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Improving discharge planning using the re-engineered discharge programme.

Sterling Roberts1, Leslie C Moore1, Brian Jack2

  • 1School of Nursing, Georgia College & State University, Milledgeville, Georgia.

Journal of Nursing Management
|September 18, 2018
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Summary
This summary is machine-generated.

Nurses demonstrated high readiness to learn (RTL) before re-engineered discharge (RED) education. Post-intervention, RED process utilization significantly improved, highlighting the importance of understanding learning preferences for better patient care.

Keywords:
educationnursere-engineered discharge process

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Area of Science:

  • Nursing Education
  • Healthcare Quality Improvement
  • Patient Discharge

Background:

  • Preventable hospital readmissions pose a significant challenge, particularly in rural areas with limited healthcare access.
  • Addressing disparities in healthcare delivery is crucial for improving patient outcomes.

Purpose of the Study:

  • To assess nurses' readiness to learn (RTL) prior to re-engineered discharge (RED) program education.
  • To measure the utilization of the RED discharge process after an educational intervention.

Main Methods:

  • Sixty-nine nurses completed the Self-Directed Learning Readiness Scale (SDLR) before the RED education.
  • A 30-minute educational intervention was delivered, tailored to various learning preferences.
  • Patient charts were reviewed to assess RED process utilization pre- and post-intervention.

Main Results:

  • Nurses exhibited high RTL, with high scores on the SDLR (M=219.8, SD=23.7).
  • RED process utilization significantly increased post-intervention (M=10.08, SD=1.544) compared to pre-intervention (M=6.55, SD=1.478).
  • Statistical analysis confirmed a significant improvement in pre-discharge patient education and planning (t=17.730, p=0.000).

Conclusions:

  • Nurses with higher RTL who received RED education demonstrated improved RED process delivery.
  • Prioritizing nurses' learning preferences in educational initiatives can enhance bedside practice quality.
  • The study underscores the effectiveness of tailored education in improving discharge processes and potentially reducing readmissions.