Methodology for the implementation of the “hospital discharge plan” for people with chronic disease in Colombia

  • Gloria Mabel Carrillo González UNAL
  • Beatriz Sánchez Herrera UNAL
  • Olga Janeth Gómez
  • Sonia Patricia Carreño UNAL
  • Lorena Chaparro Díaz UNAL
Keywords: Patient Discharge, Chronic Illness, Home Health Nursing, Self-Care, Caregivers

Abstract

Objective: Design and validate a methodology for the implementation of the “hospital Discharge Plan” as a support mechanism in the health care for patients with chronic disease (CD) and their family caregivers (CF) in Colombia.

Methodology: Descriptive study that is part of the Program for the Reduction of the disease burden in Colombia. For its development, it included the following steps: 1) Consolidation of a guideline. 2) Validation of the “Hospital Discharge Plan” implementation process. 3) Test pilot implementation the “Hospital Discharge Plan”

Results: Based on the state of the art a careful definition of steps required to develop a “Hospital Discharge Plan” are addressed. The core issue is the caring competence of the patient and his /her family caregiver in order to assure continuous and safe care when leaving the institution.

Conclusions: The methodology used to develop the “Hospital Discharge Plan” for people with chronic disease in Colombia that was developed and validated in this study provides conceptual and procedural elements to implement and systematize a discharge program based on the strengthening of the caring competence of the people with CD and their family caregivers. This methodology is a tool to help reduce the burden of care of people with CD in Colombia.

Author Biographies

Gloria Mabel Carrillo González, UNAL

 Docente asociada universidad nacional de colombia. Gmcarrillog@unal.edu.co

Beatriz Sánchez Herrera, UNAL

Docente titular (p) universidad nacional de colombia. Cbsanchezh@unal.edu.co

Olga Janeth Gómez

Docente asociada universidad nacional de colombia. Ojgomezr@unal.edu.co

Sonia Patricia Carreño, UNAL

Docente auxiliar universidad nacional de colombia. Spcarrenom@unal.edu.co

Lorena Chaparro Díaz, UNAL

Docente asociada universidad nacional de colombia. Olchaparrod@unal.edu.co

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Author Biographies

Gloria Mabel Carrillo González, UNAL

 Docente asociada universidad nacional de colombia. Gmcarrillog@unal.edu.co

Beatriz Sánchez Herrera, UNAL

Docente titular (p) universidad nacional de colombia. Cbsanchezh@unal.edu.co

Olga Janeth Gómez

Docente asociada universidad nacional de colombia. Ojgomezr@unal.edu.co

Sonia Patricia Carreño, UNAL

Docente auxiliar universidad nacional de colombia. Spcarrenom@unal.edu.co

Lorena Chaparro Díaz, UNAL

Docente asociada universidad nacional de colombia. Olchaparrod@unal.edu.co

References

OMS. Informe sobre la situación mundial de las enfermedades no trasmisibles 2014 [Dec 13 2014]. Available from: http://apps.who.int/iris/bitstream/10665/149296/1/WHO_NMH_NVI_15.1_spa.pdf?ua=1.

Agudelo CA, de la Hoz F, Mojica MJ, Eslava JC, Robledo R, Cifuentes P, et al. Prioridades de investigación en salud en Colombia: perspectiva de los investigadores. Revista de salud pública. 2009;11(2):301-9. https://doi.org/10.1590/S0124-00642009000200014

Hyman RB, Corbin JM. Chronic illness: Research and theory for nursing practice: Springer Publishing Company; 2001.

Barrera L, Pinto N, Sánchez B. Hacia la construcción de un modelo de cuidado de cuidadores de personas con enfermedad crónica. Actualizaciones en Enfermería. 2008;11(2):22-8.

Guzmán FJB, Fermán IAT, Nava FV, Gómez CB, Ochoa DL, Torres AAB, et al. Calidad de vida en cuidadores de enfermos asmáticos: un estudio comparativo. Psicología y Salud. 2013;18(2):181-7.

Sánchez-Herrera B, Carrillo-González GM, Barrera-Ortiz L, Chaparro-Díaz L. Carga del cuidado de la enfermedad crónica no transmisible. Aquichan. 2013;13(2):247-60.

Organización Mundial de la Salud. Cuidados innovadores para las condiciones crónicas. 2013. Disponible en: http://www2.paho.org/hq/index.php?option=com_docman&task=doc_view&gid=22257+&Itemid=270&lang=es

Barrera L, Carrillo G, Chaparro L, Sánchez B. Modelo para abordar la carga del cuidado de la enfermedad crónica en Colombia. Orinoquía. 2015; 19(1): 89-99 https://doi.org/10.22579/20112629.342

Ministerio de Salud. Resolución 008430 de 1993 Por la cual se establecen las normas científicas, técnicas y administrativas para la investigación en salud. Ministerio de salud [internet]. 1993[citado 2 Feb 2014]. Disponible en: http://www.unisabana.edu.co/fileadmin/Documentos/Investigacion/comite_de_etica/Res__8430_1993_-_Salud.pdf

Sánchez B, Carrillo GM, Barrera L. El plan de transición y egreso hospitalario y su efecto en el cuidado de la salud: una revisión integrada. Rev. U.D.C.A. Act. Div.Cient. 2014; 17(1): 13-23

Fehring R. Methods to validate nursing diagnosis. Heart Lung.1987;16(6):625-629.

