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Telephone follow-up program evaluation: application of Orem's self-care model
Summary
Primary nurses implemented a telephone follow-up program to aid patient transition from rehabilitation to home. This nursing intervention identified common post-discharge issues like medication and safety concerns, offering essential support.
Area of Science:
- Nursing Practice
- Healthcare Transitions
- Patient Support
Background:
- Traditional discharge follow-up models are insufficient for current healthcare needs.
- Rehabilitation nursing care requires enhanced post-discharge support strategies.
- Facilitating a smooth transition from acute care to community living is crucial for patient outcomes.
Purpose of the Study:
- To evaluate the effectiveness of a primary nurse-led telephone follow-up program.
- To identify common problems encountered by patients after rehabilitation discharge.
- To assess the utility of Orem's self-care deficit theory in guiding post-discharge interventions.
Main Methods:
- A follow-up telephone call program was implemented by primary nurses in a rehabilitation unit.
- Patients were contacted at two weeks and six weeks post-discharge.
- Data from calls were analyzed using Orem's self-care deficit theory.
Main Results:
- A total of 144 calls were made, identifying numerous patient problems.
- Medication, safety, and bladder issues were the most frequently reported concerns.
- Guiding and supporting were the primary interventions used during follow-up calls.
Conclusions:
- Telephone follow-up by primary nurses is a valuable tool for addressing post-rehabilitation patient needs.
- The program effectively identified and provided support for common discharge-related problems.
- Nursing interventions focused on guidance and support are critical for successful community reintegration.