Evaluation of Discharge Telephone Calls Following Total Joint Replacement Surgery

被引:14
作者
Darcy, Ann Marie [1 ]
Murphy, Gina A. [1 ]
DeSanto-Madeya, Susan [1 ,2 ]
机构
[1] Beth Israel Deaconess Med Ctr, Boston, MA 02215 USA
[2] William F Connell Sch Nursing, Chestnut Hill, MA USA
关键词
PATIENT EDUCATION; PAIN;
D O I
10.1097/NOR.0000000000000062
中图分类号
R47 [护理学];
学科分类号
1011 ;
摘要
The average length of stay for patients undergoing total joint replacement surgery at a large teaching hospital is 3 days. This requires a comprehensive discharge education plan. The purpose of this prospective quality improvement project was to evaluate patients' understanding of postoperative care at home, screen for postoperative complications, and identify inconsistencies or gaps in discharge teaching. During a 1-year evaluation period, patients who underwent total joint replacement surgery were interviewed via a telephone call following discharge to home. Patients were asked questions regarding general feeling, pain, wound appearance, edema, anticoagulation, and physical therapy. Concerns reported most frequently included medication side effects, deep vein thrombosis prophylaxis, and the use of assistive devices. The majority of patients reported receiving adequate discharge instructions. This quality improvement project has resulted in improved discharge teaching based on patients' identified needs and early intervention for the prevention of postoperative complications.
引用
收藏
页码:188 / 195
页数:8
相关论文
共 20 条
[1]  
[Anonymous], 2011, Healthcare Benchmarks Qual Improv, V18, P123
[2]  
[Anonymous], 2012, Hosp Case Manag, V20, P75
[3]  
Barksdale P, 2005, ORTHOP NURS, V24, P336
[4]   Structured discharge education improves early outcome in orthopedic patients [J].
Ben-Morderchai, Bela ;
Herman, Amir ;
Kerzman, Hana ;
Irony, Angela .
INTERNATIONAL JOURNAL OF ORTHOPAEDIC AND TRAUMA NURSING, 2010, 14 (02) :66-74
[5]   Telephone follow-up after discharge from the hospital: Does it make a difference? [J].
Bostrom, J ;
Caldwell, J ;
McGuire, K ;
Everson, D .
APPLIED NURSING RESEARCH, 1996, 9 (02) :47-52
[6]  
Bradke P. M., 2011, PATIENT ED MANAGEMEN, V18, P111
[7]   Radical prostatectomy: men's experiences and postoperative needs [J].
Burt, J ;
Caelli, K ;
Moore, K ;
Anderson, M .
JOURNAL OF CLINICAL NURSING, 2005, 14 (07) :883-890
[8]  
Chetty C, 2009, Curationis, V32, P55
[9]   Challenges in Posthospital Care Nurses as Coaches for Medication Management [J].
Costa, Linda L. ;
Poe, Stephanie S. ;
Lee, Mei Ching .
JOURNAL OF NURSING CARE QUALITY, 2011, 26 (03) :243-251
[10]   Advanced practice nurse-directed telephone management of acute pain following pediatric spinal fusion surgery [J].
Czarnecki, Michelle L. ;
Garwood, Molly Murphy ;
Weisman, Steven J. .
JOURNAL FOR SPECIALISTS IN PEDIATRIC NURSING, 2007, 12 (03) :159-169