The purpose of this study is to evaluate the satisfaction and performance indicators in discharge planning services at a regional hospital in Taiwan. A structured questionnaire incorporating client databases, services items, performance indicators and satisfaction surveys was employed. A self-constructed structural questionnaire, with content validity of 0.7 which was verified by five experts and examined with Cranbach £\, is employed as a key research tool. Data were collected from March 2007 to September 2007. In total, 321 clients accepted discharge planning services and gave their choices among the offered after-discharge caring services. Visit with the phone after coming out of hospital, nine people who is death, eight people who have not contact, total seventeen people was deletes. As a result, a total of 304 respondents or 94.7% response rate, responded their satisfaction levels via telephone interview thereafter. The results show that the respondents suffering from CVA (p<0.05) and head injury (p<0.01) accepted (statistically significantly) more medical transfer services than those with lung diseases; the respondents who were taken care by caring institutions after discharge accepted more nursing teaching services than those live with family members (p<0.01); the respondents living with family members after discharge received more medical transfer services than those staying with caring institutions (p<0.01); satisfaction levels reported higher in respondents living with family members than those with caring institutions (p<0.01); the more nursing teaching, medical transfer and social services are offered, the higher the satisfaction level is achieved (p<0.01); The results could provide the valuable information on the implementation of discharge planning.
The study contributes to several significant results such as:
(1) The more demand for tubes care, the more days in hospitalization ¡]r¡×0.28, p¡×0.00¡^and the more unexpected emergency care within two weeks¡]r¡×0.14, p¡×0.02¡^.
(2) Significant difference ¡]F=5.13, p¡×0.02¡^was found between relocation and total days in hospitalization. Post hoc analysis shows clients who live with family had statistically significant less days in hospitalization than those who were relocated to other hospitals (p=0.008) and caring institutions (p=0.008).
(3). Significant difference of satisfaction was found among different relocations¡]F¡×3.50, p¡×0.01¡^. Clients who live with family displayed statistically higher satisfaction than those who were relocated to caring institutions.
(4). Significant difference of days in hospitalization was found between on nasal-gastric tube¡]F¡×9.64, p¡×0.000¡^and on tracheal tube¡]F¡×30.13¡Ap¡×0.000¡^
(5). Different departments show significant difference in unexpected emergency care within two weeks¡]F¡×20.12¡Ap¡×0.00¡^. The unexpected emergency care within two weeks in the Medical Department was statistically higher than the Surgical Department.
(6). Positive correlations (p<0.05) were found between days in hospitalization and several satisfaction measurements, indicating the more days in hospitalization, the more time available to provide services and the higher client satisfaction can be achieved. Furthermore, clients with unexpected emergency care within three days displayed statistically low satisfaction.
The results are capable of providing us information for improvement so as to ensure that clients can receive sustainable, effective and integrated care.
| Identifer | oai:union.ndltd.org:NSYSU/oai:NSYSU:etd-0714108-100717 |
| Date | 14 July 2008 |
| Creators | Chang, Min-hueiv |
| Contributors | Shyh-jer Chen, Shu-Chuan Jennifer Yeh, Ying-Chun Li |
| Publisher | NSYSU |
| Source Sets | NSYSU Electronic Thesis and Dissertation Archive |
| Language | Cholon |
| Detected Language | English |
| Type | text |
| Format | application/pdf |
| Source | http://etd.lib.nsysu.edu.tw/ETD-db/ETD-search/view_etd?URN=etd-0714108-100717 |
| Rights | not_available, Copyright information available at source archive |
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