‘Being a conduit’ between hospital and home: stakeholders' views and perceptions of a nurse‐led Palliative Care Discharge Facilitator Service in an acute hospital setting

Abstract

Future planning for hospital-based palliative care discharge facilitating services need to consider incorporating strategies that include: increased profile of the service, expansion of service provision and the Discharge Facilitator's earlier involvement in the discharge process.

Experiences of nurse case managers within a central discharge planning role of collaboration between physicians, patients and other healthcare professionals: A sociocultural qualitative study

“…Within the context, this was also exacerbated by short service hours of the NCMs and consistent with other contexts Venkatasalu et al. (). An outcome was the way in which NCMs had to self‐assign complex patients to their care by proactively identifying patients with complex conditions or in complex situations without a rubric or protocol for assessment.…”

“…The attitudes of physicians with regard to length of stay and cost efficiency might have been influenced by changes in hospital reimbursement and were therefore also relevant for the NCMs as noted in other contexts (Powell, Doty, Casten, Rovner, & Rising, 2016;Taylor, 1999;Yamamoto & Lucey, 2005). This may have contradicted with the experiences of the NCMs who were confronted daily with the concerns of patients about their postacute care after discharge and the need to serve as their advocate (Carr, 2009;Taylor, 1999;Venkatasalu et al, 2015). Thus, it was crucial to learn more about how NCMs dealt with collaborative working with regard to discharge planning.…”

“…Terra (2007) observed NCMs working across wards and departments and Yamamoto and Lucey (2005) have noted NCMs having responsibility for the conduction of multidisciplinary care rounds. In some contexts, NCMs provide a 9 a.m.-5 p.m. service, whereas in others, NCMs are available and on duty for 24 hr every day of the week (Venkatasalu, Clarke, & Atkinson, 2015). Carr (2009) suggests that within intensive care units, NCMs are seldom employed; however, it does appear that NCMs work solely in acute care settings, which makes sense given the policy drivers internationally.…”

Life after the Liverpool Care Pathway (LCP): a qualitative study of critical care practitioners delivering end‐of‐life care

“…, Venkatasalu et al . ) . Significant inequalities are reported in the provision of quality end‐of‐life care across geographical locations, clinical settings and for the population both nationally and internationally (Sprung et al .…”

“…International consensus of a 'good death' encompass: no suffering; dying at a preferred place; being around family; not being a burden to others; and a 'sense of completion' during the last days of life (Tayeb et al 2010, Dying Matters 2012, Ko et al 2013, Lee et al 2013, Venkatasalu et al 2015 . Significant inequalities are reported in the provision of quality end-of-life care across geographical locations, clinical settings and for the population both nationally and internationally (Sprung et al 2003, Yaguchi et al 2005, Evans et al 2012, Venkatasalu et al 2014) .…”