Date Approved

1992

Graduate Degree Type

Thesis

Degree Name

Nursing (M.S.N.)

Degree Program

College of Nursing

First Advisor

Andrea C. Bostrom

Second Advisor

Patricia W. Underwood

Third Advisor

Virginia E. Keck

Abstract

The purpose of this study was to examine the discharge planning process in terms of concerns that patients experience after discharge from an acute care setting. Betty Neuman's Health Care Systems Model was the conceptual framework. Aspects of secondary prevention were used to classify the concerns as either a lack of resources or a reaction to a stressor.; The sample (n = 146) consisted of medical and surgical patients, 18 years or older hospitalized at a community hospital for at least 24 hours.; Data were analyzed descriptively. Data revealed that patients do experience some concerns after discharge. The top four categories of concerns were: physiological concerns (wound care and comfort), medication, activity, and diet. The data indicated that the patients primarily lacked resources. Most often this was a lack of information.; The findings support the need for the discharge planning process. (Abstract shortened with permission of author.)

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