Introduction
The issues of transferring care from hospitals to nursing are very important because they allow for a continuum of quality care for patients. In order for the health care system to work more effectively in this direction, the approach to formal processes must change. Accuracy and timeliness in obtaining patient discharge information, consistency in prescribing medications, and literacy and consistency in treatment plans are needed. All of these factors together will allow for better medical follow-up of patients at different stages of treatment and will make the transit process easier (Davidson et al., 2017). The data about the patient’s condition, recorded in the medical institution, should be transmitted to the nursing staff in due time. The strategy allows a timely decision to change the type of therapy or discharge from the hospital. These changes will help reduce the percentage of people needing hospitalization.
Discussion
For strategies to improve the patient experience to be successful, the role of a good leader is crucial. The latter must provide appropriate oversight of the literacy, timeliness, and accuracy of the actions taken by medical staff. Working with medical data can be reorganized by a good leader who is able to analyze the current situation and identify organizational shortcomings. The main task of the leader comes down to the analysis of practices and statistics, as well as competent forecasting. This study allows us to trace how a leader, based on evidence-based practice can successfully overcome any difficulties in medical care. The information obtained from the article reveals issues of interaction between the manager and the staff, as well as organizational factors that influence the number of hospitalized patients.
This article examines the main issues related to the transit of patients from hospitals to their homes. The authors studied the specifics of working with elderly patients with heart disease. One of the key issues in hospital transitions home is the need for people to change their lifestyles after therapy (Suksatan & Tankumpuan, 2021). It is important for patients to reconsider their attitudes toward diet, daily routines, and activities (Davidson et al., 2017). Moreover, older adults will need to self-medicate and self-diagnose as recommended by doctors.
In order for patients to be successful after discharge from the hospital, the authors suggest developing a treatment plan that includes goals, objectives, and recommendations for treatment at home. Working with such a program can be effective if patient education about medications and self-examination is implemented. Patients need to understand what medications to use to prevent certain conditions and reduce symptoms. For the elderly, it is important to know the consequences of not following lifestyle restrictions (Suksatan & Tankumpuan, 2021). From the point of view of the medical staff, screening for factors that increase the risk of rehospitalization should be included. This procedure should be done before the patient is discharged home. The transition of patients will be successful if work is done within medical institutions to improve the skills of nurses to work at home.
Conclusion
This paper allows us to see the general situation of nursing care outside of the hospital by looking at the problems of transit applied to a limited category of patients. The authors uncovered the main difficulties that affect the frequency of rehospitalization. Emphasis was placed on the importance of patient education as well as improving the quality of the nursing staff. The latter plays an important role in the success of transitional care. The findings of the study draw attention to the importance of nurses’ actions at different stages of the continuum of care.
References
Davidson, G. H., Austin, E., Thornblade, L., Simpson, L., Ong, T. D., Pan, H., & Flum, D. R. (2017). Improving transitions of care across the spectrum of healthcare delivery: A multidisciplinary approach to understanding variability in outcomes across hospitals and skilled nursing facilities. The American Journal of Surgery, 213(5), 910–914. Web.
Suksatan, W., & Tankumpuan, T. (2021). The Effectiveness of Transition Care Interventions from Hospital to Home on Rehospitalization in Older Patients with Heart Failure: An Integrative Review. Home Health Care Management & Practice, 34(1), 63–71. Web.