PATIENT INVOLVEMENT IN DISCHARGE PLANNING

改善病人的出院准备与积极的病人预后有关。然而，管理式护理环境缩短了住院时间，减少了出院准备时间。在入院前测试之前，GCRC护士将进行半结构化访谈，询问受试者开放式问题，以确定他们认为出院前需要的信息。注册护士将根据获得的信息构建一个“需求”列表。此外，受试者还被给予Krantz健康意见调查和测量功能和健康量表来评估健康。患者积极参与出院计划增加了患者出院准备，参与取决于两个组成部分：知识和偏好。在一项半结构化访谈中，41名接受非紧急结肠手术的患者将在三点接受访谈，以确定他们的信息需求和参与偏好：入院前、出院前和出院后。了解患者的信息需求是否可以在入院前确定，如果他们改变，这对提供者优化患者出院准备和避免短期住院的潜在并发症是有用的知识。

Improving patient readiness for discharge is associated with positive patient outcomes. However, the managed care environment has contributed to shortened lengths of stay and less time to prepare for discharge. Prior to pre-admission testing, the GCRC nurse willc onduct the semi-structured interview asking subjects open-ended questions to identify the information which they believe is needed prior to discharge. The RN will construct a "needs" list fromt he information obtained. Additionally the subjects are given the Krantz Health Opinion Survey and the Measuring Function and Well Being scale to assess wellness. Active patient participation in discharge planning increases patient readiness for discharge and participation rests on two components: knowledge and preference. In a semistructured interview, 41 patients being admitted for nonemergent colon surgery will be interviewed at three points to determine their information needs and preference for participation: preadmission, pre-discharge, and post discharge. Understanding whether patient's information needs can be identified prior to admission and if they change is useful knowledge to providers in optimizing patient readiness for discharge and avoiding potential complications of short stays.