DISCHARGE TEACHING TO IMPROVE DISCHARGE READINESS FOR PATIENTS POST HIP SURGERY: A LITERATURE REVIEW

DOI: https://doi.org/10.35654/ijnhs.v2i1.59

  • Ina Nurul Rahmawati FATMAWATI GENERAL HOSPITAL
  • Riri Maria
Keywords: discharge teaching, discharge readiness, post hip surgery

Abstract

The condition of returning home unpreparedness post hip surgery has an impact on the patient's ability after returning home. This unpreparedness is caused by the inability of patients to manage their own needs and care needs after returning home in carrying out daily tasks, caring for themselves, and the ability to do health care. So that a nursing strategy is needed in preparing the patient's discharge planning in the form of discharge teaching. Four data bases namely Cochrane, EBSCO, Google Scholar, and Scopus were used to explain the effect of discharge teaching to improve patient readiness post hip surgery. Educational needs expected by patients post hip surgery are related to complications, operating procedures, rehabilitation programs, prosthesis, and pain management. Patients hope to get knowledge related to all dimensions, but in reality they only get from the functional dimension. Patients get more knowledge only during treatment than when they are going home. Discharge teaching must also pay attention to the content of information and delivery methods and must be given in all stages of treatment and repetition of important items. So nurses are required to have competence and knowledge in carrying out discharge teaching with the aim of increasing patient readiness.

 

Keywords: discharge teaching, discharge readiness, post hip surgery

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References

Winter A. The management of intracapsular hip fractures. Orthop Trauma [Internet]. 2016;30(2):93–102. Available from: http://dx.doi.org/10.1016/j.mporth.2016.03.003

Iyer KM. The Hip Joint. Singapore: PanStanfordPublishingPte.Ltd; 2017.

American Joint Replacement Registry. Third AJRR Annual Report on Hip and Knee Arthroplasty Data 2016. 2016;

Yoon PW, Lee YK, Ahn J, Jang EJ, Kim Y, Kwak HS, et al. Epidemiology of hip replacements in Korea from 2007 to 2011. J Korean Med Sci. 2014;29(6):852–8.

IOF. Indonesia Projected 2050. 2013;1–5.

Petis SM, Howard JL, Lanting BA, Marsh JD, Vasarhelyi EM. In-Hospital Cost Analysis of Total Hip Arthroplasty: Does Surgical Approach Matter? J Arthroplasty [Internet]. 2016;31(1):53–8. Available from: http://dx.doi.org/10.1016/j.arth.2015.08.034

AAOS. Management Of Hip Fractures In The Elderly. Evidence- Based Clinical Practice Guideline Adopted by the American Academy of Orthopaedic Surgeons Board of Directors. AAOS Guidel. 2014;1–520.

Sibia US, Turcotte JJ, MacDonald JH, King PJ. The Cost of Unnecessary Hospital Days for Medicare Joint Arthroplasty Patients Discharging to Skilled Nursing Facilities. J Arthroplasty [Internet]. 2017;32(9):2655–7. Available from: http://dx.doi.org/10.1016/j.arth.2017.03.058

Kaya S, Guven SG, Aydan S, Kar A, Teleş M, Yıldız A, et al. Patients’ readiness for discharge: Predictors and effects on unplanned readmissions, emergency department visits and death. J Nurs Manag. 2018;1–10.

Wallace AS, Perkhounkova Y, Bohr NL, Chung SJ. Readiness for Hospital Discharge, Health Literacy, and Social Living Status. Clin Nurs Res. 2016;25(5):494–511.

Weiss ME, Costa LL, Yakusheva O, Bobay KL. Validation of patient and nurse short forms of the readiness for hospital discharge scale and their relationship to return to the hospital. Health Serv Res. 2014;49(1):304–17.

Bosco JA, Karkenny AJ, Hutzler LH, Slover JD, Iorio R. Cost burden of 30-day readmissions following medicare total hip and knee arthroplasty. J Arthroplasty. 2014;29(5):903–5.

Weiss M, Piacentine LB. Psychometric Properties of the Readiness for Hospital Discharge Scale. J Nurs Meas [Internet]. 2006;14(3):163–80. Available from: https://pdfs.semanticscholar.org/48d0/f8a60cccf664a692d99579dcbbb3ccb75050.pdf

Weiss ME, Piacentine LB, Lokken L, Ancona J, Archer J, Gresser S, et al. Perceived Readiness for Hospital Discharge in Adult Medical-Surgical Patients. Clin Nurse Spec [Internet]. 2007;21(1):31–42. Available from: https://insights.ovid.com/crossref?an=00002800-200701000-00008

Kennedy D, Wainwright A, Pereira L, Robarts S, Dickson P, Christian J, et al. A qualitative study of patient education needs for hip and knee replacement. BMC Musculoskelet Disord. 2017;18(1):1–8.

