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Biomedical subjects

M K Anthony

Publications and source records attributed to M K Anthony.

3 recordsLinked to original sources

Successful patient discharge. A comprehensive model of facilitators and barriers.

The need for effective discharge planning by nurses has become more urgent and complex in light of recent healthcare initiatives. In response to better understanding discharge planning, four focus groups were held to describe a comprehensive framework of factors needed for effective discharge that are relevant to multiple nursing specialties across practice sites. Through content analysis, four themes--common across sites and specialties--were identified as important to discharge.

Adult

The congruence of nursing diagnoses and supporting clinical evidence.

In this secondary analysis, 890 patients 40 years of age and older were assessed within 24 hours of transfer from intensive care to medical/surgical units. Nursing diagnoses documented in the hospital record were compared to supporting clinical evidence obtained from subjects, the hospital record, and interviews with subjects and nurse caregivers. The congruence, based on the kappa statistic, between the nursing diagnosis and clinical evidence ranged from 0.1% for altered thought processes to 10% for impaired gas exchange, impaired physical mobility, and potential for injury, while no diagnoses were made for self-care deficits or sensory alterations, visual, when clinical evidence for them was available.

Adult