording form 4) observation form on adhering to the discharge planning model 5) caregiver comprehension quiz 6) satisfaction questionnaire of the patients, caregivers and the nurses. Data were analyzed using mean standard deviation and t-test.
The results revealed the MTBI patients discharge planning model comprised of 1) the assessment and preparation of the patient and caregiver before discharge 2) inform the patient and caregivers according to the discharge planning 3) patient monitoring after discharge. Readmission within 72 hours of the patients received the discharge planning model were not differ from those received routine nursing services. Satisfaction of caregivers received the discharge planning model were not significantly differ from those receiving routine nursing service at the level of .05. Satisfaction of the patients and the nurses in the experimental group were significantly higher than the control group at the level of .05.
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