PDF(Pubmed)
Abstract：
Care transitions after hospitalization require communication across care teams, patients, and caregivers. As part of a quality improvement initiative, we conducted qualitative interviews with a diverse group of 53 patients who were recently discharged from a hospitalization within a safety net hospital to explore how patient preferences were included in the hospital discharge process and differences in the hospital discharge experience by race/ethnicity. Four themes emerged from participants regarding desired characteristics of interactions with the discharge team: (1) to feel heard, (2) inclusion in decision-making, (3) to be adequately prepared to care for themselves at home through bedside teaching, (4) and to have a clear and updated discharge timeline. Additionally, participants identified patient-level factors the discharge planning team should consider, including the social context, family involvement, health literacy, and linguistic barriers. Lastly, participants identified provider characteristics, such as a caring and empathetic bedside manner, that they found valuable in the discharge process. Our findings highlight the need for shared decision-making in the discharge planning process to improve both patient safety and satisfaction.
摘要：
住院后的护理过渡需要护理团队之间的沟通，病人,和照顾者。作为质量改进计划的一部分，我们对最近在安全网医院住院出院的53例患者进行了定性访谈,以探讨患者偏好如何被纳入出院流程,以及按种族/民族划分的出院体验差异.参与者提出了四个主题，涉及与出院团队互动的期望特征：（1）感觉被听到，(2)纳入决策，(3)要做好充分的准备，通过床边教学在家照顾自己，（4）并有明确和更新的出院时间表。此外,参与者确定了出院计划团队应考虑的患者水平因素，包括社会背景，家庭参与,健康素养,和语言障碍。最后,参与者确定了提供者的特征，比如关怀和同情的床边态度，他们在放电过程中发现有价值。我们的发现强调了在出院计划过程中共同决策的必要性，以提高患者的安全性和满意度。
