Table 3 Bundle of intervention
Phase of intervention | TIDieR checklist | |||||
|---|---|---|---|---|---|---|
What (procedures) | Who | How (mode of delivery) | Where (location of the intervention) | When (schedule), and How much (frequency, dose and intensity of interventions) | Tailoring (personalized, titrated or adapted for individual circumstances) | |
Discharge planning phase (at least 72 h to discharge) | Comprehensive patient assessment using the OMAHA System within one week for an adult burn survivor who has a pending discharge status. Interventions will depend on the identified needs and should be classified into teaching, guidance and counselling, treatment and procedures, case management and surveillance. Please ensure to use the intervention scheme for each need. For needs where corresponding schemes are not available, please use the ISBI guidelines. | Nurse case manager (holds a bachelor’s degree or in nursing, and a minimum of 4 years working experience in the Burn Unit) | Face to face and with each patient individually | Burn Unit of the hospital | As needs may change, the first assessment serves as a reference point. The adult burn survivor should be assessed prior to discharge by the nurse case manager. | All components of the intervention scheme may not apply at the same time. Please ensure to match needs at a time to the specific intervention |
|  | Providing support | Nurse case manager | Face to face and with each patient individually | Conducted in the Burn Unit | Once before discharge for 30–45 min (the discussion will be recorded for monitoring and evaluation purposes) | The adult burn survivor is permitted to ask questions beyond the scope of the guidelines; however, the standard components should be covered entirely |
Day of discharge | Reminder about WeChat Telehealth Service, daytime patient/family-initiated call options and follow-up by the Nurse Case Manager; follow-up on previously identified problems during discharge planning phase | Nurse case manager | Face to face with each patient | Burn Unit | Day of discharge | The assessment is the same, but interventions will vary depending on the goals set with the patient |
Follow-up phase | Follow-up call for the following: • To confirm home address • Remind the patient/family caregiver of the availability of 24-h hotline service • Follow-up on previously established goals | Nurse case manager | On phone | Home | Phone call 24 h after discharge once (please note for quality and evaluation purposes, the discussion over the phone will be monitored and recorded) |  |
24 h after discharge | ||||||
One-week post-discharge | First structured telephone chat (comprehensive patient assessment should be completed, and interventions instituted where necessary) | Nurse case manager | Via telephone | On phone | Once | Emerging needs may differ, and interventions should be aligned to the needs that are identified |
2nd week post-discharge | First WeChat Telehealth follow-up | Nurse case manager | Via WeChat | Â | Â | Â |
3rd week post-discharge | Second structured telephone follow-up | Nurse case manager | On phone | phone | Once | Patients may activate the 24-h service as their needs/concerns evolve (all discussions will be recorded) |
4th week post-discharge | Third structured telephone follow-up | Nurse case manager | Phone | phone | Once | Patient’s goals may change or remain same; needs may vary, and interventions should match the identified needs |
5th week post-discharge | Fourth structured telephone follow-up | Nurse case manager | On phone | Phone | Once | Patients may activate the 24-h service as their needs/concerns evolve (all discussions will be recorded) |
6th week post-discharge | Fifth structured telephone follow-up | Nurse case manager | On phone | Phone | Once | Patients may activate the 24-h service as their needs/concerns evolve (all discussions will be recorded) |
7th week post-discharge | Sixth structured telephone follow-up | Nurse case manager | On phone | Phone | Once | Patients may activate the 24-h service as their needs/concerns evolve (all discussions will be recorded) |
8th week post-discharge | Second WeChat follow-up | Nurse case manager | Virtual | Virtual | Once | Emerging needs may differ, and care should be aligned to the needs that are identified |