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Patient and family perceptions and experiences of same-day discharge following percutaneous coronary intervention and

Yingyan Chen¹, Frances Fengzhi Lin², Andrea P Marshall³

¹School of Health and Human Sciences, Gold Coast Campus, Southern Cross University, Bilinga QLD 4225, Australia; School of Nursing and Midwifery, Menzies Health Institute Queensland, Griffith University, Australia.

Intensive & Critical Care Nursing

|November 10, 2020

Abstract

Objective:

To explore perceptions and experiences of patients discharged the same day (or not) and their family members towards same-day discharge following percutaneous coronary intervention.

Design And Methods:

A qualitative interpretative design. Semi-structured phone interviews were conducted with consented patients who underwent percutaneous coronary intervention, and their family members (n = 23). Data were analysed using a content analysis approach.

Setting:

This study was undertaken in the cardiac services department of an Australian tertiary hospital.

Main Outcome Measures:

Perceptions and experiences of same-day discharge.

Findings:

A total of 31 patients and 23 family members were interviewed. Two categories emerged from the analysis: communication challenges with hospital staff and perceptions of same-day discharge. Family members were often not provided discharge instructions, and some same-day discharged patients felt vulnerable following discharge. When asked, most participants perceived same-day discharge as a preferred option because of its comfort and convenience. Some expressed uncertainty towards same-day discharge due to feeling anxious and apprehensive. Others misperceived same-day discharge as a signal that their heart problem was fixed without realising their underlying chronic health conditions.

Conclusion:

Most patients and family members perceived same-day discharge as a preferred option. However, strategies are needed to support their transition from hospital to home, therefore, recognising and improving their long-term disease management.

Keywords:

Experiences Patient discharge Perception Percutaneous coronary intervention Same-day discharge

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