Patient and family experiences of same day discharge following percutaneous coronary intervention

Yingyan Chen; Frances Lin; Andrea Marshall

doi:10.1016/j.hlc.2019.06.022

Background: Evaluating patient and family experiences of care received is increasingly important in healthcare. Despite same day discharge (SDD) following percutaneous coronary intervention (PCI) being a safe option and acceptable to patients and families, their experiences have not been well examined. Objectives: The aim of this study was to explore patient and family experiences during SDD process. Methods: This mixed-methods interpretative study was undertaken in the cardiac service of an Australian tertiary hospital. Semi-structured phone interviews with 31 patients and 23 families were conducted. Binary responses were coded and quantified in numbers (percentages). Content analysis was used to analyse the qualitative data. Results: Thirty-one patients who were initially eligible for SDD before the procedure participated in the study, of whom, 17 went home the same day. Approximately 50% patients and families were informed of the possibility of SDD. Two-thirds of patients received discharge instructions while most families did not. Content analysis revealed that most patients and families regarded SDD as a preferred option because of being more comfortable at home and more convenient. Several SDD patients and families expressed uncertainty towards SDD as feeling nervous and apprehensive. Only those patients who were initially eligible for SDD but subsequently required overnight admission following PCI and their families related negative experiences of SDD due to the fear of complications. Conclusion: Most patients and families perceived SDD as a good option. The identified experiences provide guidance for healthcare providers in developing strategies to promote positive hospital experiences of SDD for patients and families.

Patient and family experiences of same day discharge following percutaneous coronary intervention

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