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Bridges and Barriers: Patients' Perceptions of the Discharge Process Including Multidisciplinary Rounds on a Trauma
Dawn Zakzesky1, Katie Klink, Natalie McAndrew
1Critical Care/ED Services, Froedtert Health, Community Hospital Division, Menomonee Falls, Wisconsin (Mrs Zakzesky); Patient Care Services, Froedtert Hospital, Milwaukee, Wisconsin (Drs Klink and Schroeter); Medical Intensive Care Unit (Ms McAndrew), and Emergency Department (Ms Johnson), Froedtert Hospital, Milwaukee, Wisconsin; and Marquette University College of Nursing, Milwaukee, Wisconsin (Dr Schroeter).
Patient perspectives on discharge planning reveal key bridges and barriers. Understanding patient views on timelines, communication, and support is crucial for effective hospital discharge readiness.
Area of Science:
- Healthcare Management
- Patient Experience
- Health Services Research
Background:
- Discharge planning is a critical but complex healthcare process.
- Limited research exists on patient perspectives during hospital discharge.
- Patient readiness for discharge significantly impacts health outcomes.
Purpose of the Study:
- To explore patient viewpoints on the hospital discharge process.
- To identify patient-identified facilitators and obstacles to discharge.
- To understand the role of multidisciplinary rounds from the patient's perspective.
Main Methods:
- Qualitative study exploring patient experiences with discharge planning.
- Data collected on patient-identified "bridges and barriers" to discharge.
- Analysis focused on themes related to communication, support, and process.
Main Results:
- Key facilitators included clear timelines, effective communication, social support, and patient motivation.
- Significant barriers were medical setbacks, insurance limitations, and inconsistent communication.
- Multidisciplinary rounds were perceived differently by patients based on communication clarity.
Conclusions:
- Patient perspectives offer valuable insights into optimizing discharge planning.
- Addressing identified barriers like insurance and communication is vital for improving patient discharge readiness.
- Further research should investigate diverse discharge models and enhance communication strategies throughout hospitalization.
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