Satisfaction of chronic obstructive pulmonary disease patients with discharge coordinator management

Authors

  • Saša Kadivec University Clinic of Respiratory and Allergic Diseases Golnik, Golnik 36, 4204 Golnik, Slovenia
  • Mitja Lainščak University Clinic of Respiratory and Allergic Diseases Golnik, Golnik 36, 4204 Golnik, Slovenia
  • Mitja Košnik University Clinic of Respiratory and Allergic Diseases Golnik, Golnik 36, 4204 Golnik, Slovenia
  • Jerneja Farkaš-Lainščak University Clinic of Respiratory and Allergic Diseases Golnik, Golnik 36, 4204 Golnik, Slovenia

DOI:

https://doi.org/10.14528/snr.2015.49.3.54

Keywords:

COPD, chronic obstructive pulmonary disease, discharge coordinator

Abstract

Introduction: A timely and coordinated preparation for hospital discharge improves a patient's quality of life and decreases the number of hospitalisations. A cross-sectional epidemiologic survey was performed in order to assess the satisfaction of chronic obstructive pulmonary disease patients with a hospital discharge coordinator at the University Clinic Golnik. Methods: The anonymous survey was carried out with a structured questionnaire which was sent via conventional postal delivery services to 107 patients who had been hospitalised due to chronic obstructive pulmonary disease exacerbation between 2 November 2009 and 6 December 2011 and managed by a discharge coordinator. 60 patients returned the questionnaire. The data collected were analysed with descriptive statistics, factor analysis, the linear regression model and multiple linear regression. Results: Factor analysis shows that the general influence of three factors (communication, disease self-management and experiencing disease or symptoms) can explain 84.02 % of patient satisfaction with a hospital discharge coordinator. Satisfaction is primarily influenced by communication, followed by experiencing disease or symptoms. Discussion and conclusion: The patients are satisfied with the activities of the discharge coordinator, as confirmed by other authors. According to the research results, a discharge coordinator should be included in the hospital treatment of chronic obstructive pulmonary disease patients. The assessment of patient satisfaction is a useful quality indicator, as it shows opportunities for improving our work from the patients' perspective.

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Author Biographies

Saša Kadivec, University Clinic of Respiratory and Allergic Diseases Golnik, Golnik 36, 4204 Golnik, Slovenia

viš. pred. dr. Saša Kadivec, viš. med. ses., prof. zdr. vzg.

Mitja Lainščak, University Clinic of Respiratory and Allergic Diseases Golnik, Golnik 36, 4204 Golnik, Slovenia

izr. prof. dr. Mitja Lainščak, dr. med., specialist interne medicine in kardiologije z vaskularno medicino

Mitja Košnik, University Clinic of Respiratory and Allergic Diseases Golnik, Golnik 36, 4204 Golnik, Slovenia

prof. dr. Mitja Košnik, dr. med., specialist interne medicine in pnevmologije

Jerneja Farkaš-Lainščak, University Clinic of Respiratory and Allergic Diseases Golnik, Golnik 36, 4204 Golnik, Slovenia

doc. dr. Jerneja Farkaš-Lainščak, dr. med., specialistka javnega zdravja

References

Abad-Corpa, E., Carillo-Alcaras, A., Royo-Morales, T., Perez-Garcia, M., Rodriguez Mondejar, JJ., Saez-Soto, AR., et al., 2010. Effectiveness of planning hospital discharge and follow up in primary care for patients with chronic obstructive pulmonary diseases: research protocol. Journal of Advanced Nursing, 66(6), pp. 1365–1370. http://dx.doi.org/10.1111/j.1365-2648.2010.05284.x

PMid:20546366

Abad-Corpa, E., Royo-Morales, T., Iniesta-Sanchez, J., Carrillo-Alcaraz, A., Rodriguez Mondejar, J.J., Saez-Soto, A.R., et al., 2013. Evaluation of the effectiveness of hospital discharge planning and follow-up in the primary care of patients with chronic obstructive pulmonary diseases. Journal of Clinical Nursing, 22(5/6), pp. 669–680. http://dx.doi.org/10.1111/j.1365-2702.2012.04155.x

PMid:22830974

Blue, L., Lang, E., McMurray, J.J., Davie, A.P., McDonagh, T.A., Murdoch, D.R., et al. 2001. Randomised controlled trial of specialist nurse intervention in heart failure. The British Medical Journal, 323(7315), pp. 715–718.

