Application of full-time supervision on neurosurgery patients discharge guidance

Objective To study application effect of setting up full-time supervision nurse and shift in neurosurgery patients discharge guidance. Methods Between March and August in 2014, a total of 408 patients were discharged from Neurosurgery Department, Huai′an First People′s Hospital, Nanjing Medical University, who were divided into control group (204 cases )and observation group (204 cases )according to the first treatment ward. Patients in control group received conventional discharge guidance, whereas observation group had an extra full-time supervision on discharge guidance. Full-time supervision personnel should visit the patients discharged that day in the ward, inform the patient or family invoicing process, attention about related disease, medication and dietafter discharge. Meanwhile, full-time supervision personnel should get to know the service attitude of nurses, nursing technology andwhether relevant health education had been grasped during the patients′ hospitalization, based which the full-time supervision personnel provided a targeted discharge guidance. One month later, we compared the two groups for mastering discharge health education and patient or family members′ nursing satisfaction. Results Patients in observation grasped discharge health education better than those in control group (93.30% vs 73.89%; χ2=26.1168, P<0.05). Patients or their family members in observation group were more satisfied with nursing than that in control group(96.91% vs 86.78%; χ2=11.236, P<0.05). Conclusions Full-time supervision nurse and shift used in neurosurgery patients discharge guidance, which build a bridge between patients and health care members, can not only improve the quality of nursing service, but also elevate hospital′ social efficiency with a good reputation. Key words: Neurosurgery Department; Full-time supervision; Discharge guidance; Satisfaction