Effect of RED (Re-Engineering Discharge) Program on Nurses' Knowledge Towards Readmission Problem in Internal Medicine Departments in Cairo University Hospitals
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- Category: Vol. 85, June 2017
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Effect of RED (Re-Engineering Discharge) Program on Nurses' Knowledge Towards Readmission Problem in Internal Medicine Departments in Cairo University Hospitals, MERVAT R. ELRAFIE, AZZA A. EL-NOUMAN, RANDA F. SALAM, YASMINE S. GALAL and EMAN H. EL-SEBAIE
Abstract
Introduction: The frequency and severity of hospital readmission has become a national problem. The increase in readmission rates post-discharge has a negative impact on the patients overall morbidity and increases healthcare costs. Better methods for discharge planning should be utilized.
Aim: The aim was to evaluate the impact of Project Re-engineering Discharge (RED) education on nurses' knowledge concerning best practices to use in discharge planning.
Subjects and Methods: A qualitative study using pretest and posttest design to assess the nurses' knowledge and perspectives of discharge best practices was used through a semi-structured questionnaire form. An educational interven-tion was provided to the nurses: A power-point presentation, leaflets and posters, created from the Project RED toolkit.
Results: Pairwise comparisons Mc-Nemar test was used for comparing the nursing staff's knowledge and perspectives towards the readmission problem and discharge process (pre and post-intervention) after doing content analysis of the open ended questions and coding of responses. A statistically significant improvement in knowledge was found between the pre and post intervention groups (p<0.05) regarding most of the items related to: Definition, causes and consequences of readmission, most common readmitted diseases, the dis-charge process, the nurses' role. The majority of nurses in the post-intervention group perceived that deficient knowledge about the disease was a cause of readmission (p<0.001), while nearly 60% thought that improper following of food regimen (p<0.001) and illiteracy (p=0.003) were significant factors.
Conclusion: The evidence from this study supports the hypothesis that the educational program did in fact have a significant statistical effect on the participant's knowledge towards the discharge best practices.