PMid:11576977; PMCid:PMC56888

Chetty, M., MacKenzie, M., Douglas, G. & Currie, G., 2006. Immediate and early discharge for patients with exacerbations of chronic obstructive pulmonary diseases: is there a role in „real life”. International Journal of Chronic Obstructive Pulmonary Disease, 1(4), pp. 401–407. http://dx.doi.org/10.2147/copd.2006.1.4.401

PMid:18044096; PMCid:PMC2707805

Clarke, A., Sohanpal, R., Wilson, G. & Taylor, S., 2010. Patients' perceptions of early supported discharge for chronic obstructive pulmonary diseases: a qualitative study. Quality & Safety in Health Care, 19(2), pp. 95–98. http://dx.doi.org/10.1136/qshc.2007.025668 PMid:20142405

Farkaš, J., Kadivec, S., Košnik, M. & Lainščak, M., 2011. Effectiveness of discharge-coordinator intervention in patients with chronic obstructive pulmonary disease: study protocol of a randomized controlled clinical trial. Respiratory Medicine, 105 (Suppl 1), pp. S26-S30. http://dx.doi.org/10.1016/S0954-6111(11)70007-5

Ferligoj, A., Leskošek, K. & Kogovšek, T., 1995. Zanesljivost in veljavnost merjenja. Ljubljana: Fakulteta za družbene vede, pp. 39–59.

Forster, A.J., Clark, H.D., Menard, A., Dupuis, N., Chernish, R., Chandok, N., et al. 2005. Effect of a nurse team coordinator on outcomes for hospitalized medicine patients. The American Journal of Medicine, 118(10), pp. 1148–1153. http://dx.doi.org/10.1016/j.amjmed.2005.04.019

PMid:16194647

Gorenak, I. & Goričan, A., 2011. Zadovoljstvo bolnikov v primarnem zdravstvu – primer Zdravstvenega doma Šmarje pri Jelšah. Zdravstveno varstvo, 50(3), pp. 175–184.

Guttman, A., Afilalo, M., Guttman, R., Colacone, A., Robitaille, C., Lang, E., et al., 2004. An emergency department-based nurse discharge coordinator for elder patients: does it make a difference? Academic Emergency Medicine, 11(12), pp. 1318–1327. Erratum in: Academic Emergency Medicine 2005; 12(1), p. 12. http://dx.doi.org/10.1197/j.aem.2004.07.006 PMid:15576523

Hainsworth, T., 2005. The national service framework for long-term conditions. Nursing Times, 101(13), pp. 24–25. Available at: http://www.nursingtimes.net/Journals/2013/03/15/f/x/v/050329The-national-service-framework-for-long-term-conditions.pdf [11. 5. 2015]. PMid:15819490

Kadivec, S. & Peternelj, A,. 2008. Koordinator odpusta. Utrip, 16(7-8), p. 13.

Kakšno je vaše mnenje o vašem zdravniku družinske – splošne medicine in vaši splošni ambulanti?: EUROPEP vprašalnik. Available at: http://www.mf.uni-lj.si/dokumenti/093fc4e23b7624ef3e8c1b671f126b01.pdf. [11. 9. 2015]

Kersnik, J., 2003. Bolnik v slovenskem zdravstvu: monografija o zadovoljstvu bolnikov in organizaciji pritožnega sistema. Ljubljana: Združenje zdravnikov družinske medicine SZD, pp. 15–22.

Kersnik, J. & Gantar Žura, L., 2006. Merjenje zadovoljstva bolnikov z ambulanto nujne medicinske pomoči. Zdravstveno varstvo, 45(1), pp. 37–44.

