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Development and Evaluation of a Transitional Care Program for Patients Discharged from Military Hospitals

군병원 퇴원환자의 전환관리 프로그램 개발 및 효과 평가

  • 조순영 (국군간호사관학교 간호학과)
  • Received : 2009.09.29
  • Accepted : 2010.08.20
  • Published : 2010.08.31

Abstract

Purpose: The purpose of this study was to develop and evaluate a transitional care program for patients discharged from military hospitals. The study consists of two phases: developing the program and evaluating its effectiveness. Methods: The conceptual framework used to guide the development of the program was Meleis's transition theory. A quasiexperimental design was employed for this study. Participants were recruited from patients discharged from one military hospital, 72 in the control group and 56 in the experiment group. Data were analyzed using SPSS WIN 12.0 program with chi-square, Fisher's exact test, independent t-test, and mixed model. Results: Participants in the transitional care program reported promoting a positive personal condition, and more healthy patterns of response in the first week after being discharged and a smoother discharge transition. Conclusion: The transitional care program developed for discharge patients from military hospital promoted discharge readiness and promoted smooth discharge transition.

Keywords

References

  1. Anthony, M. K., & Hudson-barr, D. (2004). A patient-centered model of care for hospital discharge. Clinical Nursing Research, 13, 117-136. https://doi.org/10.1177/1054773804263165
  2. Cho, I. S., & Park, Y. S. (2004). Transition model of middle-aged women. Journal of Korean Academy of Nursing, 34, 515-524.
  3. Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd ed.). New Jersey: Lawrence Erlbaum Associate.
  4. Davidson, P. M., Dracup, K., Phillips, J., Padilla, G., & Daly, J. (2007). Maintaining hope in transition: A theoretical framework to guide intervention for people with heart failure. Journal of Cardiovascular Nursing, 22, 58-64.
  5. Davis, S. (2005). Meleis's theory of nursing transitions and relatives' experiences of nursing home entry. Journal of Advanced Nursing, 52, 658-671. https://doi.org/10.1111/j.1365-2648.2005.03637.x
  6. Kralik, D., Visentin, K., & VanLoon, A. (2006). Integrative literature review and meta-analyses. Transition: A literature review. Journal of Advanced Nursing, 55, 320-329. https://doi.org/10.1111/j.1365-2648.2006.03899.x
  7. Lee, J. S., Park, M. H., & Kim, J. H. (2002). A descriptive study on health management of soldiers after hospitalization. The Journal of the Korean Military Medical Association, 34, 208-228.
  8. Lynn, M. R. (1986). Determination and quantification of content validity. Nursing Research, 35, 382-385.
  9. Meleis, A. I., Sawyer, L. M., Im, E. O., Hilfinger Messias, D. K., & Schumacher, K. L. (2000). Experiencing transitions: An emerging middle-range theory. Advances in Nursing Science, 23, 12-28.
  10. Murphy, S. A. (1990). Human responses to transition: A holistic nursing perspective. Holistic Nursing Practice, 4(3), 1-7.
  11. Park, Y. S. (1991). Transition to motherhood of primipara in postpartum period. Unpublished doctoral dissertation, Seoul National University, Seoul.
  12. Schlossberg, N. K. (1981). A model for analyzing human adaptation to transition. The Counseling Psychologist, 9(2), 2-18.
  13. Schumacher, K. L., & Meleis, A. I. (1994). Transition: A central concept in nursing. Journal of Nursing Scholarship, 26, 119-127. https://doi.org/10.1111/j.1547-5069.1994.tb00929.x
  14. Sindhu, S., Suttipong, C., & Ratinthorn, A. (2007, February). Nursing therapeutic for research application of transition theory. In K. O. Oh (Chair), Meeting Dr. Afaf Ibrahim Meleis: Situationspecific theory and transition theory. Conference conducted at Chungnam National University International Annual Conference, Daejon, Korea.
  15. Shin, H. J. (2004). Maternal transition in mothers with high risk newborns. Journal of Korean Academy of Nursing, 34, 243-251.
  16. Shin, T. S. (1982). A study on the relationship between the solider's ego identity and the solider's adjustment during army life. Unpublished master's thesis. Yonsei University, Seoul.
  17. Walker, L. O., & Avant, K. C. (2005). Strategies for theory construc- tion in Nursing (4th ed.). New Jersey: PEARSON Prentice Hall.
  18. Weiss, M. E., & Piacentine, L. B. (2006). Psychometric properties of the readiness for hospital discharge scale. Journal of Nursing Measurement, 14, 163-180.
  19. Weiss, M. E., Piacentine, L. B., Ancona, J., Gresser, S., Toman, S., & Vega-Stromberg, T. (2007). Perceived readiness for hospital discharge in adult medical-surgical patients. Clinical Nurse Specialist, 21, 31-42. https://doi.org/10.1097/00002800-200701000-00008

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