The development of a discharge planning model for elderly patients with Pneumonia at Central Chest Institute of Thailand

Abstract

The purposes of this research and development were: 1) to study problem situations of  discharge planning model for elderly patients with pneumonia at Central Chest Institute of Thailand, 2) to develop a  discharge planning model for elderly patients with pneumonia and 3) to compare caregivers’ perception on self-efficacy and satisfaction toward the discharge planning model before and after developing the model. The samples whom were purposive sampling were: 1) nine professional nurses,  2) seventy six caregivers of elderly patients with pneumonia. The research tools were as follows. Questionnaires on caregivers’ perception of self-efficacy and satisfaction  toward the discharge planning model, and the discharge planning model.  The reliability coefficient  of  the questionnaires was  0.96.  Data were analyzed by descriptive statistics and t-test.  The research findings were as follows. 1) Problem situations of the discharge planning model  for elderly patients with pneumonia revealed  into 3 aspects including (1) Structure:  the hospital had a discharge planning policy and unclear guidelines, caregivers’ non-participation and shortage of related  tools,  (2) Process:  lack of systematic procedures and recording.  (3) Outcome:  there was no comprehensive evaluation. 2) The developed discharge planning model embraces systematic steps; patients and caregivers assessment, diagnosis, planning with nurses, patients and caregivers participation, implementation,  evaluation using the D-METHOD and empowerment along with discharge planning records. 3) The mean score of perception on self-efficacy and satisfaction toward the discharge planning model of caregivers after developing the model were significantly higher than before development at  p < .05.