The processes of hospital discharge and recovery after blunt thoracic injuries: The patient's perspective

TY - JOUR

T1 - The processes of hospital discharge and recovery after blunt thoracic injuries

T2 - The patient's perspective

AU - Baker, Edward

AU - Xyrichis, Andreas

AU - Norton, Christine

AU - Hopkins, Philip

AU - Lee, Geraldine

N1 - Funding Information: Edward Baker is funded by a National Institute for Health Research (NIHR), Clinical Doctoral Research Fellowship for this research project. The publication presents independent research funded by the National Institute for Health Research (NIHR). The views expressed are those of the authors and not necessarily those of the NHS, the NIHR or the Department of Health and Social Care. Publisher Copyright: © 2021 The Authors. Nursing Open published by John Wiley & Sons Ltd. Copyright: Copyright 2021 Elsevier B.V., All rights reserved.

PY - 2021/5/18

Y1 - 2021/5/18

N2 - AIMS: The aim of this study was to explore hospital discharge processes and the self-management of recovery in the early post-discharge period after blunt thoracic injury from a patient perspective.DESIGN: Qualitative interview study.METHODS: Interviews were conducted with participants recruited from 8 sites across England and Wales between November 2019-May 2020. Semi-structured interviews were conducted between 5-8 weeks after hospital discharge, and in total, 14 interviews were undertaken. These interviews were recorded, transcribed and analysed using thematic coding.RESULTS: Three main themes were identified from the analysis: (a) challenges in the discharge process, (b) coping at home after discharge and (c) managing medications at home. Pain was a dominant thread running throughout all themes which represented an important quality and safety concern for all participants. Associated concerns included insufficient preparation and education for hospital discharge, ineffective communication and subsequent unsafe use of opioids at home highlighting unmet patient care needs.

AB - AIMS: The aim of this study was to explore hospital discharge processes and the self-management of recovery in the early post-discharge period after blunt thoracic injury from a patient perspective.DESIGN: Qualitative interview study.METHODS: Interviews were conducted with participants recruited from 8 sites across England and Wales between November 2019-May 2020. Semi-structured interviews were conducted between 5-8 weeks after hospital discharge, and in total, 14 interviews were undertaken. These interviews were recorded, transcribed and analysed using thematic coding.RESULTS: Three main themes were identified from the analysis: (a) challenges in the discharge process, (b) coping at home after discharge and (c) managing medications at home. Pain was a dominant thread running throughout all themes which represented an important quality and safety concern for all participants. Associated concerns included insufficient preparation and education for hospital discharge, ineffective communication and subsequent unsafe use of opioids at home highlighting unmet patient care needs.

UR - http://www.scopus.com/inward/record.url?scp=85105875815&partnerID=8YFLogxK

U2 - 10.1002/nop2.929

DO - 10.1002/nop2.929

M3 - Article

C2 - 34002948

SN - 2054-1058

JO - Nursing Open

JF - Nursing Open

M1 - 00

ER -