Nursing Interventions and Discharge Disposition of Hospitalized Patients with Hip Fractures and Procedures

2.50
Hdl Handle:
http://hdl.handle.net/10755/158559
Type:
Presentation
Title:
Nursing Interventions and Discharge Disposition of Hospitalized Patients with Hip Fractures and Procedures
Abstract:
Nursing Interventions and Discharge Disposition of Hospitalized Patients with Hip Fractures and Procedures
Conference Sponsor:Midwest Nursing Research Society
Conference Year:2006
Author:Dochterman, Joanne, PhD, RN, FAAN
P.I. Institution Name:University of Iowa
Title:Professor
Contact Address:College of Nursing, 2794 Holly Court NW, Swisher, IA, 52338, USA
Contact Telephone:(319) 857-4929
Co-Authors:Marita Titler, PhD, RN, FAAN, Professor; Rui Qin, MS; and Taikyoung Kim, MS
Purpose: The purpose was to investigate factors, including nursing interventions, which are associated with the discharge destination of an older patient population hospitalized for a fractured hip or an elective hip procedure. In addition, nursing interventions used during the hospitalized period are identified.

Theoretical Framework: A design model composed of patient characteristics, clinical conditions, nursing unit characteristics, medical, pharmacy, and nursing interventions related to the outcome of discharge disposition was developed based on the literature and tested.

Subjects and Method: Using GEE analysis, a total of 116 variables were examined in a sample of 569 hospitalizations from 524 patients aged 60 and older admitted for treatment of a hip fracture or elective hip procedure in one tertiary care agency over a 4 year period. Data were obtained retrospectively from nine clinical databases.

Results: Fifty-four percent of the population was discharged to a location other than to home. The predictors of discharge to home were a younger age, admission from home, and having a spouse, as well as receipt of intravenous solutions, diagnostic ultrasound, a lower number of medications, and moderate use of the nursing intervention of Bathing. The identification of nursing interventions indicates that those who received routine nursing care for this condition returned home while those who required interventions for complications or prevention of complications were discharged to an institution.

Conclusion: Using a standardized nursing language with the hospital's information system can provide nurses and others with information that demonstrates the contribution of nursing care to this outcome of discharge to home as well as to other outcomes.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Midwest Nursing Research Society

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleNursing Interventions and Discharge Disposition of Hospitalized Patients with Hip Fractures and Proceduresen_GB
dc.identifier.urihttp://hdl.handle.net/10755/158559-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Nursing Interventions and Discharge Disposition of Hospitalized Patients with Hip Fractures and Procedures</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Midwest Nursing Research Society</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2006</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Dochterman, Joanne, PhD, RN, FAAN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">University of Iowa</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Professor</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">College of Nursing, 2794 Holly Court NW, Swisher, IA, 52338, USA</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">(319) 857-4929</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">bjdoc@ia.net</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Marita Titler, PhD, RN, FAAN, Professor; Rui Qin, MS; and Taikyoung Kim, MS</td></tr><tr><td colspan="2" class="item-abstract">Purpose: The purpose was to investigate factors, including nursing interventions, which are associated with the discharge destination of an older patient population hospitalized for a fractured hip or an elective hip procedure. In addition, nursing interventions used during the hospitalized period are identified.<br/><br/>Theoretical Framework: A design model composed of patient characteristics, clinical conditions, nursing unit characteristics, medical, pharmacy, and nursing interventions related to the outcome of discharge disposition was developed based on the literature and tested.<br/><br/>Subjects and Method: Using GEE analysis, a total of 116 variables were examined in a sample of 569 hospitalizations from 524 patients aged 60 and older admitted for treatment of a hip fracture or elective hip procedure in one tertiary care agency over a 4 year period. Data were obtained retrospectively from nine clinical databases.<br/><br/>Results: Fifty-four percent of the population was discharged to a location other than to home. The predictors of discharge to home were a younger age, admission from home, and having a spouse, as well as receipt of intravenous solutions, diagnostic ultrasound, a lower number of medications, and moderate use of the nursing intervention of Bathing. The identification of nursing interventions indicates that those who received routine nursing care for this condition returned home while those who required interventions for complications or prevention of complications were discharged to an institution.<br/><br/>Conclusion: Using a standardized nursing language with the hospital's information system can provide nurses and others with information that demonstrates the contribution of nursing care to this outcome of discharge to home as well as to other outcomes.</td></tr></table>en_GB
dc.date.available2011-10-26T21:10:32Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T21:10:32Z-
dc.description.sponsorshipMidwest Nursing Research Societyen_GB
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