Models of Discharge Care in Magnet® Hospitals. J Nurs Adm 2015 Oct;45(10):485-91
Date
10/02/2015Pubmed ID
26425972DOI
10.1097/NNA.0000000000000239Scopus ID
2-s2.0-84943373952 (requires institutional sign-in at Scopus site) 9 CitationsAbstract
OBJECTIVE: The aim of this article is to describe how the discharge preparation process is operationalized in Magnet® hospitals.
BACKGROUND: Nationally, there are intensive efforts toward improving discharge transitions and reducing readmissions. Discharge preparation is a core hospital function, yet there are few reports of operational models.
METHODS: This was a descriptive, Web-based survey of 32 Magnet hospitals (64 units) participating in the Readiness Evaluation and Discharge Interventions study.
RESULTS: Most hospitals have adopted 1 or more national readmission reduction initiatives. Most unit models include several discharge preparation roles; RN case managers, and discharging RNs lead the process. Nearly one-half of units actively screen for readmission risk. More than three-fourths report daily discharge rounds, but less than one-third include the patient and family. More than two-thirds report a follow-up phone call, mostly to assess patient satisfaction.
CONCLUSIONS: Magnet hospitals operationalize discharge preparation differently. Recommended practices from national discharge initiatives are inconsistently used. RNs play a central role in discharge planning, coordination, and teaching.
Author List
Bobay K, Bahr SJ, Weiss ME, Hughes R, Costa LAuthors
Kathleen Bobay PhD Associate Professor in the Nursing department at Marquette UniversityMarianne Weiss DNSc Associate Professor in the College of Nursing department at Marquette University
MESH terms used to index this publication - Major topics in bold
Cross-Sectional StudiesGuidelines as Topic
Health Care Surveys
Hospital Administration
Hospitals
Humans
Models, Organizational
Multicenter Studies as Topic
Nurse's Role
Patient Discharge
Patient Education as Topic
Patient Readmission
