Nurses’ perspectives on how an e‐message system supports cross‐sectoral communication in relation to medication administration: A qualitative study

Foged, Signe; Nørholm, Vibeke; Andersen, Ove; Petersen, Helle Vendel

doi:10.1111/jocn.14109

Cited by 30 publications

(46 citation statements)

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“…Several recent studies have focused on lack of information in relation to medication administration (e.g. Foged et al, 2018;Kollerup et al, 2018;Patterson et al, 2019).These studies concluded that reducing medication discrepancies in the transition from hospital to home requires improved communication, through access to electronic medical records or standardised transfer forms. Our findings show that providing accurate medication management is not only simply a matter of safe transition.…”

Section: Discussionmentioning

confidence: 99%

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Struggles with infrastructures of information concerning hospital-to-home transitions

Norlyk

Deleuran

Martinsen

2020

Br J Community Nurs

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Homecare nurses play a unique role in providing care during the follow-up after hospital discharge and in preventing readmission. The aim of this study was to explore the key challenges faced by homecare nurses in relation to caring for discharged patients. Data were collected through five focus group interviews with 29 Danish homecare nurses and subjected to inductive content analyses. The key challenges faced by homecare nurses fell into three themes: struggling to see the bigger picture, caring for patients from a distance, and compromising on professionalism. The findings demonstrated a paradox between the need for information and the struggle to access this information due to complicated infrastructures of information-sharing. Homecare nurses took on a substantial responsibility in providing the best possible care despite having limited information. Ironically, by taking on this responsibility, they implicitly contribute to covering up the problems of organisational and professional information flow.

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Section: Discussionmentioning

confidence: 99%

“…Further, research has stressed that the use of different information and communication technology across sectors does not support the necessary exchange of information (Melby et al, 2015;Foged et al, 2018). Deficits in communication and a lack of coordination in the discharge process can cause serious breakdowns in the continuity of care.…”

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confidence: 99%

Struggles with infrastructures of information concerning hospital-to-home transitions

Norlyk

Deleuran

Martinsen

2020

Br J Community Nurs

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“…Details on the participants are shown in Table . More details on the data collection, relations with the participants and the authors have previously been reported (Foged et al, ; Petersen et al, ).…”

Section: Methodsmentioning

confidence: 99%

“…The e‐message system held five key elements, including reports and notifications related to admission and discharge as well as care plans and a message platform. More details on the system have been reported previously (Foged et al, ; Petersen et al, ).…”

Section: Methodsmentioning

confidence: 99%

“…In a large study examining registered nurses' perspectives on cross‐sectoral communication, we have previously shown that standards and organisational systems like an e‐message system do not support the intended dialogue and precise and useful exchange of information (Foged, Nørholm, Andersen, & Petersen, ; Petersen et al, ). However, other factors may be of importance to ensure effective and constructive collaboration between the nurses, in both sectors.…”

Section: Introductionmentioning

confidence: 99%

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“It is two worlds” cross‐sectoral nurse collaboration related to care transitions: A qualitative study

Petersen

Foged

Nørholm

2019

Journal of Clinical Nursing

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Aims and objectives To explore how the hospital and home care nurses talk about and experience cross‐sectoral collaboration related to the transitional care of frail older patients. Background Effective communication and collaboration between nurses involved in care transition are crucial for a safe patient handover. Organisational systems to support cross‐sectoral collaboration have been developed but do not always promote the intended dialogue and precise and useful exchange of information. Other factors may also be of importance to an effective and constructive cross‐sectoral nurse collaboration. Design A qualitative design using thematic analysis. Methods Data were extracted from 24 focus group interviews conducted with registered nurses from eight hospital wards and six municipalities and a total of 165 hr of observations conducted in three hospital wards and three municipalities. The study was reported according to the COREQ guidelines. Results The perception of nursing and care differed across sectors. The nurses expressed having shared goals for the patients—however, these goals derived from different values, the perception of nursing and approach to the patients. The lack of knowledge of each other's working conditions created assumptions and preconceptions, which affected communication and collaboration related to planning and executing care transition negatively. Conclusions The nurses perceived the hospital and home care as" two worlds". The collaboration between the nurses was characterised by insufficient communication and preconceptions rather than concrete knowledge and different cultures and professional identities. It can be questioned whether cross‐sectoral collaboration between nurses should be characterised as interprofessional rather than intraprofessional collaboration as the features of the nurses' collaboration. Relevance to clinical practice Organisational and political systems should recognise that nurses in different sectors are taking care of various aspects of nursing when planning on policies to support cross‐sectoral collaboration. More possibilities for nurses across sectors to meet should be made available.

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Nurses’ perceptions of medication administration safety in public hospitals in the Gauteng Province: A mixed method study

Blignaut

Coetzee

Klopper

et al. 2022

International Journal of Africa Nursing Sciences

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Nurses’ perspectives on how an e‐message system supports cross‐sectoral communication in relation to medication administration: A qualitative study

Cited by 30 publications

References 50 publications

Struggles with infrastructures of information concerning hospital-to-home transitions

Struggles with infrastructures of information concerning hospital-to-home transitions

“It is two worlds” cross‐sectoral nurse collaboration related to care transitions: A qualitative study

Nurses’ perceptions of medication administration safety in public hospitals in the Gauteng Province: A mixed method study

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