Domains of Discharge Readiness for Patients After Abdominal Surgery: A Qualitative Exploratory Study

Area of Science:

• Surgical Care
• Patient Outcomes
• Qualitative Research

Background:

• Assessing patient readiness for discharge is critical for safe transitions after abdominal surgery.
• Understanding the multifaceted nature of discharge readiness can improve patient outcomes and reduce readmissions.

Purpose of the Study:

• To explore the essential domains of discharge readiness for patients undergoing abdominal surgery.
• To identify factors influencing a patient's preparedness for transitioning from hospital to home.

Main Methods:

• A qualitative exploratory study design was employed.
• Semi-structured interviews and focus groups were conducted with 19 participants, including patients, caregivers, clinical nurses, and surgeons.
• Content analysis was used to analyze the collected data, adhering to COREQ guidelines.

Main Results:

• Five key dimensions of discharge readiness were identified: physical, knowledge/information, psychological, social, and spiritual readiness.
• Each identified domain encompasses specific factors influencing a patient's preparedness for post-discharge life.
• Patient and caregiver insights were integral to defining these core domains.

Conclusions:

• Discharge readiness is a multidimensional construct encompassing physical, informational, psychological, social, and spiritual aspects.
• A comprehensive understanding of these domains is essential for developing effective discharge planning interventions for abdominal surgery patients.
• Future research should focus on developing and validating tools to measure these dimensions of discharge readiness.