Nurses' perceptions of discharge planning in acute health care: a case study in one British teaching hospital

Atwal, Anita

doi:10.1046/j.1365-2648.2002.02310.x

Cited by 79 publications

(113 citation statements)

References 31 publications

Supporting

Mentioning

103

Contrasting

Unclassified

Order By: Relevance

“…This seems to be a persistent problem. According to a number of earlier studies, nursing staff state that discharge planning sessions are complicated due to differences in perception and shortcomings in the flow of patient information between the professionals involved [6][7][8] . It can be seen that the nursing staff in our study underestimate their need to participate to make discharge planning really work.…”

Section: Discussionmentioning

confidence: 99%

“…Nursing staff at Swedish hospitals state in some qualitative studies [6,7] also reported in a case study from the UK [8] that carefully completed discharge planning are complicated to run due to differences in perception and shortcomings in the flow of patient information between the professionals involved. It also seems to be unclear when nursing staff in primary healthcare assume full responsibility for the patient's further care after discharge [6] .…”

mentioning

confidence: 99%

See 1 more Smart Citation

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

View full text Add to dashboard Cite

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.

show abstract

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

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

View full text Add to dashboard Cite

show abstract

“…Several authors recognize that discharge planning still remains problematic and many questions have been raised about its effectiveness (2)(3)17) . The inappropriate preparation of patients and relatives and the consequent lack of knowledge and information concerning several aspects contribution the use of classification instruments represent when planning patients' care needs at home.…”

Section: Discussionmentioning

confidence: 99%

“…Thus, the family should be involved in all planning steps so as to understand the patients' health status and needs. The valuation of the social aspects of patient care is considered of fundamental importance, as it is an integral part of the discharge process (17) . Through the findings in this study, it is important to consider the hospital discharge process, as well as the …”

Section: Discharge Guidance -Stepmentioning

confidence: 99%

Use of a patient classification instrument as a guide to plan nursing discharge

Pagliarini

Perroca

2008

Acta paul. enferm.

View full text Add to dashboard Cite

Objective: To evaluate the use of a patient classification instrument as a guide to plan nursing discharge. Methods: Exploratory descriptive study performed in hospitalization units of Medical and Surgical Practice at a teaching hospital in São José do Rio Preto -SP, Brazil. The sample was made up of 50 patients who received discharge guidance from seven clinical nurses and supervisors. The sample collection occurred in two steps after the record of the discharge guidance, performed by nurses with and without the aid of a classification instrument. Results:The findings show that nurses are more likely to comply with care areas in the psychobiological dimension. However, when they use the instrument, the psychosocial dimension is also benefited. Conclusion: The use of a patient classification instrument guided the planning of nursing discharge, enabling a more comprehensive and more thorough identification of care areas that require attention. Keywords: Inpatients/classification; Workload; Nursing assessment; Patient discharge RESUMO Objetivo: Avaliar a utilização de um instrumento de classificação de pacientes como norteador do planejamento de alta de enfermagem. Métodos: Estudo descritivo exploratório realizado em unidades de internação de Clínica Médica e Cirúrgica de um hospital de ensino na cidade de São José do Rio Preto -SP. A amostra consistiu em 50 pacientes que receberam orientações de alta de sete enfermeiras clínicas e supervisoras. A coleta de dados ocorreu em duas etapas mediante o registro das orientações de alta realizadas pelas enfermeiras sem e com o auxílio de instrumento de classificação. Resultados: Revelam que as enfermeiras se atêm mais às áreas de cuidados da dimensão psicobiológica. Contudo, quando utilizam o instrumento, a dimensão psicosocial passa também a ser privilegiada. Conclusão: A utilização de instrumento para classificação de pacientes norteou o planejamento de alta de enfermagem, possibilitando uma identificação mais abrangente e mais aprofundada das áreas de cuidado que requerem atenção. Descritores: Pacientes internados/classificação; Carga de trabalho; Avaliação em enfermagem; Alta do paciente RESUMEN Objetivo: Evaluar la utilización de un instrumento de clasificación de pacientes como guía de la planificación del alta de enfermería. Métodos: Se trata de un estudio descriptivo exploratorio realizado en unidades de internamiento de una Clínica Médica y Quirúrgica de un hospital de enseñanza en la ciudad de Sao José do Rio Preto -SP. La muestra estuvo conformada por 50 pacientes que recibieron orientaciones de alta de siete enfermeras clínicas y supervisoras. La recolección de datos se llevó a cabo en dos etapas mediante el registro de las orientaciones de alta realizadas por las enfermeras sin y con la ayuda de un instrumento de clasificación. Resultados: Revelan que las enfermeras se atienen más a las áreas de cuidados de la dimensión psicobiológica. Con todo, cuando utilizan el instrumento, la dimensión psicosocial pasa también a ser privilegiada. Conclusión: La ut...

show abstract

“…Sometimes this information can be in a language that is foreign to ward nurses, such as terminology like metabolic alkalosis. Atwal (2002) proposes that if nurses do not comprehend the information they are given as part of handover then they do not question it, potentially allowing adverse events to occur during a patient's hospital admission. Whittaker and Ball (2000) outlined factors such as documentation, assessment, dependency, and workload as important information in order to provide appropriate ongoing nursing care for patients.…”

Section: Transfer From Intensive Care: the Ward Nurses' Experiencementioning

confidence: 99%

An exploration of the transition of patients from intensive care to the ward environment: A ward nursing perspective

2008

Australian Critical Care

View full text Add to dashboard Cite

show abstract

Nurses' perceptions of discharge planning in acute health care: a case study in one British teaching hospital

Cited by 79 publications

References 31 publications

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

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

Use of a patient classification instrument as a guide to plan nursing discharge

An exploration of the transition of patients from intensive care to the ward environment: A ward nursing perspective

Contact Info

Product

Resources

About