Lakshmi Matmari1, Jennifer Uyeno1, Carol S Heck2. 1. Toronto Western Hospital, University Health Network, Toronto. 2. Allied Health/Health Professions, University Health Network, Toronto ; Department of Physical Therapy, University of Toronto, Toronto.
Abstract
PURPOSE: To examine discharge planning of patients in general internal medicine units in Ontario acute-care hospitals from the perspective of physiotherapists. METHODS: A cross-sectional study using an online questionnaire was sent to participants in November 2011. Respondents' demographic characteristics and ranking of factors were analyzed using descriptive statistics; t-tests were performed to determine between-group differences (based on demographic characteristics). Responses to open-ended questions were coded to identify themes. RESULTS: Mobility status was identified as the key factor in determining discharge readiness; other factors included the availability of social support and community resources. While inter-professional communication was identified as important, processes were often informal. Discharge policies, timely availability of other discharge options, and pressure for early discharge were identified as affecting discharge planning. Respondents also noted a lack of training in discharge planning; accounts of ethical dilemmas experienced by respondents supported these themes. CONCLUSIONS: Physiotherapists consider many factors beyond the patient's physical function during the discharge planning process. The improvement of team communication and resource allocation should be considered to deal with the realities of discharge planning.
PURPOSE: To examine discharge planning of patients in general internal medicine units in Ontario acute-care hospitals from the perspective of physiotherapists. METHODS: A cross-sectional study using an online questionnaire was sent to participants in November 2011. Respondents' demographic characteristics and ranking of factors were analyzed using descriptive statistics; t-tests were performed to determine between-group differences (based on demographic characteristics). Responses to open-ended questions were coded to identify themes. RESULTS: Mobility status was identified as the key factor in determining discharge readiness; other factors included the availability of social support and community resources. While inter-professional communication was identified as important, processes were often informal. Discharge policies, timely availability of other discharge options, and pressure for early discharge were identified as affecting discharge planning. Respondents also noted a lack of training in discharge planning; accounts of ethical dilemmas experienced by respondents supported these themes. CONCLUSIONS: Physiotherapists consider many factors beyond the patient's physical function during the discharge planning process. The improvement of team communication and resource allocation should be considered to deal with the realities of discharge planning.
Authors: Eliza Ly Wong; Carrie Hk Yam; Annie Wl Cheung; Michael Cm Leung; Frank Wk Chan; Fiona Yy Wong; Eng-Kiong Yeoh Journal: BMC Health Serv Res Date: 2011-09-29 Impact factor: 2.655
Authors: Lisa Brice-Leddy; Debbie Park; William Bateman; January Drysdale; Laura Ratushny; Suad Musse; Stephanie A Nixon Journal: Physiother Can Date: 2020 Impact factor: 1.037