Challenges in Heart Failure Patients Discharge Plan: A Qualitative Study
Author(s): Fidan Shabani, Farahnaz Mohammadi Shahboulaghi*, Mohammadali Hosseini, Nahid Dehghan Nayeri, Majid Maleki, Nasim Naderi
Abstract
Introduction: Hospital readmission is one of the important reasons for inadequacy of discharge plan, which not only imposes extensive costs to patients and families but also increases workload of personnel and hospital crowd and leads to many challenges to the healthcare systems. The discharge plan is a nursing intervention aiming to prevent post-discharge problems. The study aimed to explain the challenges to the heart failure patients discharge plan.
Methods: The qualitative research via conventional content analysis was used in this study. The study was conducted in the Rajaie Cardiovascular Medical and Research Center. The challenges to the heart failure patient discharge plan was explained based on the analysis of experiences of patients, family caregivers, physicians, and nurses through semi-structured interview. Targeted sampling was continued based on inclusion criteria until the data was saturated.
Results: The challenges of this study include non-compliance with the treatment, lack of patient health literacy, inadequate motivation to continue treatment, complicated nature of heart failure, poor family roles, inadequacy in patient training, lack of discharge follow up system and defect in patients’ social security.
Conclusion: Considering the challenges obtained from this study, we can take steps in optimizing the heart failure patients’ discharge plan according to the needs and culture of our patients.
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