Investigati
Investigating Discharge Duration of Patients and Factors Affecting it in Be’sat Medical Center, Sanandaj in 2011
Nasrin Aliramaei1, Nahid Kan’ani2, Ziba Afrasiabian2, Sohila Estifaie2, Elham Naseri2, Susan Ghasrsaz2, Roxana Yaghmaei3*
1Lecturer, Member of Scientific Board of Nursing and Midwifery Faculty, Kurdistan University of Medical Sciences, Sanandaj, Iran
2 RN, Kurdistan University of Medical Sciences, Sanandaj, Iran
3*Assistant Professor of Dermatology, Kurdistan University of Medical Sciences, Sanandaj, Iran
*Corresponding Author: [email protected]
Abstract: Hospital as a major provider of health services plays a major role in the health system. One of the major problems that the medical staff has to grapple with is the issue of discharging the patients from the health centers. Regarding the management of the hospital and enhancement of patient care, measuring patients’ waiting times to be discharged from the hospital is an important issue. Patients’ dissatisfaction and their complaint about long duration of discharge are reported. In this regard the present study investigates factors affecting discharge duration and it also tries to promote satisfaction level of clients who have been discharged and that of those who are awaiting admission. Method:This study was descriptive – analytical. The subjects were composed of all patients admitted to Be’sat medical center in Sanandaj whose documents contained their doctor’s discharge order. Simple sampling was applied and the sample size was 200 discharged patients’ documents. After the interviewers were instructed and necessary coordination was made with the hospital management, wards which documented the timing of the documents were asked to provide data on timing in all phases from the patients’ discharge by their doctors through their discharge by the related wards. Collected data were analyzed through Win SPSS software. Variance test and test of compared means were used to figure out the relation between patients’ mean time of discharge and their demographic characteristics. Results: Based on discharge process of 200 patients, the findings of the study were presented in 30 tables. Results showed that the highest frequency was related to the men surgery ward and the lowest one to the women orthopedic and neurosurgery wards. Thirty-two percent of the subjects were discharged on Sunday and Wednesday had the lowest discharge percentage of 4. Moreover, the highest frequency distribution based on 37 percent of hospitalization days was 5 and more days. Regarding the gender of the wards’ secretaries, the highest percentage was 89% which was related to females. And regarding their years of service was one year with the highest percentage of 31%. The results of the ANOVA showed that there was a significant difference between different wards of the hospital. Discussion: Discharging patients is accompanied with numerous problems which can affect patients’ recovery process and promotion of their health. The process of discharging patients is a complex challenge faced by hospital management; and modifying this process is considered as a key strategy based on which all activities in a hospital can be defined, developed and executed in order to achieve harmony.
[Nasrin Aliramaei, Nahid Kan’ani, Ziba Afrasiabian, Sohila Estifaie, Elham Naseri, Susan Ghasrsaz, Roxana Yaghmaei.Investigating Discharge Duration of Patients and Factors Affecting it in Be’sat Medical Center, Sanandaj in 2011. Life Sci J 2013;10(4s):605-612] (ISSN:1097-8135). http://www.lifesciencesite.com. 93
Keywords: duration of discharge, patient, affecting factors, hospital
