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Accuracy and continuity in discharge information for patients wtih eating difficulties after stroke
Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing. Karolinska institutet, Örebro university.ORCID iD: 0000-0002-7737-169X
Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.ORCID iD: 0000-0002-3964-196X
2012 (English)In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 21, no 2, 21-31 p.Article in journal (Refereed) Published
Abstract [en]

Aims. To describe the accuracy and continuity of discharge information for patients with eating difficulties after stroke. 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.

Place, publisher, year, edition, pages
2012. Vol. 21, no 2, 21-31 p.
Keyword [en]
continuity of care;eating difficulties;information transfer;nursing;record audit;stroke
National Category
Clinical Medicine Nursing
Research subject
Health and Welfare
Identifiers
URN: urn:nbn:se:du-5118DOI: 10.1111/j.1365-2702.2010.03648.xISI: 000297953700004PubMedID: 21564355OAI: oai:dalea.du.se:5118DiVA: diva2:520284
Available from: 2010-12-08 Created: 2010-12-08 Last updated: 2015-12-08Bibliographically approved

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CiteExportLink to record
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Citation style
  • apa
  • ieee
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