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Application of the case study design: nursing interventions for discharge readiness
Clinical Nurse Specialist CNS
|January 1, 1992
Summary
This case study shows how nurses prepare families for complex pediatric home care. It highlights patient involvement and Orem
Area of Science:
- Nursing
- Healthcare Management
- Pediatric Care
Background:
- Discharge preparation for children requiring complex home care is a critical, multifaceted process.
- Existing frameworks for nursing interventions and discharge readiness require further exploration in complex pediatric cases.
- Understanding the family's role as both planners and learners is essential for effective home care transitions.
Observation:
- A single-family case study design was employed to investigate the nursing process during discharge preparation.
- Orem's theory of helping methods was utilized to categorize nursing interventions.
- Discharge readiness was systematically assessed against established conditions.
Findings:
- Families and home caregivers actively participate as planners and learners in discharge preparation.
- Nursing interventions align with Orem's five major helping areas, demonstrating a structured approach.
- Discharge preparation effectively addressed all components of discharge readiness.
Implications:
- The case study design is effective for exploring complex nursing interventions and refining the concept of discharge readiness.
- Findings support the integration of patient and family-centered approaches in discharge planning for pediatric complex care.
- A replicable decision trail is provided for nurses to enhance their discharge preparation practices.
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