Patient and Caregiver Experience of Hospital Discharge from an Acute Medicine Unit via the Discharge Lounge: A Qualitative Case Study

Patient and Caregiver Experience of Hospital Discharge from an Acute Medicine Unit via the Discharge Lounge: A Qualitative Case Study

Discharge lounges enable the swift movement of patients imminently awaiting hospital discharge, to free beds without delay. This Qualitative Yin-Style Case Study describes the patient and caregivers experience of transition from an Acute Medicine Unit (AMU) to a discharge lounge and staff perspectives, as organisers of this process. Audiorecorded, interviews and focus groups were undertaken. Data were analysed using Framework Analysis. Lack of patientcenteredness in moving patients to the discharge lounge emerged with three themes: ‘moving the problem’; ‘being moved’ and ‘feeling removed’. Patients were transferred at accelerated speed. Communications between staff, patients and carers were abruptly curtailed. Patient transfer from AMU to a discharge lounge is a transitional stage in the acute discharge process and must be adequately communicated.

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References

  1. Connolly M, Grimshaw J, Dodd M, et al. Systems and people under pressure: the discharge process in an acute hospital. J Clin Nurs 2009; 18: 549-558.
  2. Jarhult F, Nilsen P. On the threshold: older people’s concerns about needs after discharge from hospital. Scand J Caring Sci 2016; 30: 135 -144.
  3. Foss C, Hofoss D. Elderly persons’ experiences of participation in the hospital discharge process. Patient Education and Counselling 2011; 85: 68-73.
  4. Goodrich J, Cornwell J. (2008) Seeing the person in the patient: the Point of Care Review paper. The Kings Fund 2008; Kings Fund, London.
  5. Hagerty T, Clemente M. Sachdeva, A. Discharge lounge that works: pathway for implementation. 2010; Capital Marketing services. www.capitalmarketingservies.com
  6. Hernandez N, Dinesh J, Mitchell J. A reimagined discharge lounge as a way to an efficient discharge process. BMJ 2014; Doi:10.1136/204930.
  7. Healthwatch England. Hospital Discharge Enter and View Report. 2017 Queen Elizabeth Hospital, Healthwatch Greenwich, London. www.healthwatchgreenwich.co.uk [last accessed 14th October 2019]
  8. Corrigan O. Insights into hospital discharge: a study of patient carer and staff experience at Broomfield Hospital. 2016; Healthwatch Essex, RCCE House, Threshelfords Business Park, Inworth Road, Feering, Essex CO5 9SE. http://www.healthwatchessex.org.uk/wp-content/uploads/2016/06/Insights-into-Hospital-Dischargeat-Broomfield-Hospital-Full-Report.pdf [last accessed 14th October 2019]
  9. Department of Health. Discharge from hospital: pathway, process and practice, Health and Social Care Joint Unit and Change Agents Team. 2003; Department of Health, London. http://www.wales.nhs.uk/sitesplus/documents/829/DoH%20-%20Discharge%20Pathway%202003.PDF [last accessed 14th October 2019]
  10. Zimmerman P. Cutting edge: discussions of management, policy and program issues in emergency care. J Emerg Nursi 2002; 28: 4: 338-346
  11. Shim S, Kumar A, Jiao R. Using a Radiofrequency Identification System for Improving the Patient Discharge Process: A Simulation Study. J Med Practice Man 2016; 31: 6 383-387.
  12. Yin RK. Case study research: Design and methods (3rd Ed.).2003; Thousand Oaks, CA: Sage.
  13. Meleis AI, Sawyer LM et al. Experiencing transitions: an emerging middle range theory theory. Adv Nurs Sci 2000; 23: 1: 12-28.
  14. Creswell J, Plano-Clark V. Designing and conducting Mixed Methods Research 2011; 2nd Edition SAGE publications, USA.
  15. Ritchie J, Lewis J. Qualitative Research Practice: A guide for Social Scientists and Researchers 2003; Routledge, London.
  16. NVivo Qualitative data analysis Software; QSR International Pty Ltd. Version 11.2; 2015.
  17. Macmillan, T. Hospital discharge: lost opportunities to promote or maintain older people’ mental health. Qual in Ageing and Older Adults 2016; 17: 3: 189-197 DOI 10.1108/QAOA-06-2015-0029
  18. Boyle A. et al Emergency Department Crowding: Time for interventions and Policy Evaluations, Emerg Med International, DOI: 10.1155/2012/838610.
  19. McBryde-Foster M, Allen, T. The continuum of care: a concept development study. J Adv Nurs 2005; 50: 6: 624-632.
  20. NHS England (2017a) A&E attendances and Emergency Admissions: operational information for commissioning, NHS England, Quarry House Leeds.
  21. Royal College of Physicians: Acute medical care: the right persons in the right setting, first time Report of the Acute Medicine Task Force 2007; Royal College of Physicians, London.
  22. National Institute for Health and Care Excellence: Transition between inpatient hospital settings and community or care home settings for adults with social care needs, 2015; NG: 27 ISBN 978-1-4731-1545-3, NICE. London.

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Patient and Caregiver Experience of Hospital Discharge from an Acute Medicine Unit via the Discharge Lounge: A Qualitative Case Study

28th March 2020
PMID: 32226954
Authors Affiliations
Liz Lees-Deutsch Acute Medicine Unit, Heartlands Hospital, University Hospitals Birmingham, West Midlands, UK Institute of Clinical Sciences, The University of Birmingham, Birmingham, West Midlands, UK
Brogan Gough Biomedical Sciences Trainee physiologist in neurophysiology St Woolos Hospital, 131 Stow Hill, Newport, NP20 4SZ
Janelle Yorke Professor of Nursing University of Manchester, Division of Nursing, Midwifery and Social Work, School of Health Sciences, Oxford Road, Manchester
Ann-Louise Caress Professor of Nursing Room RG 24 Ramsden Building, School of Human and Health Sciences, The University of Huddersfield, Queensgate, Huddersfield, HD1 3DH

Patient and Caregiver Experience of Hospital Discharge from an Acute Medicine Unit via the Discharge Lounge: A Qualitative Case Study

Cite this article as:

Lees-Deutsch L, Gough B, Yorke J, Caress AL. Patient and Caregiver Experience of Hospital Discharge from an Acute Medicine Unit via the Discharge Lounge: A Qualitative Case Study. Acute Med. 2020;19(1):26-33. PMID: 32226954.

Patient and Caregiver Experience of Hospital Discharge from an Acute Medicine Unit via the Discharge Lounge: A Qualitative Case Study

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