Nurses' experience in providing discharge preparation services for elderly patients with multiple chronic diseases: a qualitative study
10.3760/cma.j.cn115682-20240424-02294
- VernacularTitle:护士开展老年多重慢病患者出院准备服务体验的质性研究
- Author:
Yan LIU
1
;
Hairong WANG
;
Mei ZHOU
;
Wei YU
;
Xiuchun CHEN
;
Fanghui LIAO
;
Ping YANG
;
Yadan MO
Author Information
1. 桂林医学院附属医院护理部,桂林 541001
- Publication Type:Journal Article
- Keywords:
Aged;
Chronic disease;
Discharge planning;
Discharge preparation services;
Social ecological system theory;
Qualitative research
- From:
Chinese Journal of Modern Nursing
2025;31(9):1147-1153
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To understand nurses' experiences providing discharge preparation services for elderly patients with multiple chronic diseases and offer references for developing intervention strategies for discharge preparation services for these patients.Methods:A purposive sampling method was used to select 24 nurses from the cardiovascular departments, geriatrics wards, and other internal medicine departments of three Grade A tertiary hospitals, four Grade B hospitals, and one community health service center in Guilin City between March and April 2024. An interview outline was developed based on the social-ecological system theory, and semi-structured interviews were conducted to collect data. A directed content analysis method was used to analyze the data.Results:A total of three themes were identified: micro-level (nurses have a positive attitude but face shortcomings in age-appropriate discharge preparation services), meso-level (team collaboration mechanisms are weak), and macro-level (there is a desire to link social resources) .Conclusions:Nurses' discharge preparation services for elderly patients with multiple chronic diseases are inadequate. It is recommended to enhance nurses' discharge preparation skills through core competency-based training, improve the development of innovative healthcare platforms, and promote establishing of a multi-dimensional social care support system to improve the quality of discharge preparation services for elderly patients with multiple chronic diseases.