Carrillo G, Sánchez B. Vargas E. Desarrollo y pruebas psicométricas del instrumento CUIDAR- versión corta para medir la competencia de cuidado en el hogar. Rev Unv Ind Santander Salud. 2016: 48(2):222-231

Carrillo G, Sánchez B, Arias M. Validación de un instrumento para la evaluación de la competencia de cuidado en el hogar del cuidador familiar de una persona con enfermedad crónica. Invest Educ Enferm. 2015; 33(3): 449-455

Thompson L, Walker AJ. The dyad as the unit of analysis: Conceptual and methodological issues. Journal of Marriage and the Family. 1982:889-900. https://doi.org/10.2307/351453

Chaparro L. Cómo se constituye el "vínculo especial" de cuidado entre la persona con enfermedad crónica y el cuidador familiar. Aquichan. 2011;11(1):7-22. https://doi.org/10.5294/aqui.2011.11.1.1

Lin F, Chaboyer W, Wallis M. A literature review of organisational, individual and teamwork factors contributing to the ICU discharge process. Australian Critical Care. 2009;22(1):29-43. https://doi.org/10.1016/j.aucc.2008.11.001

Chen J, Ross JS, Carlson MD, Lin Z, Normand S-LT, Bernheim SM, et al. Skilled nursing facility referral and hospital readmission rates after heart failure or myocardial infarction. The American journal of medicine. 2012;125(1):100. e1-. e9.

Han C-Y, Barnard A, Chapman H. Discharge planning in the emergency department: a comprehensive approach. Journal of Emergency Nursing. 2009;35(6):525-7. https://doi.org/10.1016/j.jen.2009.01.015

Rhudy LM, Holland DE, Bowles KH. Illuminating hospital discharge planning: staff nurse decision making. Applied Nursing Research. 2010;23(4):198-206. https://doi.org/10.1016/j.apnr.2008.12.003

Hanratty B, Holmes L, Lowson E, Grande G, Addington-Hall J, Payne S, et al. Older adults' experiences of transitions between care settings at the end of life in England: a qualitative interview study. Journal of pain and symptom management. 2012;44(1):74-83. https://doi.org/10.1016/j.jpainsymman.2011.08.006

Han C-Y, Chang C-Y, Lee H-L. Another compulsory clinical competence for emergency nurses—Implementing effective discharge planning. Australasian Emergency Nursing Journal. 2009;12(4):178. https://doi.org/10.1016/j.aenj.2009.08.081

Kenner C, Boykova M. Transition to home: family perspectives on care in Russia. Newborn and Infant Nursing Reviews. 2007;7(1):20-4. https://doi.org/10.1053/j.nainr.2007.01.001

Senarat U, Gunawardena NS. Development of an instrument to measure patient perception of the quality of nursing care and related hospital services at the National Hospital of Sri Lanka. Asian nursing research. 2011;5(2):71-80. https://doi.org/10.1016/S1976-1317(11)60015-7

Bobay KL, Jerofke TA, Weiss ME, Yakusheva O. Age-related differences in perception of quality of discharge teaching and readiness for hospital discharge. Geriatric Nursing. 2010;31(3):178-87. https://doi.org/10.1016/j.gerinurse.2010.03.005

Hadjistavropoulos HD, Garratt S, Janzen JA, Bourgault-Fagnou MD, Spice K. Development and evaluation of a Continuity of Care Checklist for improving orthopaedic patient discharge from hospital. Journal of Orthopaedic Nursing. 2009;13(4):183-93. https://doi.org/10.1016/j.joon.2009.05.006

Lowson E, Hanratty B, Holmes L, Addington-Hall J, Grande G, Payne S, et al. From 'conductor'to 'second fiddle': Older adult care recipients' perspectives on transitions in family caring at hospital admission. International journal of nursing studies. 2013;50(9):1197-205. https://doi.org/10.1016/j.ijnurstu.2012.02.005

Betz CL. Health care transition for adolescents with special healthcare needs: Where is nursing? Nursing outlook. 2013;61(5):258-65. https://doi.org/10.1016/j.outlook.2012.08.009

McBride M, Andrews GJ. The transition from acute care to home: a review of issues in discharge teaching and a framework for better practice. Canadian journal of cardiovascular nursing= Journal canadien en soins infirmiers cardio-vasculaires. 2012;23(3):18-24. https://doi.org/10.1016/j.cjca.2012.07.798

Thraen I, Bair B, Mullin S, Weir CR. Characterizing "information transfer" by using a Joint Cognitive Systems model to improve continuity of care in the aged. International journal of medical informatics. 2012;81(7):435-41. https://doi.org/10.1016/j.ijmedinf.2011.11.006

Ben-Morderchai B, Herman A, Kerzman H, Irony A. Structured discharge education improves early outcome in orthopedic patients. International Journal of Orthopaedic and Trauma Nursing. 2010;14(2):66-74. https://doi.org/10.1016/j.joon.2009.02.001

Koelling TM, Johnson ML, Cody RJ, Aaronson KD. Discharge education improves clinical outcomes in patients with chronic heart failure. Circulation. 2005;111(2):179-85. https://doi.org/10.1161/01.CIR.0000151811.53450.B8

Coltell O. Servicio Web como soporte de Investigación de las redes de Investigación en Biomédica. La Información de la Salud: Punto de encuentro Disciplinas Sanitarias. 2003.

Struk C, Moss J. Focus on technology: What can you do to move the vision forward? Computers Informatics Nursing. 2009;27(3):192-4. https://doi.org/10.1097/NCN.0b013e3181a5568e

Hilbert MR, Bustos S, Ferraz JC. Estrategias nacionales para la sociedad de la información en América Latina y el Caribe. 2005.

How to Cite
Carrillo González, G. M., Sánchez Herrera, B., Gómez, O. J., Carreño, S. P., & Chaparro Díaz, L. (2017). Methodology for the implementation of the “hospital discharge plan” for people with chronic disease in Colombia. Revista Med, 25(2), 55–62. https://doi.org/10.18359/rmed.3079
Published
2017-09-25
Section
Articles

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