Discharge planning practice for patients with colorectal cancer in Thailand
Background & Aim: Nurses play a vital role in discharge planning, especially for patients with colorectal cancer who require complex post-treatment care. However, there is a limited understanding of nurses’ discharge planning practice in oncology settings. This study aimed to examine current discharge planning practices for patients with colorectal cancer among oncology nurses in Thailand and associated factors.
Methods & Materials: A cross-sectional survey study was conducted between October and November 2020. Oncology nurses involved in colorectal cancer care were recruited across Thailand via Facebook and the Line application. A convenience and snowball sample of 206 nurses completed the online survey. Descriptive statistics, t-test, and one-way ANOVA were used for data analysis.
Results: The discharge planning activity with the lowest mean score was related to sharing discharge planning summaries and/or care plans with other healthcare facilities (M = 3.00, SD= 1.32), followed by providing information about returning to work (M= 3.06, SD= 1.28), financial resources (M= 3.12, SD= 1.26), and disease (M= 3.13, SD= 1.25). Factors significantly associated with discharge planning practice included nursing education levels, specialty training in cancer care, and experience in colorectal cancer care.
Conclusion: Despite the availability of discharge planning guidelines, Thai oncology nurses did not perform the full scope of discharge planning activities required for patients with colorectal cancer. Additional strategies, resources, and support systems should be established to facilitate nurses’ performance of the full scope of their discharge planning practice in oncology settings. Moreover, our results suggest the need for additional education and training in the form of enhanced curriculums and continuing education seminars addressing cancer care to advance nurses’ discharge planning for patients with colorectal cancer.
2. Sangrajrang S, Laversanne M, Bausom R, Mery L, Bray F. Cancer incidence and cancer control in Bangkok, Thailand: Results from the cancer registry 2011-15 and projections to 2035. Cancer Epidemiology. 2020 Aug 1;67:101765.
3. Galica J, Zwaal C, Kennedy E, Asmis T, Cho C, et al. Models of Follow-Up Care and Secondary Prevention Measures for Survivors of Colorectal Cancer: Evidence-Based Guidelines and Systematic Review. Current Oncology. 2022 Jan 19;29(2):439-54.
4. Flink M, Ekstedt M. Planning for the discharge, not for patient self-management at home–an observational and interview study of hospital discharge. International journal of integrated care. 2017 Oct;17(6):1.
5. Gonçalves-Bradley DC, Lannin NA, Clemson LM, Cameron ID, Shepperd S. Discharge planning from hospital. Cochrane Database of Systematic Reviews. 2016 Jan 27;2016(1):CD000313.
6. Hayajneh AA, Hweidi IM, Abu Dieh MW. Nurses' knowledge, perception and practice toward discharge planning in acute care settings: a systematic review. Nursing Open. 2020 Sep;7(5):1313-20.
7. Yam CH, Wong EL, Cheung AW, Chan FW, Wong FY, Yeoh EK. Framework and components for effective discharge planning system: a Delphi methodology. BMC Health Services Research. 2012 Dec;12(1):1-6.
8. American Hospital Association. Guidelines: Discharge planning. Chicago: AHA; 1984.
9. Nursing Division, Thailand Ministry of Public Health. Discharge planning guideline. Bangkok: Thammasat University Press; 1996.
10. Apiratanawong S. Discharge planning among chronic obstructive pulmonary disease patients with acute exacerbation symptoms experience frequent hospital admissions. Journal of Nursing and Health Sciences. 2021;15(3):1-12.
11. Boonyamarn P. The effect of discharge planning for modified radical mastectomy patients with redivac drain on self-care, complication, and satisfaction at female surgical ward, Songkhla Hospital. Journal of Preventive Medicine Association of Thailand. 2018;7(1):95-103.
12. Wongchaya S, Hingkanont P. Relationship between nursing role and discharge planning of registered nurse at phrae hospital. Journal of Nursing and Health Sciences. 2018;12(2):94-105.
