Improving networks between acute care nurses and an aged care assessment team

Robinson, RN and Andrew; Street, Annette

doi:10.1046/j.1365-2702.2003.00863.x

Cited by 34 publications

(64 citation statements)

References 22 publications

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“…Greenhalgh [28] and Bang [37] describe the organization as a platform for how knowledge is maintained, shared and incorporated into tasks in everyday work. The way an organization deals with knowledge will thus influence the implementation process [15]. In this study, this plays out in the way that the attitudes of managers and co-workers to video conferencing are an important source of guidance regarding the outcome of the implementation process.…”

Section: Discussionmentioning

confidence: 99%

“…Even a qualitative study on teleconferencing highlights technical difficulties related to awareness issues and coordination in video-mediated communication [13]. On the other hand, literature describes that a discharge planning tool in the electronic health record may improve interdisciplinary communication [14], and that the use of IT-based systems is a success factor in ensuring and improving communication between different stakeholders [15,16]. Organizations that encourage knowledge sharing as well as reflections and observation are described to be more successful at innovations and implementation [17].…”

Section: Introductionmentioning

confidence: 99%

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Framing the implementation process of video conferencing in discharge planning – according to staff experience

Hofflander

Nilsson

Eriksén

et al. 2015

Informatics for Health and Social Care

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Challenges of improving discharge planning have been an area of concern for many years, including problems related to lack of time for professionals to participate. In a county in South East Sweden, video conferencing was implemented in discharge planning sessions to enable distance participation of the professionals. To examine the implementation process, interviews were conducted with the implementers, who were project leaders, discharge planning coordinators in the hospital, and in home-care. The interviews were analysed qualitatively, using directed content analysis with a deductive approach to a theoretical framework that was composed from theories about implementation processes to be suitable for the healthcare sector, consisting of the factors: implementation objects; implementation actions; actors; users; inner context and outer context. The results of this study are consistent with the framework but with the addition of a new dimension -time, i.e. time to prepare; time to understand; time to run through and time to reflect. It is suggested that implementation frameworks are useful when IT is introduced in healthcare. Framing the implementation process supports the exposure of factors and highlights relationships and states of dependence between those factors which may affect implementation.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Framing the implementation process of video conferencing in discharge planning – according to staff experience

Hofflander

Nilsson

Eriksén

et al. 2015

Informatics for Health and Social Care

View full text Add to dashboard Cite

show abstract

“…This lack of respect could perhaps be connected to ignorance of each other's professions, about the stakeholders involved and about what a discharge plan should include. Both Robinson & Street [11] and Nazarko [13] describe perceived inequality between different parties' responsibilities within the discharge planning activity and its outcome. This lack of power to negotiate and change an unsatisfactory situation seems to be confirmed by our study.…”

Section: Discussionmentioning

confidence: 99%

“…It also seems to be unclear when nursing staff in primary healthcare assume full responsibility for the patient's further care after discharge [6] . This is related to uncertainty and inequality between the responsibilities of the different parties in the discharge planning process [9][10][11] , and it has been shown in studies that this leads to frustration and bad feelings about the task [12,13] . Length of stay in hospital and the readmission rate are also linked to defective discharge planning [14] .…”

mentioning

confidence: 99%

“…However, several studies have examined factors required for discharge planning to succeed: a guarantee by nursing staff that they will participate, participation by the patient and sound appraisal of the patient's need for further care after leaving hospital [1,6,9,15] . The ability to ensure the transfer of information between different stakeholders in an IT-based system is seen as a success factor [11] . Furthermore, a systematic review study shows that a structured discharge plan tailored to the individual will lead to an increase in patient satisfaction as well as participation by the patient [14] .…”

mentioning

confidence: 99%

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Discharge planning: Narrated by nursing staff in primary healthcare and their concerns about using video conferencing in the planning session – An interview study

Hofflander

Nilsson

Eriksén

et al. 2013

JNEP

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Background/Objective: This paper sets out to describe experience-based reflections on discharge planning as narrated by nursing staff in primary healthcare, along with their concerns about how the introduction of video conferencing might influence the discharge planning situation. Methods:Interviews were conducted with nursing staff working at a primary healthcare centre in South East Sweden. Each interview took place was conducted on a one-to-one basis in dialogue form, using open questions and supported by an interview guide. It was then analysed using a phenomenological hermeneutic method. Participants were eligible for the study if they had given their informed consent and if they worked with discharge planning and home-based healthcare provision. In total, 10 of the 30 persons working at the primary healthcare centre participated in the study.Results: It was found that nursing staff in primary healthcare regarded the planning session as stressful, time-consuming and characterised by a lack of respect between nursing staff at the hospital and nursing staff in primary healthcare. They also described uncertainty and hesitation about using video conferences where patients might probably be the losers and nursing staff the winners. Conclusions:It is suggested that there is a need for improvement in communication and understanding between nursing staff at the hospital and nursing staff in primary healthcare in order to develop discharge planning. There is also a need for the nursing staff in primary healthcare to obtain more information about how Information Technology (IT) solutions could support their work and help them to find ways to collaborate.

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Put your own “oxygen mask” on first: A behavioral typology of leaders' self‐care

Chiu,

Howard,

Lopes

et al. 2023

Human Resource Management

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Organizational leaders are essential in implementing, interpreting, and even proactively initiating changes for human resource (HR) functions to enhance workplace productivity and well‐being. However, recent studies have cautioned that providing positive and supportive leadership usually drains these organizational leaders. Although the literature has shed light on how leaders can use self‐care strategies to recharge, researchers and HR professionals know relatively little about (1) what specific self‐care actions leaders can take and (2) how external crises such as COVID‐19 constrain leaders' self‐care actions. To identify specific leaders' self‐care behaviors, which we refer to as oxygen masks, we interviewed 41 healthcare managers in Australia during the COVID‐19 pandemic in 2020. We presented a behavioral typology summarizing distinct oxygen masks that leaders used at different points in time. These oxygen masks include improving physical well‐being, improving emotional/spiritual/social well‐being, fulfilling managerial roles, and seeking collegial and organizational support. Moreover, we concluded that the COVID‐19 restrictions made some of these oxygen masks less accessible, negatively impacting leaders' well‐being. Our research conclusions have implications for theory and future studies on extending the literature associated with leadership development, leaders' resilience, and leaders' well‐being. The results also provide HR professionals with practical suggestions about assisting line managers in improving their self‐care and sustaining their leadership effectiveness.

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Improving networks between acute care nurses and an aged care assessment team

Cited by 34 publications

References 22 publications

Framing the implementation process of video conferencing in discharge planning – according to staff experience

Framing the implementation process of video conferencing in discharge planning – according to staff experience

Discharge planning: Narrated by nursing staff in primary healthcare and their concerns about using video conferencing in the planning session – An interview study

Put your own “oxygen mask” on first: A behavioral typology of leaders' self‐care

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