Lainščak, M., Kadivec, S., Košnik, M., Benedik, B., Bratkovič, M., Jakhel, T., et al., 2013. Discharge coordinator intervention prevents hospitalizations in patients with COPD: a randomized controlled trial. Journal of the American Medical Directors Association, 14(6), pp. 450.e1-450.e6. http://dx.doi.org/10.1016/j.jamda.2013.03.003

PMid:23623520

Lawlor, M., Kealy, S., Agnew, M., Korn, B., Quinn, J., Cassidy, C., et al., 2009. Early discharge care with ongoing follow-up support may reduce hospital readmissions in COPD. International Journal of Chronic Obstructive Pulmonary Disease, 4, pp. 55–60. PMid:19436695; PMCid:PMC2672799

Peternelj, A., 2005. Novi pristopi v organizaciji celostne obravnave bolnika – integriran oskrba. In: Kadivec, S., ed. Program za medicinske sestre in zdravstvene tehnike: zbornik predavanj: 4. golniški simpozij, Golnik, Brdo pri Kranju 14.–15. Oktober, 2005. Golnik: Bolnišnica Golnik, pp. 83–89.

Preen, D.B., Bailey, B.E., Wright, A., Kendall, P., Phillips, M., Hung, J., et al., 2005. Effects of a multidisciplinary, post-discharge continuance of care intervention on quality of life, discharge satisfaction, and hospital length of stay: a randomized controlled trial. International Journal for Quality in Health Care; 17(1), pp. 43–51. http://dx.doi.org/10.1093/intqhc/mzi002 PMid:15668310

Short form Patient Satisfaction Questionnaire (PSQ-18). Available at: http://www.rand.org/health/surveys_tools/psq.html [7. 3. 2012].

Sindhu, S., Pholpet, C. & Puttapitukpol, S., 2010. Meeting the challenges of chronic illness: a nurse-led collaborative community care program in Thailand. Collegian, 17(2), pp. 93–99. http://dx.doi.org/10.1016/j.colegn.2010.05.003

PMid:20738062

Skela-Savič, B., 2002. Zadovoljstvo bolnikov – kazalec kakovosti v zdravstvu. In: Vukovič, G., ed. Management in Evropska unija: zbornik konference z mednarodno udeležbo: 21. znanstvena konferenca o razvoju organizacijskih ved, Portorož, 27.-29. marec 2002. Kranj: Moderna organizacija, pp. 1449–1455.

Šarc, I., Jerič, T., Ziherl, K., Šuškovič, S., Košnik, M., Anker, S., et al., 2011. Adherence to treatment guidelines and long term survival in hospitalized patients with chronic obstructive pulmonary diseases. Journal of Evaluation in Clinical Practice, 17(4), pp.737–743. http://dx.doi.org/10.1111/j.1365-2753.2010.01617.x

PMid:21223458

Utens, C.M., Goossens, L.M., Smeenk, F.W., van Schayck, O.C., van Litsenburg, W., Janssen, A., et al., 2010. Effectiveness and cost-effectiveness of early assisted discharge for chronic obstructive pulmonary disease exacerbations: the design of a randomized controlled trial. BioMed Central Public Health, 10, p. 618. http://dx.doi.org/10.1186/1471-2458-10-618 PMid:20955582; PMCid:PMC2965725

Walker, C., Hogstel, M.O. & Curry, L.C., 2007. Hospital discharge of older adults. How nurses can ease the transition. The American Journal of Nursing, 107(6), pp. 60–70. http://dx.doi.org/10.1097/01.NAJ.0000271853.38215.20 PMid:17519609

Ward, S., Barnes, H. &Ward, R., 2005. Evaluating a respiratory intermediate care team. Nursing Standard, 20(5), pp. 46–50.

Wong, F.K., Chow, S., Chung, L., Chang, K., Chan, T., Lee, W.M., et al., 2008. Can home visits help reduce hospital readmissions? Randomized controlled trial. Journal of Advanced Nursing, 62(5), pp. 585–595. http://dx.doi.org/10.1111/j.1365-2648.2008.04631.x PMid:18489451

Published

2015-09-25

How to Cite

Kadivec, S., Lainščak, M., Košnik, M., & Farkaš-Lainščak, J. (2015). Satisfaction of chronic obstructive pulmonary disease patients with discharge coordinator management. Slovenian Nursing Review, 49(3). https://doi.org/10.14528/snr.2015.49.3.54

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Original scientific article