A collaborative chain out of phase - PubMed (original) (raw)

A collaborative chain out of phase

Bård Paulsen et al. Int J Integr Care. 2013.

Abstract

Introduction: The aim of this study is to explore the obstacles to collaborations between nurses in hospital and municipal care in the discharge of hospital patients who need continuing care.

Methods: First, we conducted in-depth interviews of nurses in hospitals and nurses in municipal care. Second, we developed questionnaires and distributed them to a representative sample of Norwegian municipalities to study the representativeness of the most important findings from the interviews.

Results: Municipal care nurses reported that the information they receive from hospital departments usually is insufficient for a complete understanding of a patient's needs. Formal discharge reports from hospital serve as a post factum formalization and authorization of information collected by municipal nurses in an ad hoc fashion and via oral communication. Typically, formal information routines are out of phase with the information needed by municipal care professionals.

Conclusions: Hospital information provided at discharge is neither sufficient nor timely with respect to the information needs of nurses in municipal care. Organizational efforts and the use of information technology might ease some obstacles, but several problems will remain because of differences in professional orientation and the contexts of care delivery.

Keywords: collaboration; cross organizational communication; integrated care; organizational culture; patient discharge.

PubMed Disclaimer

Similar articles

• Norwegian general practitioners' collaboration with municipal care providers - a qualitative study of structural conditions.
  Steihaug S, Paulsen B, Melby L. Steihaug S, et al. Scand J Prim Health Care. 2017 Dec;35(4):344-351. doi: 10.1080/02813432.2017.1397264. Epub 2017 Nov 8. Scand J Prim Health Care. 2017. PMID: 29116877 Free PMC article.
• Digitalized Discharge Planning Between Hospitals and Municipal Health Care.
  Hellesø R, Gautun H. Hellesø R, et al. Stud Health Technol Inform. 2018;250:217-220. Stud Health Technol Inform. 2018. PMID: 29857439
• The patient experience of patient-centered communication with nurses in the hospital setting: a qualitative systematic review protocol.
  Newell S, Jordan Z. Newell S, et al. JBI Database System Rev Implement Rep. 2015 Jan;13(1):76-87. doi: 10.11124/jbisrir-2015-1072. JBI Database System Rev Implement Rep. 2015. PMID: 26447009
• Evidence Brief: The Quality of Care Provided by Advanced Practice Nurses [Internet].
  McCleery E, Christensen V, Peterson K, Humphrey L, Helfand M. McCleery E, et al. Washington (DC): Department of Veterans Affairs (US); 2014 Sep. Washington (DC): Department of Veterans Affairs (US); 2014 Sep. PMID: 27606392 Free Books & Documents. Review.
• An approach to hospital quality improvement.
  Lurie JD, Merrens EJ, Lee J, Splaine ME. Lurie JD, et al. Med Clin North Am. 2002 Jul;86(4):825-45. doi: 10.1016/s0025-7125(02)00021-4. Med Clin North Am. 2002. PMID: 12365342 Review.

Cited by

• Hospital discharge of elderly patients to primary health care, with and without an intermediate care hospital - a qualitative study of health professionals' experiences.
  Dahl U, Steinsbekk A, Jenssen S, Johnsen R. Dahl U, et al. Int J Integr Care. 2014 Apr 30;14:e011. doi: 10.5334/ijic.1156. eCollection 2014 Apr. Int J Integr Care. 2014. PMID: 24868194 Free PMC article.
• Coordination between primary and secondary care: the role of electronic messages and economic incentives.
  La Rocca A, Hoholm T. La Rocca A, et al. BMC Health Serv Res. 2017 Feb 17;17(1):149. doi: 10.1186/s12913-017-2096-4. BMC Health Serv Res. 2017. PMID: 28212653 Free PMC article.
• Documentation and communication of nutritional care for elderly hospitalized patients: perspectives of nurses and undergraduate nurses in hospitals and nursing homes.
  Halvorsen K, Eide HK, Sortland K, Almendingen K. Halvorsen K, et al. BMC Nurs. 2016 Dec 1;15:70. doi: 10.1186/s12912-016-0193-z. eCollection 2016. BMC Nurs. 2016. PMID: 27980452 Free PMC article.
• Aspects of Equality in Mandatory Partnerships - From the Perspective of Municipal Care in Norway.
  Kirchhoff R, Ljunggren B. Kirchhoff R, et al. Int J Integr Care. 2016 May 18;16(2):6. doi: 10.5334/ijic.2025. Int J Integr Care. 2016. PMID: 27616962 Free PMC article.
• Limited effect of structured medication report as the only intervention at discharge from hospital.
  Holdhus H, Bøvre K, Mathiesen L, Bjelke B, Bjerknes K. Holdhus H, et al. Eur J Hosp Pharm. 2019 Mar;26(2):101-105. doi: 10.1136/ejhpharm-2017-001371. Epub 2018 Jan 20. Eur J Hosp Pharm. 2019. PMID: 31157108 Free PMC article.

References

1. 1. Naylor MD, Brooten D, Campbell R, Jacobsen BS, Mezey MD, Pauly MV, et al. Comprehensive discharge planning and home follow-up of hospitalized elders. Journal of the American Medical Association. 1999;281(7):613–20. - PubMed
2. 1. Armitage SK, Kavanagh KM. Continuity of care: discharge planning and community nurses. Contemporary Nurse. 1995;4(4):148–55. - PubMed
3. 1. Guttman A, Afilalo M, Guttman R, Colacone A, Robitaille C, Lang E, et al. An emergency department-based nurse discharger coordinator for elder patients: does it make a difference? Academy Emergency Medicine. 2004;11(12):1318–27. - PubMed
4. 1. Houghton A, Bowling A, Clarke KD, Hopkins AP, Jones I. Does a dedicated discharge coordinator improve the quality of hospital discharge? Quality in Health Care. 1996;5:89–96. - PMC - PubMed
5. 1. Tarricone R, Tsouros AD. The solid facts. Home care in Europe. Copenhagen: World Health Organization; 2008. Available from: http://www.euro.who.int/__data/assets/pdf_file/0005/96467/E91884.pdf.

LinkOut - more resources

• Full Text Sources

  • Europe PubMed Central
  • PubMed Central
  • Ubiquity Press