Patterns of patient coping following hospital discharge from medical and surgical units: A pilot study
A pilot study was conducted to determine the feasibility of a longitudinal investigation of patients' coping during the early postdischarge period. Recruitment was conducted on a general medical unit and a surgical orthopedic unit. Forty‐four participants were recruited with 95% retention. Demo...
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Veröffentlicht in: | Nursing & health sciences 2020-03, Vol.22 (1), p.118-125 |
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creator | Hodgins, Marilyn J. Filiatreault, Sarah Keeping‐Burke, Lisa Logan, Susan M. |
description | A pilot study was conducted to determine the feasibility of a longitudinal investigation of patients' coping during the early postdischarge period. Recruitment was conducted on a general medical unit and a surgical orthopedic unit. Forty‐four participants were recruited with 95% retention. Demographic characteristics plus measures of discharge risk and perceived readiness (expected coping) were collected before discharge. Measures of coping (experienced) and the use of supports and services were collected on the first day postdischarge, the end of the first week, and during weeks 3 and 5. Considerable variability was evident in coping scores, and not all participants exhibited improvement over time. Four patterns of coping were identified: ongoing recovery, initial shock, bumpy road, and progressive decline. Further investigation is required to validate the observed coping patterns. A better understanding of conditions affecting patient coping during the transition from hospital to home will support efforts to reduce unplanned use of acute care services. |
doi_str_mv | 10.1111/nhs.12658 |
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Recruitment was conducted on a general medical unit and a surgical orthopedic unit. Forty‐four participants were recruited with 95% retention. Demographic characteristics plus measures of discharge risk and perceived readiness (expected coping) were collected before discharge. Measures of coping (experienced) and the use of supports and services were collected on the first day postdischarge, the end of the first week, and during weeks 3 and 5. Considerable variability was evident in coping scores, and not all participants exhibited improvement over time. Four patterns of coping were identified: ongoing recovery, initial shock, bumpy road, and progressive decline. Further investigation is required to validate the observed coping patterns. 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Recruitment was conducted on a general medical unit and a surgical orthopedic unit. Forty‐four participants were recruited with 95% retention. Demographic characteristics plus measures of discharge risk and perceived readiness (expected coping) were collected before discharge. Measures of coping (experienced) and the use of supports and services were collected on the first day postdischarge, the end of the first week, and during weeks 3 and 5. Considerable variability was evident in coping scores, and not all participants exhibited improvement over time. Four patterns of coping were identified: ongoing recovery, initial shock, bumpy road, and progressive decline. Further investigation is required to validate the observed coping patterns. A better understanding of conditions affecting patient coping during the transition from hospital to home will support efforts to reduce unplanned use of acute care services.</description><subject>Acute services</subject><subject>Coping</subject><subject>Demography</subject><subject>Feasibility</subject><subject>Longitudinal studies</subject><subject>Nursing</subject><subject>Orthopedic units</subject><subject>patient discharge</subject><subject>Pilot projects</subject><subject>readmission</subject><subject>Recruitment</subject><subject>transitional care</subject><subject>Variability</subject><issn>1441-0745</issn><issn>1442-2018</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>7QJ</sourceid><recordid>eNp1kE1LAzEQhoMotlYP_gEJeNHDtpvPzXoT8QtEBfW8ZLNJm7LdrEkW6b83tupBcC4zGR5eJg8AxyifolSzbhGmCHMmdsAYUYoznCOxu5lRlheUjcBBCMs8bXNG9sGIIF5ijIsxMM8yRu27AJ2BvYxWdxEq19tuDo1rW_fxNS1c6G2ULWxsUAvp5xoa71ZwpRur0lp2DQyDn28eQ2djuICXsLetizDEoVkfgj0j26CPvvsEvN1cv17dZQ9Pt_dXlw-ZIoyIjNeIlkZJYmpJMReM5Y0mmBdKlFQIVVAjS0EZL5CS6b9GlQTVnFMqEKmZIRNwts3tvXsfdIjVKl2s21Z22g2hwgRhRouCsYSe_kGXbvBdui5RvEyiOMsTdb6llHcheG2q3tuV9OsK5dWX_CrJrzbyE3vynTjUycwv-WM7AbMt8GFbvf4_qXq8e9lGfgJkHI2D</recordid><startdate>202003</startdate><enddate>202003</enddate><creator>Hodgins, Marilyn J.</creator><creator>Filiatreault, Sarah</creator><creator>Keeping‐Burke, Lisa</creator><creator>Logan, Susan M.</creator><general>John Wiley & Sons Australia, Ltd</general><general>Blackwell Publishing Ltd</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-8442-1990</orcidid><orcidid>https://orcid.org/0000-0002-7920-3315</orcidid></search><sort><creationdate>202003</creationdate><title>Patterns of patient coping following hospital discharge from medical and surgical units: A pilot study</title><author>Hodgins, Marilyn J. ; Filiatreault, Sarah ; Keeping‐Burke, Lisa ; Logan, Susan M.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3538-6b149fca3fba4268550de3267c89488c74fa9845671ca658fc931b6644813b5f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Acute services</topic><topic>Coping</topic><topic>Demography</topic><topic>Feasibility</topic><topic>Longitudinal studies</topic><topic>Nursing</topic><topic>Orthopedic units</topic><topic>patient discharge</topic><topic>Pilot projects</topic><topic>readmission</topic><topic>Recruitment</topic><topic>transitional care</topic><topic>Variability</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hodgins, Marilyn J.</creatorcontrib><creatorcontrib>Filiatreault, Sarah</creatorcontrib><creatorcontrib>Keeping‐Burke, Lisa</creatorcontrib><creatorcontrib>Logan, Susan M.</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Nursing & health sciences</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hodgins, Marilyn J.</au><au>Filiatreault, Sarah</au><au>Keeping‐Burke, Lisa</au><au>Logan, Susan M.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Patterns of patient coping following hospital discharge from medical and surgical units: A pilot study</atitle><jtitle>Nursing & health sciences</jtitle><addtitle>Nurs Health Sci</addtitle><date>2020-03</date><risdate>2020</risdate><volume>22</volume><issue>1</issue><spage>118</spage><epage>125</epage><pages>118-125</pages><issn>1441-0745</issn><eissn>1442-2018</eissn><abstract>A pilot study was conducted to determine the feasibility of a longitudinal investigation of patients' coping during the early postdischarge period. Recruitment was conducted on a general medical unit and a surgical orthopedic unit. Forty‐four participants were recruited with 95% retention. Demographic characteristics plus measures of discharge risk and perceived readiness (expected coping) were collected before discharge. Measures of coping (experienced) and the use of supports and services were collected on the first day postdischarge, the end of the first week, and during weeks 3 and 5. Considerable variability was evident in coping scores, and not all participants exhibited improvement over time. Four patterns of coping were identified: ongoing recovery, initial shock, bumpy road, and progressive decline. Further investigation is required to validate the observed coping patterns. 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source | Access via Wiley Online Library; Applied Social Sciences Index & Abstracts (ASSIA) |
subjects | Acute services Coping Demography Feasibility Longitudinal studies Nursing Orthopedic units patient discharge Pilot projects readmission Recruitment transitional care Variability |
title | Patterns of patient coping following hospital discharge from medical and surgical units: A pilot study |
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