The processes of hospital discharge and recovery after blunt thoracic injuries: The patient’s perspective

Abstract Aims The aim of this study was to explore hospital discharge processes and the self‐management of recovery in the early post‐discharge period after blunt thoracic injury from a patient perspective. Design Qualitative interview study. Methods Interviews were conducted with participants recru...

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Main Authors: Edward Baker, Andreas Xyrichis, Christine Norton, Philip Hopkins, Geraldine Lee
Format: Article
Language:English
Published: Wiley 2022-05-01
Series:Nursing Open
Subjects:
Online Access:https://doi.org/10.1002/nop2.929
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author Edward Baker
Andreas Xyrichis
Christine Norton
Philip Hopkins
Geraldine Lee
author_facet Edward Baker
Andreas Xyrichis
Christine Norton
Philip Hopkins
Geraldine Lee
author_sort Edward Baker
collection DOAJ
description Abstract Aims The aim of this study was to explore hospital discharge processes and the self‐management of recovery in the early post‐discharge period after blunt thoracic injury from a patient perspective. Design Qualitative interview study. Methods Interviews were conducted with participants recruited from 8 sites across England and Wales between November 2019–May 2020. Semi‐structured interviews were conducted between 5–8 weeks after hospital discharge, and in total, 14 interviews were undertaken. These interviews were recorded, transcribed and analysed using thematic coding. Results Three main themes were identified from the analysis: (a) challenges in the discharge process, (b) coping at home after discharge and (c) managing medications at home. Pain was a dominant thread running throughout all themes which represented an important quality and safety concern for all participants. Associated concerns included insufficient preparation and education for hospital discharge, ineffective communication and subsequent unsafe use of opioids at home highlighting unmet patient care needs.
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spelling doaj.art-4001ea98d00d4808a66369d9f47ffa3d2022-12-22T00:38:38ZengWileyNursing Open2054-10582022-05-01931832184310.1002/nop2.929The processes of hospital discharge and recovery after blunt thoracic injuries: The patient’s perspectiveEdward Baker0Andreas Xyrichis1Christine Norton2Philip Hopkins3Geraldine Lee4Florence Nightingale Faculty of Nursing, Midwifery and Palliative Care King’s College London London UKFlorence Nightingale Faculty of Nursing, Midwifery and Palliative Care King’s College London London UKFlorence Nightingale Faculty of Nursing, Midwifery and Palliative Care King’s College London London UKDepartment of Intensive Care Medicine King’s College Hospital NHS Foundation Trust London UKFlorence Nightingale Faculty of Nursing, Midwifery and Palliative Care King’s College London London UKAbstract Aims The aim of this study was to explore hospital discharge processes and the self‐management of recovery in the early post‐discharge period after blunt thoracic injury from a patient perspective. Design Qualitative interview study. Methods Interviews were conducted with participants recruited from 8 sites across England and Wales between November 2019–May 2020. Semi‐structured interviews were conducted between 5–8 weeks after hospital discharge, and in total, 14 interviews were undertaken. These interviews were recorded, transcribed and analysed using thematic coding. Results Three main themes were identified from the analysis: (a) challenges in the discharge process, (b) coping at home after discharge and (c) managing medications at home. Pain was a dominant thread running throughout all themes which represented an important quality and safety concern for all participants. Associated concerns included insufficient preparation and education for hospital discharge, ineffective communication and subsequent unsafe use of opioids at home highlighting unmet patient care needs.https://doi.org/10.1002/nop2.929analgesiachest traumahospital dischargehospitalisationinjurymedicines safety
spellingShingle Edward Baker
Andreas Xyrichis
Christine Norton
Philip Hopkins
Geraldine Lee
The processes of hospital discharge and recovery after blunt thoracic injuries: The patient’s perspective
Nursing Open
analgesia
chest trauma
hospital discharge
hospitalisation
injury
medicines safety
title The processes of hospital discharge and recovery after blunt thoracic injuries: The patient’s perspective
title_full The processes of hospital discharge and recovery after blunt thoracic injuries: The patient’s perspective
title_fullStr The processes of hospital discharge and recovery after blunt thoracic injuries: The patient’s perspective
title_full_unstemmed The processes of hospital discharge and recovery after blunt thoracic injuries: The patient’s perspective
title_short The processes of hospital discharge and recovery after blunt thoracic injuries: The patient’s perspective
title_sort processes of hospital discharge and recovery after blunt thoracic injuries the patient s perspective
topic analgesia
chest trauma
hospital discharge
hospitalisation
injury
medicines safety
url https://doi.org/10.1002/nop2.929
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