• Sandra Zavala and Carol Shaffer.
• Reston Hospital Center, Reston, VA, and Graduate Student, George Mason University, Fairfax, VA, USA.
• J Emerg Nurs. 2011 Mar 1; 37 (2): 138-40.

IntroductionAdherence to aftercare instructions following an emergency department visit may be essential for facilitating recovery and avoiding complications, but conditions for teaching and learning are less than ideal in the ED. The objective of this study was to identify and describe areas of patient confusion about ED discharge instructions.MethodsFollow-up telephone calls were made to 50 ED patients on the day after discharge to inquire how they were doing and whether they had any questions about their instructions.ResultsFifteen subjects (31%) requested information about their aftercare instructions that required further clarification by the investigator, and 15 subjects (31%) described a diagnosis-related concern that revealed poor comprehension of instructions.DiscussionThis study demonstrated that patients commonly remain confused about aftercare information following treatment in an ED. Follow-up telephone calls may be useful for identifying and addressing ongoing learning needs.Copyright © 2011 Emergency Nurses Association. Published by Mosby, Inc. All rights reserved.

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