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Evaluation of discharge documentation after hospitalization for stroke patients discharged home in Australia: A cross‐sectional, pilot study

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  • Ashley Kable
  • Dimity Pond
  • Amanda Baker
  • Alyna Turner
  • Christopher Levi

Abstract

In this cross‐sectional study, we evaluated the quality of discharge documentation for stroke patients discharged home. Participants were stroke patients discharged from a regional tertiary acute and rehabilitation hospital in Australia from 2014 to 2015. Compliance with expected discharge documentation and its relationship with readmission was measured using an audit instrument for stroke patients (n = 54), and a post‐discharge survey of carers was conducted. There were deficits in the documentation of the mechanism of stroke (70%), functional assessments (58%), pending test results (39%), types of support services required after discharge (35%), and patient/carer meetings with the multi‐disciplinary stroke team (20%). Readmission was associated with lower compliance scores for information provided to patients or their carer. The survey results suggested that carer burden was high for carers of stroke patients discharged home. Documentation of carer/family meetings with the stroke team, functional assessments, medications, and adequate support services needs to be improved. General practitioners and carers need this information, so that they can address the post‐discharge needs of these vulnerable patients.

Suggested Citation

  • Ashley Kable & Dimity Pond & Amanda Baker & Alyna Turner & Christopher Levi, 2018. "Evaluation of discharge documentation after hospitalization for stroke patients discharged home in Australia: A cross‐sectional, pilot study," Nursing & Health Sciences, John Wiley & Sons, vol. 20(1), pages 24-30, March.
    • Handle: RePEc:wly:nuhsci:v:20:y:2018:i:1:p:24-30
    DOI: 10.1111/nhs.12368
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    References listed on IDEAS

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    1. Megan Thornton & Shirley S. Travis, 2003. "Analysis of the Reliability of the Modified Caregiver Strain Index," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 58(2), pages 127-132.
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    Cited by:

    1. Craig Lockwood & Raluca Sfetcu, 2020. "Ethics in quality improvement: Reimagining the clinician role," Nursing & Health Sciences, John Wiley & Sons, vol. 22(3), pages 483-485, September.
    2. Ngo X. Long & Wanpen Pinyopasakul & Kanaungnit Pongthavornkamol & Rungnapa Panitrat, 2019. "Factors predicting the health status of caregivers of stroke survivors: A cross‐sectional study," Nursing & Health Sciences, John Wiley & Sons, vol. 21(2), pages 262-268, June.
    3. Anna Kavga & Ioannis Kalemikerakis & Anastasios Faros & Maria Milaka & Dimitra Tsekoura & Maria Skoulatou & Ioanna Tsatsou & Ourania Govina, 2021. "The Effects of Patients’ and Caregivers’ Characteristics on the Burden of Families Caring for Stroke Survivors," IJERPH, MDPI, vol. 18(14), pages 1-11, July.
    4. Ashley Kable & Amanda Baker & Dimity Pond & Erica Southgate & Alyna Turner & Christopher Levi, 2019. "Health professionals’ perspectives on the discharge process and continuity of care for stroke survivors discharged home in regional Australia: A qualitative, descriptive study," Nursing & Health Sciences, John Wiley & Sons, vol. 21(2), pages 253-261, June.

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