A Role for Social Workers in Improving Care Setting Transitions: A Case Study

Barber, Ruth D; Kogan, Alexis Coulourides; Riffenburgh, Anne; Enguídanos, Susan

doi:10.1080/00981389.2015.1005273

Cited by 23 publications

(7 citation statements)

References 58 publications

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“…The participation of social workers in the activities of transition care as a member of the multidisciplinary team improves the connections with health services and the community, in addition to providing greater psychosocial support, leading to positive results in the health of patients 48 .…”

Section: /26mentioning

confidence: 99%

Care Transtion in Hospital Discharge for Adult Patients: Integrative Literature Review

Gheno

Pelegrini

2021

Texto contexto - enferm.

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Objective: to summarize and analyze the scientific production on care transition in the hospital discharge of adult patients. Method: integrative review, conducted from May to July 2020, in four relevant databases in the health area: Public Medline (PubMed); Scientific Electronic Library Online (SciELO); Scopus and Virtual Health Library (VHL). The analysis of the results occurred descriptively and was organized into thematic categories that emerged according to the similarity of the contents extracted from the articles. Results: 46 articles from national and international journals, with a predominance of descriptive/non-experimental studies or qualitative studies, met the inclusion criteria. Five categories were identified: discharge and post-discharge process; Continuity of post-discharge care; Benefits of care transition; Role of nurses in care transition and Experiences of patients on care transition. Hospital discharge and care transitions are interconnected processes as transitions qualify the dehospitalization process. Different strategies for continuity of care should be adopted, as they offer greater safety to the patient. Studies have shown that nurses play a fundamental role in transitions and, in Brazil, this activity still needs to gain more space. Reduced hospitalizations, mortality, hospital costs and patient satisfaction are benefits of transitions. Conclusion: care transition is an effective strategy for the care provided to the patient being discharged. It points out the need for integration between the care network and assists services in decision-making about the continuity of care on discharge.

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Section: /26mentioning

confidence: 99%

Care Transtion in Hospital Discharge for Adult Patients: Integrative Literature Review

Gheno

Pelegrini

2021

Texto contexto - enferm.

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“…Hospital based social work practice has been in existence in the United Kingdom since the late 19 th century, when social care professionals were required to assess whether or not people were deserving of treatment. Despite this long historical tradition and the apparent value of their services, their contributions have received scant attention (Beder, 2006, Barber et al, 2015, Cleak, 2014, McLaughlin, 2016.…”

Section: Introductionmentioning

confidence: 99%

“…There is a recognition of the need for a deeper, evidence based understanding of the complex organisational and inter-professional issues which underpin this issue (Swinkels, et al, 2009). There is a general agreement in the national and international literature that effective hospital discharge planning must be underpinned by inter-disciplinary team working (Pethybridge, 2004, Lin and Tjung, 2012, Barber, 2015, Ambrose-Millar and Ashcroft, 2016. Developing and sustaining successful inter-professional relationships facilitate optimal health outcomes.…”

Section: Introductionmentioning

confidence: 99%

Hospital-Based Social Work: Challenges at the Interface between Health and Social Care

Heenan

Birrell

2018

The British Journal of Social Work

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This article analyses the complexity and challenges of hospital-based social work in the rapidly changing and financially driven climate of health and social care. It is based on the findings of an exploratory qualitative study of social work in an acute hospital in Northern Ireland. It considers the intensity and variety of social work practice in this clinical setting and explores the challenges and rewards of interprofessional collaboration. It suggests that hospital-based social workers occupy aunique place at the interface of health and social care, yet relatively little is known about their role and contribution. Whilst these highly skilled professionals play a pivotal part in ensuring the wellbeing of service users, their traditional roles have become secondary to co-ordinating hospital discharge. It is argued that the focus on avoiding delayed discharges and increasing patient throughput may overshadow their strategic and value based contributions. Finally, it is clear that inter-professional working can improve health outcomes and facilitate optimum wellbeing, this study highlights a number of areas of concern for social workers working in these teams.

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“…As social workers, their unique focus on mental health literacy, that is, the belief and knowledge surrounding the recognition, management, and prevention of mental health disorders, were especially suited for the many library patrons dealing with mental health issues (Mendenhall & Frauenholtz, ). The presence of social workers in a community setting has a positive effect on those who are transitioning from different care settings, a common occurrence among the library patron population (Barber, Kogan, Riffenburgh, & Enguidanos, ). The social worker's ability to maintain a safe and open environment was essential to building rapport with patrons.…”

Section: Introductionmentioning

confidence: 99%

Living libraries: Nurse integration in interprofessional homeless health care team

Mariano

Harmon

2018

Public Health Nursing

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Background Despite an increase in national health care service utilization, entry into the health care system remains inequitable. This disparity in health care access disproportionately affects those experiencing homelessness. Because the homeless population faces significant financial and nonfinancial barriers, health care system engagement with these individuals must be reconsidered. Objective This article will describe the piloting of an interprofessional model within an urban library to address barriers to health care access that homeless individuals face. Design The library's unique status as a community hub presents an opportunity for partnership in addressing this population's health care access issues. This community‐based model is the first recorded to utilize three distinct professions—nursing, social work, and library science—in a public library. Results and Conclusions The implementation of this pilot project resulted in a high retention rate of referrals to community health services for those unstably housed and facilitated a system of warm transfers. Although opportunities to improve generalizability exist, this initiative sets the stage for discussion around co‐location of health and social services in a nontraditional community‐based setting to achieve equitable access to health care.

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A Role for Social Workers in Improving Care Setting Transitions: A Case Study

Cited by 23 publications

References 58 publications

Care Transtion in Hospital Discharge for Adult Patients: Integrative Literature Review

Care Transtion in Hospital Discharge for Adult Patients: Integrative Literature Review

Hospital-Based Social Work: Challenges at the Interface between Health and Social Care

Living libraries: Nurse integration in interprofessional homeless health care team

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