Patient input into the development and enhancement of ED discharge instructions: a focus group study

Journal of Emergency Nursing : JEN : Official Publication of the Emergency Department Nurses Association
Barbara A BuckleyKirsten G Engel

Abstract

Previous research indicates that patients have difficulty understanding ED discharge instructions; these findings have important implications for adherence and outcomes. The objective of this study was to obtain direct patient input to inform specific revisions to discharge documents created through a literacy-guided approach and to identify common themes within patient feedback that can serve as a framework for the creation of discharge documents in the future. Based on extensive literature review and input from ED providers, subspecialists, and health literacy and communication experts, discharge instructions were created for 5 common ED diagnoses. Participants were recruited from a federally qualified health center to participate in a series of 5 focus group sessions. Demographic information was obtained and a Rapid Estimate of Adult Literacy in Medicine (REALM) assessment was performed. During each of the 1-hour focus group sessions, participants reviewed discharge instructions for 1 of 5 diagnoses. Participants were asked to provide input into the content, organization, and presentation of the documents. Using qualitative techniques, latent and manifest content analysis was performed to code for emergent themes across all ...Continue Reading

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Citations

Dec 11, 2014·Australian Health Review : a Publication of the Australian Hospital Association·Daniel Brooks ReidAndrew J Hughes
May 8, 2016·BMJ Quality & Safety·Erin SarzynskiCharles Given
Dec 19, 2014·Avian Diseases·Karel A Schat, Hollis N Erb
Mar 31, 2015·Global Qualitative Nursing Research·Eloise ChandlerCarman Ng
Aug 9, 2020·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Ivy BenjenkManish N Shah

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