Perceptions of early discharge following lung surgery: I’m a patient “get me out of here”

Samantha Harrison, Pat Watson, Chloe Milburn, Fiona Bowe, Joel Dunning

Research output: Contribution to journalArticle

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Abstract

Background: Patients have been discharged from hospital one to two days post-surgery since the implementation of Enhanced Recovery After Surgery programs. This study aimed to investigate the perceptions of individuals with a diagnosis of lung cancer on early discharge following a lung resection.
Methods: A qualitative study using Deductive Thematic Analysis was conducted. Nine individuals with a diagnosis of lung cancer who had undergone a lung resection and were discharged one to two days following surgery participated in semi-structured interviews.
Results: Five overarching themes were identified: 1. Motivators for hospital discharge describing patients’ desire to return home, 2. Evolving feelings about early discharge and 3. Coping at home post-surgery reporting heightened feelings of anxiety when faced with self-care and daily activities, 4. The role of family members describing the physical and emotional support required from carers and 5. Long-term recovery explaining the difficulty of re-engaging in activities due to symptoms associated with recovery and co-morbidities.
Conclusions: Early discharge following surgery for lung cancer was acceptable to the majority of patients. However, a follow up phone call maybe necessary to mitigate fears about pain and to encourage activity.
Original languageEnglish
JournalJournal of Hospital Management and Health Policy
Publication statusPublished - 12 Jul 2019

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Lung Neoplasms
Ambulatory Surgical Procedures
Lung
Emotions
Patient Discharge
Self Care
Caregivers
Fear
Anxiety
Interviews
Morbidity
Pain

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title = "Perceptions of early discharge following lung surgery: I’m a patient “get me out of here”",
abstract = "Background: Patients have been discharged from hospital one to two days post-surgery since the implementation of Enhanced Recovery After Surgery programs. This study aimed to investigate the perceptions of individuals with a diagnosis of lung cancer on early discharge following a lung resection. Methods: A qualitative study using Deductive Thematic Analysis was conducted. Nine individuals with a diagnosis of lung cancer who had undergone a lung resection and were discharged one to two days following surgery participated in semi-structured interviews. Results: Five overarching themes were identified: 1. Motivators for hospital discharge describing patients’ desire to return home, 2. Evolving feelings about early discharge and 3. Coping at home post-surgery reporting heightened feelings of anxiety when faced with self-care and daily activities, 4. The role of family members describing the physical and emotional support required from carers and 5. Long-term recovery explaining the difficulty of re-engaging in activities due to symptoms associated with recovery and co-morbidities. Conclusions: Early discharge following surgery for lung cancer was acceptable to the majority of patients. However, a follow up phone call maybe necessary to mitigate fears about pain and to encourage activity.",
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Perceptions of early discharge following lung surgery: I’m a patient “get me out of here”. / Harrison, Samantha; Watson, Pat; Milburn, Chloe; Bowe, Fiona; Dunning, Joel.

In: Journal of Hospital Management and Health Policy, 12.07.2019.

Research output: Contribution to journalArticle

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AU - Watson, Pat

AU - Milburn, Chloe

AU - Bowe, Fiona

AU - Dunning, Joel

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AB - Background: Patients have been discharged from hospital one to two days post-surgery since the implementation of Enhanced Recovery After Surgery programs. This study aimed to investigate the perceptions of individuals with a diagnosis of lung cancer on early discharge following a lung resection. Methods: A qualitative study using Deductive Thematic Analysis was conducted. Nine individuals with a diagnosis of lung cancer who had undergone a lung resection and were discharged one to two days following surgery participated in semi-structured interviews. Results: Five overarching themes were identified: 1. Motivators for hospital discharge describing patients’ desire to return home, 2. Evolving feelings about early discharge and 3. Coping at home post-surgery reporting heightened feelings of anxiety when faced with self-care and daily activities, 4. The role of family members describing the physical and emotional support required from carers and 5. Long-term recovery explaining the difficulty of re-engaging in activities due to symptoms associated with recovery and co-morbidities. Conclusions: Early discharge following surgery for lung cancer was acceptable to the majority of patients. However, a follow up phone call maybe necessary to mitigate fears about pain and to encourage activity.

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