Kathleen Bobay1, Sarah J Bahr, Marianne E Weiss, Ronda Hughes, Linda Costa. 1. Author Affiliations: Associate Professor (Drs Weiss, Bobay, and Hughes), PhD student (Ms Bahr), College of Nursing, Marquette University, Milwaukee, Wisconsin; Assistant Professor (Dr Costa), School of Nursing, University of Maryland, Baltimore.
Abstract
OBJECTIVE: The aim of this article is to describe how the discharge preparation process is operationalized in Magnet® hospitals. BACKGROUND: Nationally, there are intensive efforts toward improving discharge transitions and reducing readmissions. Discharge preparation is a core hospital function, yet there are few reports of operational models. METHODS: This was a descriptive, Web-based survey of 32 Magnet hospitals (64 units) participating in the Readiness Evaluation and Discharge Interventions study. RESULTS: Most hospitals have adopted 1 or more national readmission reduction initiatives. Most unit models include several discharge preparation roles; RN case managers, and discharging RNs lead the process. Nearly one-half of units actively screen for readmission risk. More than three-fourths report daily discharge rounds, but less than one-third include the patient and family. More than two-thirds report a follow-up phone call, mostly to assess patient satisfaction. CONCLUSIONS: Magnet hospitals operationalize discharge preparation differently. Recommended practices from national discharge initiatives are inconsistently used. RNs play a central role in discharge planning, coordination, and teaching.
OBJECTIVE: The aim of this article is to describe how the discharge preparation process is operationalized in Magnet® hospitals. BACKGROUND: Nationally, there are intensive efforts toward improving discharge transitions and reducing readmissions. Discharge preparation is a core hospital function, yet there are few reports of operational models. METHODS: This was a descriptive, Web-based survey of 32 Magnet hospitals (64 units) participating in the Readiness Evaluation and Discharge Interventions study. RESULTS: Most hospitals have adopted 1 or more national readmission reduction initiatives. Most unit models include several discharge preparation roles; RN case managers, and discharging RNs lead the process. Nearly one-half of units actively screen for readmission risk. More than three-fourths report daily discharge rounds, but less than one-third include the patient and family. More than two-thirds report a follow-up phone call, mostly to assess patient satisfaction. CONCLUSIONS: Magnet hospitals operationalize discharge preparation differently. Recommended practices from national discharge initiatives are inconsistently used. RNs play a central role in discharge planning, coordination, and teaching.
Authors: Beata Wieczorek-Wójcik; Aleksandra Gaworska-Krzemińska; Aleksander Owczarek; Michał Wójcik; Monika Orzechowska; Dorota Kilańska Journal: Int J Environ Res Public Health Date: 2022-03-31 Impact factor: 3.390
Authors: Olga Yakusheva; James T Bang; Ronda G Hughes; Kathleen L Bobay; Linda Costa; Marianne E Weiss Journal: Health Serv Res Date: 2021-07-01 Impact factor: 3.402
Authors: Marianne E Weiss; Olga Yakusheva; Kathleen L Bobay; Linda Costa; Ronda G Hughes; Susan Nuccio; Morris Hamilton; Sarah Bahr; Danielle Siclovan; James Bang Journal: JAMA Netw Open Date: 2019-01-04