Use of a quality improvement strategy to introduce co‐design of the mental health discharge plan in rural and remote New South Wales.
Problem: Patients have not traditionally partnered in the design of their discharge plans, with discharge summaries at times not completed. In rural settings, discharge planning communicates care to a complex geographic area with fragmented resources. Patients may also be socially disadvantaged, wit...
| Publicado en: | Australian Journal of Rural Health Vol. 29; no. 4; pp. 596 - 601 |
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| Autores principales: | , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
Aug2021
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=152038147&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 152038147 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10385282 FQO jtl: Australian Journal of Rural Health issn: 10385282 maglogo: Y pubinfo: dt: Aug2021 vid: 29 iid: 4 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 152038147 150781605 152038147 152038147 10.1111/ajr.12738 152038147 ppf: 596 ppct: 5 formats: fmt: @attributes: type: P tig: atl: Use of a quality improvement strategy to introduce co‐design of the mental health discharge plan in rural and remote New South Wales. aug: au: Kealy‐Bateman, Warren Ouliaris, Calina Viglione, Luke Wetton, Rebecca Bullen, Patricia affil: Western NSW Local Health District, Dubbo NSW,, Australia sug: subj: Rural Health New South Wales Psychiatric Units Discharge Planning Methods Patient Discharge Summaries Quality Improvement Methods Human New South Wales Health Care Delivery, Integrated Rural Areas Audit Socioeconomic Factors Attitude of Health Personnel Inpatients Geographic Factors Psychiatric Care Family Centered Care Administrative Personnel Mental Health Program Planning Multidisciplinary Care Team Patient Compliance Health Services Accessibility Qualitative Studies ab: Problem: Patients have not traditionally partnered in the design of their discharge plans, with discharge summaries at times not completed. In rural settings, discharge planning communicates care to a complex geographic area with fragmented resources. Patients may also be socially disadvantaged, with relatives and friends sometimes excluded. Design: Situational analysis and liaison with key partners occurred in the months prior to the core project. Opportunities for improvement were noted. An audit of all discharges in May 2020 was planned to assess rates of discharge completion, co‐design and inclusion of next of kin. Qualitative feedback was also noted from staff. Setting: Dubbo inpatient mental health units (Gundaymarra and Barraminya). Key measures for improvement: Rates of discharge summary completion, co‐design of discharge plan, engagement of next of kin. Qualitative measures included reflections of clinical staff involved. Strategy for change: Junior doctors were key in facilitating each patient to co‐design their discharge plan and collaborate with all biological and psychosocial treatments and providers in a forum for open discussion. The inclusion of nominated next of kin was core. Effects of change: Discharge summary completion rates were high; co‐design of discharge plans occurred frequently; and next of kin were involved with few exceptions. The adoption of the person as expert in modifying their plan became a norm. Medical staff wanted this care frame for each person. Lessons learnt: Engaging patients and their next of kin directly in their discharge planning improves care opportunities in a rural setting, as well as understanding for all parties. This approach also prioritises the process of discharge completion. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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