Cano-Plans S, Lacueva-Pérez L, Cabrera E, Zabalegui A. Knowledge expectations of orthopaedic patients. Int J Nurs Pract. 2018;24(3):1–8.

Joint Commission International. Assessment of Patients (AOP) Standards. Jt Comm Int Accredit Stand Hosp. 2015;(July):12–4.

Komisi Akreditasi Rumah Sakit. Standar Nasional Akreditasi Rumah Sakit. 2017; Available from: http://www.pdpersi.co.id/kanalpersi/manajemen_mutu/data/snars_edisi1.pdf

Galvin, E. C., Wills T, Coffey A. Readiness for Hospital Discharge:A Concept Analysis. J Adv Nurs. 2017;0–2.

Brent L, Coffey A. Patient’s perception of their readiness for discharge following hip fracture surgery. Int J Orthop Trauma Nurs [Internet]. 2013;17(4):190–8. Available from: http://dx.doi.org/10.1016/j.ijotn.2013.01.001

Billon L, Décaudin B, Pasquier G, Lons A, Deken-Delannoy V, Germe AF, et al. Prospective assessment of patients’ knowledge and informational needs and of surgeon-to-patient information transfer before and after knee or hip arthroplasty. Orthop Traumatol Surg Res [Internet]. 2017;103(8):1161–7. Available from: http://dx.doi.org/10.1016/j.otsr.2017.08.012

Tilbury C, Haanstra TM, Leichtenberg CS, Verdegaal SHM, Ostelo RW, Vet HCW De, et al. Unfulfilled Expectations After Total Hip and Knee Arthroplasty Surgery : There Is a Need for Better Preoperative Patient Information and Education. J Arthroplasty [Internet]. 2016;31(10):2139–45. Available from: http://dx.doi.org/10.1016/j.arth.2016.02.061

Rajala M, Kaakinen P, Fordell M. The Quality of Patient Education in Day Surgery by Adult Patients. J Perianastesia Nurs. 2018;33(2):177–87.

Soeters R, White PB, Murray-Weir M, Koltsov JCB, Alexiades MM, Ranawat AS. Preoperative physical therapy education reduces time to meet functional milestones after total joint arthroplasty. Clin Orthop Relat Res. 2018;476(1):40–8.

Lau D, Padwal RS, Majumdar SR, Pederson JL, Belga S, Kahlon S, et al. Patient-Reported Discharge Readiness and 30-Day Risk of Readmission or Death: A Prospective Cohort Study. Am J Med [Internet]. 2016;129(1):89–95. Available from: http://dx.doi.org/10.1016/j.amjmed.2015.08.018

Schuh M, Schendel S, Islam S, Klassen K, Morrison L, Rankin KN, et al. Parent readiness for discharge from a tertiary care pediatric cardiology unit. J Spec Pediatr Nurs. 2016;21(3):139–46.

Knier S, Stichler JF, Ferber L, Catterall K. Patients’ perceptions of the quality of discharge teaching and readiness for discharge. Rehabil Nurs. 2015;40(1):30–9.

Weiss ME, Sawin KJ, Gralton K, Johnson N, Klingbeil C, Lerret S, et al. Journal of Pediatric Nursing Discharge Teaching , Readiness for Discharge , and Post-discharge Outcomes in Parents of Hospitalized Children. J Pediatr Nurs [Internet]. 2017;34:58–64. Available from: http://dx.doi.org/10.1016/j.pedn.2016.12.021

Dallimore RK, Asinas-Tan ML, Chan D, Hussain S, Willett C, Zainuldin R. A randomised, double-blinded clinical study on the efficacy of multimedia presentation using an iPad for patient education of postoperative hip surgery patients in a public hospital in Singapore. Singapore Med J. 2017;58(9):562–8.

DeStephano CC, Gajarawala SP, Espinal M, Heckman MG, Vargas ER, Robertson MA. Discharge Readiness after Robotic and Laparoscopic Hysterectomy. J Minim Invasive Gynecol [Internet]. 2018; Available from: https://doi.org/10.1016/j.jmig.2018.09.766

Published
2019-04-02