A Development of Stroke Patient Discharge in Medical Ward 2 at Priest Hospital

Abstract

This experimental development research aimed to develop a new working model of stroke patient discharge in medical ward 2 at Priest Hospital using the existing resources. The samples consisted of 2 groups; one group was the discharge planning activities in an experimental area (17 times) and a control area (13 times), another group was person regarding stroke patient discharge included administrators, service providers, and clients. The research instruments included a new working model of stroke patient discharge, three recording forms, and three questionnaires. The implementation and data collection were conducted from January to May, 2015. Mann-Whitney U test and Wilcoxon signed-rank test were used for data analysis.

The research results revealed that 1) the new working model of stroke patient discharge has been developed by applying relevant academic concepts and principles; and 2) after the experiment, an experimental area had statistically significant better working results than before the experiment:- the average work quantity per workforce increased (p < .05), the average work quantity per workforce in discharge day decreased (p < .001), the accuracy of work increased (p < .001), the average workforce consumed decreased (p < .01), the service providers’ satisfaction increased (p < .001), the clients’ satisfaction increased (p < .001), and cost per service providing unit decreased (p < .05).

This research suggests that the providers in medical ward should implement this model in stroke patients in order to ensure that appropriate post-discharges are in an effective manner. Additionally, the nurse administrators should promote this discharge planning as a guideline to effective hospital discharge in other chronic illness patients.