13. Duangchan C, Steffen A, Matthews AK. Perspectives and practices regarding colorectal cancer survivorship care: Online survey results from oncology nurses in Thailand. Eur J Oncol Nurs. 2021 Dec;55:102048. doi: 10.1016/j.ejon.2021.102048. Epub 2021 Oct 6. PMID: 34634574.
14. Duangchan C, Steffen A, Matthews AK. Thai oncology nurses' perspectives toward survivorship care plan components and implementation for colorectal cancer survivors. Supportive Care in Cancer. 2022 May;30(5):4089-98.
15. Cochran WG. Sampling techniques, 2nd edn. Wiley, New York; 1953.
16. Lohsiriwat V, Lohsiriwat D, Thavichaigarn P. Colorectal cancer screening and surveillance: a survey among Thai general surgeons. Asian Pacific Journal of Cancer Prevention. 2009 Jan 1;10(3):467-70.
17. Karam M, Chouinard MC, Poitras ME, Couturier Y, Vedel I, Grgurevic N, Hudon C. Nursing care coordination for patients with complex needs in primary healthcare: A scoping review. International Journal of Integrated Care. 2021 Jan;21(1):16.
18. Thomas T, Hughes T, Mady LJ, Belcher SM. Financial Toxicity: A review of the literature and nursing opportunities. Clinical Journal of Oncology Nursing. 2019 Oct 2;23(5):5-13.
19. Van Minh H, Pocock NS, Chaiyakunapruk N, Chhorvann C, Duc HA, et al. Progress toward universal health coverage in ASEAN. Global Health Action. 2014 Dec 1;7(1):25856.
20. Zhu Z, Xing W, Zhang X, Hu Y, So WK. Cancer survivors' experiences with financial toxicity: A systematic review and meta‐synthesis of qualitative studies. Psycho‐Oncology. 2020 Jun;29(6):945-59.
21. Chan RJ, Gordon LG. Screening for financial toxicity in clinical care with finance-related outcome measures. Cancer Nursing. 2021 Mar 1;44(2):87-8.
22. Kang E, Gillespie BM, Tobiano G, Chaboyer W. Discharge education delivered to general surgical patients in their management of recovery post discharge: A systematic mixed studies review. International Journal of Nursing Studies. 2018 Nov 1;87:1-3.
23. Goerling U, Faller H, Hornemann B, Hönig K, Bergelt C, et al. Information needs in cancer patients across the disease trajectory. A prospective study. Patient Education and Counseling. 2020 Jan 1;103(1):120-6.
24. Lithner M, Klefsgard R, Johansson J, Andersson E. The significance of information after discharge for colorectal cancer surgery–a qualitative study. BMC Nursing. 2015 Dec;14(1):1-8.
25. Kang E, Tobiano GA, Chaboyer W, Gillespie BM. Nurses' role in delivering discharge education to general surgical patients: A qualitative study. Journal of Advanced Nursing. 2020 Jul;76(7):1698-707.
26. Zakiyah A, Basuki D. Relationship between nurse characteristics with discharge planning implementation. International Journal of Nursing and Midwifery Science (Ijnms). 2017 Dec 16;1(2):193-7.
27. Liu Y, Rodcumdee B, Jiang P, Sha LY. Nursing education in the United States, Thailand, and China: literature review. Journal of Nursing Education and Practice. 2015;5(7):100-8.
28. World Health Organization. WHO Europe cancer nursing curriculum: WHO European strategy for continuing education for nurses and midwives, 2003. Copenhagen: WHO Regional Office for Europe. Available at: https://apps.who.int/iris/handle/10665/107519. Accessed September 1, 2022.
29. Hayajneh AA, Hweidi IM, Abu Dieh MW. Nurses' Knowledge, Perception, and Practice of Discharge Planning in Acute Care Settings. Journal of Nursing Care Quality. 2021 Apr 6;36(2):E30-5.
30. Reddick B, Holland C. Reinforcing discharge education and planning. Nursing Management. 2015 May 1;46(5):10-4.
|Issue||Vol 9 No 4 (2022): Autumn|
|colorectal neoplasms patient discharge oncology nursing nurses delivery of healthcare|
|Rights and permissions|
|This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.|