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Accuracy and continuity in discharge information for patients with eating difficulties after stroke
Author(s) -
Carlsson Eva,
Ehnfors Margareta,
Eldh Ann Catrine,
Ehrenberg Anna
Publication year - 2012
Publication title -
journal of clinical nursing
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.94
H-Index - 102
eISSN - 1365-2702
pISSN - 0962-1067
DOI - 10.1111/j.1365-2702.2010.03648.x
Subject(s) - audit , documentation , malnutrition , medicine , nursing , rehabilitation , nursing care , stroke (engine) , descriptive statistics , psychology , physical therapy , mechanical engineering , statistics , management , mathematics , pathology , computer science , engineering , economics , programming language
Aims. To describe the accuracy and continuity of discharge information for patients with eating difficulties after stroke. Background. Eating difficulties are prevalent and serious problems in patients with stroke. Screening for eating difficulties can predict undernutrition and subsequent care needs. For optimal care, information transferred between care settings has to be comprehensive and accurate. Design. Prospective, descriptive. Methods. The study investigated a sample of 15 triads, each including one patient with stroke along with his patient record and discharge summary and two nursing staff in the municipal care to whom the patient was discharged. Data were collected by observations of patients’ eating, record audits and interviews with nurses. Data were analysed using content analysis and descriptive statistics. Results. Accuracy of recorded information on patients’ eating difficulties and informational continuity were poor, as was accuracy in the transferred information according to nursing staff’s perceptions. All patients were at risk of undernutrition and in too poor a state to receive rehabilitation. Nevertheless, patients’ eating difficulties were described in a vague and unspecific language in the patient records. Co‐ordinated care planning and management continuity related to eating difficulties were largely lacking in the documentation. Despite their important role in caring for patients with eating difficulties, little information on eating difficulties seemed to reach licensed practical nurses in the municipalities. Conclusions. Comprehensiveness in the documentation of eating difficulties and accuracy of transferred information were poor based on record audits and as perceived by the municipal nursing staff. Although all patients were at risk of undernutrition, had multiple eating difficulties and were in too poor a state for rehabilitation, explicit care plans for nutritional problems were lacking. Relevance to clinical practice. Lack of accuracy and continuity in discharge information on eating difficulties may increase risk of undernutrition and related complications for patients in continuous stroke care. Therefore, the discharge process must be based on comprehensive and accurate documentation.