Quality Improvement of Discharge Planning for Patients with Hematuria, Male Surgical Ward, Phrae Hospital
Abstract
Discharge planning is an important process in preparing patients for self-care and self-management after discharge from the hospital. This developmental study aimed to improve the quality of discharge planning for patients with hematuria in the Male Surgical Ward, Phrae Hospital. The population in this study consisted of professional nurses working at the Male Surgical Ward of Phrae Hospital, including a development team with five experienced nurses and an operational team with 13 professional nurses responsible for discharge planning. The research instruments included the discharge planning guidelines for patients with hematuria, general information about professional nurses, a discharge planning checklist for practices according to the discharge planning guidelines, and the incidence record form. All research instruments were validated by three experts. The content validity index of the discharge planning checklist was 1.0. The reliability of the discharge planning practice checklist for professional nurses was 0.95 Data were analyzed by descriptive statistics.
The results showed that the score of practices according to the discharge planning guidelines for patients with hematuria after quality improvement in the admission phase and stable phase was accurate and complete at 100 % whereas the discharge phase was accurate and completed at 83.33%. There was no incidence of hospital re-admission within 28 days and the average length of stay of patients with bloody urine was decreased from 5.21 days to 4.80 days.
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