Enhanced readiness for hospital discharge following the implementation of a video version of a mind mapping health education strategy

The objective of this study was to investigate the effect of a video version of a mind mapping health education strategy for patients undergoing radical prostatectomy. We included patients from two surgical wards (referred to as wards 1 and 2). Routine perioperative health education was conducted in surgical ward 1. In surgical ward 2, routine perioperative health education was conducted in 2019, and a new health education strategy was implemented in 2020. A pre-post difference-in-differences design was employed to compare changes in readiness for hospital discharge and the quality of discharge teaching between the target and control groups. A total of 253 subjects were included in this study. Following implementation of the new strategy, the total score of readiness for hospital discharge increased from 155.02 to 167.37 (p = 0.007). The total score of the quality of discharge teaching increased from 145.97 to 156.03 (p < 0.001). In addition, favorable changes were observed for all metrics of readiness for hospital discharge in the target group. The implementation of the new strategy was also associated with an increased total score (18.25; 95% confidence interval (CI): 9.56–26.94; p < 0.001) and delivery (14.85; 95% CI: 8.94–20.76; p < 0.001) of the quality of discharge teaching. Thus, the implementation of our strategy can significantly improve readiness for hospital discharge and the quality of discharge teaching for patients undergoing radical prostatectomy.

Radical prostatectomy; Mind mapping; Patient education; Readiness for hospital discharge

[1] Sung H, Ferlay J, Siegel RL, Laversanne M, Soerjomataram I, Jemal A, et al. Global cancer statistics 2020: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA: A Cancer Journal for Clinicians. 2021; 71: 209–249.

[2] Mottet N, van den Bergh RCN, Briers E, Van den Broeck T, Cumberbatch MG, De Santis M, et al. EAU-EANM-ESTRO-ESUR-SIOG guidelines on prostate cancer—2020 update. Part 1: screening, diagnosis, and local treatment with curative intent. European Urology. 2021; 79: 243–262.

[3] Lowrance WT, Breau RH, Chou R, Chapin BF, Crispino T, Dreicer R, et al. Advanced prostate cancer: AUA/ASTRO/SUO guideline part I. Journal of Urology. 2021; 205: 14–21.

[4] Liu J, Dong L, Zhu Y, Dong B, Sha J, Zhu HH, et al. Prostate cancer treatment—China’s perspective. Cancer Letters. 2022; 550: 215927.

[5] Merhe A, Abou Heidar N, Hout M, Bustros G, Mailhac A, Tamim H, et al. An evaluation of the timing of surgical complications following radical prostatectomy: data from the American college of surgeons national surgical quality improvement program (ACS-NSQIP). Arab Journal of Urology. 2020; 18: 136–141.

[6] Murphy C, de Laine C, Macaulay M, Fader M. A multicentre exploratory study of the impact of urinary incontinence in the 6 weeks after catheter removal following radical prostatectomy. BJU International. 2020; 126: 667–669.

[7] Tong H, Qiu F, Fan L. Effect of hospital discharge plan for children with type 1 diabetes on discharge readiness, discharge education quality, and blood glucose control. World Journal of Clinical Cases. 2021; 9: 774–783.

[8] Qian J, Qian M, Ren Y, Ye L, Qian F, Jin L, et al. Readiness for hospital discharge and influencing factors: a cross-sectional study on patients discharged with tubes from the department of hepatobiliary surgery. BMC Surgery. 2021; 21: 121.

[9] Weiss ME, Piacentine LB, Lokken L, Ancona J, Archer J, Gresser S, et al. Perceived readiness for hospital discharge in adult medical-surgical patients. Clinical Nurse Specialist. 2007; 21: 31–42.

[10] Zhao H, Feng X, Yu R, Gu D, Ji X. Validation of the Chinese version of the readiness for hospital discharge scale on patients who have undergone laryngectomy. Journal of Nursing Research. 2016; 24: 321–328.

[11] Zhao H, Feng X, Yu R, Gu D, Zhang X. Factors influencing readiness for hospital discharge among patients undergoing laryngectomy. International Journal of Nursing Practice. 2020; 26: e12875.

[12] Zheng RS, Sun KX, Zhang SW, Zeng HM, Zou XN, Chen R, et al. Report of cancer epidemiology in China, 2015. Chinese Journal of Oncology. 2019; 41: 19–28. (In Chinese)

[13] Hudolin T, Kolar Mitrović H, Bakula M, Kuliš T, Penezić L, Zekulić T, et al. Pelvic rehabilitation for urinary incontinence after radical prostatectomy. Acta Clinica Croatica. 2022; 61: 71–75.

[14] Sari Motlagh R, Abufaraj M, Yang L, Mori K, Pradere B, Laukhtina E, et al. Penile rehabilitation strategy after nerve sparing radical prostatectomy: a systematic review and network meta-analysis of randomized trials. Journal of Urology. 2021; 205: 1018–1030.

[15] Pompe RS, Krüger A, Preisser F, Karakiewicz PI, Michl U, Graefen M, et al. The impact of anxiety and depression on surgical and functional outcomes in patients who underwent radical prostatectomy. European Urology Focus. 2020; 6: 1199–1204.

[16] Bristol AA, Elmore CE, Weiss ME, Barry LA, Iacob E, Johnson EP, et al. Mixed-methods study examining family carers’ perceptions of the relationship between intrahospital transitions and patient readiness for discharge. BMJ Quality & Safety. 2023; 32: 447–456.

[17] Walker D, Robinson S, Helliwell P, Adebajo A. Development and validation of a bi‐lingual interactive tool to educate people about osteomalacia. Musculoskeletal Care. 2020; 18: 265–270.

[18] Luther B, Wilson RD, Kranz C, Krahulec M. Discharge processes: what evidence tells us is most effective. Orthopaedic Nursing. 2019; 38: 328–333.

[19] Nurhayati N, Songwathana P, Vachprasit R. Surgical patients’ experiences of readiness for hospital discharge and perceived quality of discharge teaching in acute care hospitals. Journal of Clinical Nursing. 2019; 28: 1728–1736.

[20] Mabire C, Bachnick S, Ausserhofer D, Simon M. Patient readiness for hospital discharge and its relationship to discharge preparation and structural factors: a cross-sectional study. International Journal of Nursing Studies. 2019; 90: 13–20.

[21] Prochnow JA, Meiers SJ, Scheckel MM. Improving patient and caregiver new medication education using an innovative teach-back toolkit. Journal of Nursing Care Quality. 2019; 34: 101–106.