Qualitative Assessment of Answer Letters of Patients With Chronic Fatigue and a Psychiatric Disorder

2.50
Hdl Handle:
http://hdl.handle.net/10755/335641
Category:
Full-text
Type:
Presentation
Title:
Qualitative Assessment of Answer Letters of Patients With Chronic Fatigue and a Psychiatric Disorder
Author(s):
Vermeir, P.; Delesie, L.; Tobback, E.; Vogelaers, D.; Degroote, S.; Vandijck, D.
Lead Author STTI Affiliation:
Non-member
Author Details:
P. Vermeir, RN,MPM,MBA,MPA, Peter.Vermeir@UGent.be; L. Delesie, RN; E. Tobback, PhD; D. Vogelaers, MD; S. Degroote, MS; D. Vandijck, PhD
Abstract:
Session presented on Monday, July 28, 2014: Purpose: Care delivery is a complex process, involving many different actors (physicians, nurses,'). Appropriate communication between those actors is of key to guarantee qualitative and thus safe care. Referral letters are one of the most important means of communication between care providers. The aim of this study was to perform a qualitative assessment of the content of referral letters (second to first level providers) of patients with chronic fatigue and a psychiatric disorder. Methods: The study was conducted by the head nurse of the department of General Internal Medicine of Ghent University Hospital. Based on a comprehensive search of the literature, a checklist of respectively 24 quality indicators was developed assessing the content and way of interdisciplinary communication between -second and first level providers. Indicators were considered as dichotomous variables (present/absent). All referral letters (June 2010'February 2011) of 126 patients with chronic fatigue and a psychiatric disorder were considered. Results: The study cohort consisted of 108 (85.7%) females, mean age was 39.3'11.1 years. Of the 24-item checklist, on average 18.7'2.1 of the indicators were present. Telephone number of the referring physician was never included 0% (0/126), reason of initial referral was not mentioned in 96%(121/126) of the letters. Information about allergic status was missing in 42.9%(54/126), current medication in 17.5%(22/126), surgical and medical history in 34.1%(43/126) and 9.5%(12/126) of the cases. Psychosocial information was not included in 22.2%(28/126) and 63.5%(80/126) of the letters did not mention the dates investigations were performed. Average time-delay between consultation with secondary care provider and sending the referral letter was 44.2'47.7 days. Conclusion: In this patient sample, referral letters from secondary to primary care level providers often lack crucial information that is of key to ensure high quality of patient care. Targeted interventions aimed at improving communication inefficiencies between multidisciplinary care levels are warranted.
Repository Posting Date:
17-Nov-2014
Date of Publication:
11 ; 11
Conference Date:
2014
Conference Name:
25th International Nursing Research Congress
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Hong Kong
Description:
International Nursing Research Congress, 2014 Theme: Engaging Colleagues: Improving Global Health Outcomes. Held at the Hong Kong Convention and Exhibition Centre, Wanchai, Hong Kong

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.language.isoenen
dc.type.categoryFull-texten
dc.typePresentationen
dc.titleQualitative Assessment of Answer Letters of Patients With Chronic Fatigue and a Psychiatric Disorderen
dc.contributor.authorVermeir, P.en
dc.contributor.authorDelesie, L.en
dc.contributor.authorTobback, E.en
dc.contributor.authorVogelaers, D.en
dc.contributor.authorDegroote, S.en
dc.contributor.authorVandijck, D.en
dc.contributor.departmentNon-memberen
dc.author.detailsP. Vermeir, RN,MPM,MBA,MPA, Peter.Vermeir@UGent.be; L. Delesie, RN; E. Tobback, PhD; D. Vogelaers, MD; S. Degroote, MS; D. Vandijck, PhDen
dc.identifier.urihttp://hdl.handle.net/10755/335641-
dc.description.abstractSession presented on Monday, July 28, 2014: Purpose: Care delivery is a complex process, involving many different actors (physicians, nurses,'). Appropriate communication between those actors is of key to guarantee qualitative and thus safe care. Referral letters are one of the most important means of communication between care providers. The aim of this study was to perform a qualitative assessment of the content of referral letters (second to first level providers) of patients with chronic fatigue and a psychiatric disorder. Methods: The study was conducted by the head nurse of the department of General Internal Medicine of Ghent University Hospital. Based on a comprehensive search of the literature, a checklist of respectively 24 quality indicators was developed assessing the content and way of interdisciplinary communication between -second and first level providers. Indicators were considered as dichotomous variables (present/absent). All referral letters (June 2010'February 2011) of 126 patients with chronic fatigue and a psychiatric disorder were considered. Results: The study cohort consisted of 108 (85.7%) females, mean age was 39.3'11.1 years. Of the 24-item checklist, on average 18.7'2.1 of the indicators were present. Telephone number of the referring physician was never included 0% (0/126), reason of initial referral was not mentioned in 96%(121/126) of the letters. Information about allergic status was missing in 42.9%(54/126), current medication in 17.5%(22/126), surgical and medical history in 34.1%(43/126) and 9.5%(12/126) of the cases. Psychosocial information was not included in 22.2%(28/126) and 63.5%(80/126) of the letters did not mention the dates investigations were performed. Average time-delay between consultation with secondary care provider and sending the referral letter was 44.2'47.7 days. Conclusion: In this patient sample, referral letters from secondary to primary care level providers often lack crucial information that is of key to ensure high quality of patient care. Targeted interventions aimed at improving communication inefficiencies between multidisciplinary care levels are warranted.en
dc.date.available2014-11-17T13:56:27Z-
dc.date.issued11/17/2014-
dc.date.issued11/17/2014en
dc.date.accessioned2014-11-17T13:56:27Z-
dc.conference.date2014en
dc.conference.name25th International Nursing Research Congressen
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen
dc.conference.locationHong Kongen
dc.descriptionInternational Nursing Research Congress, 2014 Theme: Engaging Colleagues: Improving Global Health Outcomes. Held at the Hong Kong Convention and Exhibition Centre, Wanchai, Hong Kongen
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