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Patient and family perceptions and experiences of same-day discharge following percutaneous coronary intervention and those kept overnight
Journal article   Peer reviewed

Patient and family perceptions and experiences of same-day discharge following percutaneous coronary intervention and those kept overnight

Yingyan Chen, Frances Fengzhi Lin and Andrea P Marshall
Intensive & Critical Care Nursing, Vol.62, 102947
02/2021
DOI: https://doi.org/10.1016/j.iccn.2020.102947
PMID: 33168386
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Patient and family perceptions and experiences of same-day discharge following percutaneous coronary intervention and those kept overnightView
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Abstract

Patient discharge Perception Percutaneous coronary intervention Same-day discharge Experiences
To explore perceptions and experiences of patients discharged the same day (or not) and their family members towards same-day discharge following percutaneous coronary intervention. A qualitative interpretative design. Semi-structured phone interviews were conducted with consented patients who underwent percutaneous coronary intervention, and their family members (n = 23). Data were analysed using a content analysis approach. This study was undertaken in the cardiac services department of an Australian tertiary hospital. Perceptions and experiences of same-day discharge. A total of 31 patients and 23 family members were interviewed. Two categories emerged from the analysis: communication challenges with hospital staff and perceptions of same-day discharge. Family members were often not provided discharge instructions, and some same-day discharged patients felt vulnerable following discharge. When asked, most participants perceived same-day discharge as a preferred option because of its comfort and convenience. Some expressed uncertainty towards same-day discharge due to feeling anxious and apprehensive. Others misperceived same-day discharge as a signal that their heart problem was fixed without realising their underlying chronic health conditions. Most patients and family members perceived same-day discharge as a preferred option. However, strategies are needed to support their transition from hospital to home, therefore, recognising and improving their long-term disease management.

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