Evaluation and perceptions of a nursing discharge plan among nurses from different healthcare settings in Spain.

Discharge planning, nursing discharge plan, continuity of care Nurse management Quality of care

Journal

BMC health services research
ISSN: 1472-6963
Titre abrégé: BMC Health Serv Res
Pays: England
ID NLM: 101088677

Informations de publication

Date de publication:
28 May 2022
Historique:
received: 25 11 2021
accepted: 09 05 2022
entrez: 1 6 2022
pubmed: 2 6 2022
medline: 7 6 2022
Statut: epublish

Résumé

The exchange of information between different healthcare settings through a nursing discharge plan is essential for safe care. However, the factors contributing to achieving the most efficient exchange have not been well studied. This study aimed to evaluate and explore the perceptions of a nursing discharge plan from the perspective of nurses in different healthcare settings. A mixed methods approach comprising a specifically designed ad hoc questionnaire (n = 437) and a focus group session (n = 8). Overall, 66.1% out of 437 nurses, and especially those working in nursing homes, were satisfied with the nursing discharge plan. Lack of time to complete the report and poor information about both nursing diagnoses and patients' social assessment were identified as problem areas. Some proposals emerged from the focus group: providing sufficient time for its completion, giving the nursing discharge plan a more flexible structure permitting more open-ended responses, requiring more information to be provided about the social and psychological situation of the patients, training nurses to use standardized language to avoid possible misinterpretations, and getting nurses from the different health care settings to work together in designing continuity of care plans. Elderly and low-income patients are found to need greater attention when filling out nursing discharge plans. The study has revealed key aspects that need to be improved and some recommendations in implementing the nursing discharge plan in our health area. These include that there should be more time provided to complete the NDP, and also specific details regarding the format, structure, content of the information that is communicated, and the prioritization of the patient profile.

Identifiants

pubmed: 35643517
doi: 10.1186/s12913-022-08109-9
pii: 10.1186/s12913-022-08109-9
pmc: PMC9145205
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

710

Informations de copyright

© 2022. The Author(s).

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Auteurs

Gloria Reig-Garcia (G)

Department of Nursing, University of Girona, Emili Grahït, 77 17003, Girona, Spain.
Health and Healthcare Research Group, University of Girona, Girona, Spain.

Anna Bonmatí-Tomàs (A)

Department of Nursing, University of Girona, Emili Grahït, 77 17003, Girona, Spain. anna.bonmati@udg.edu.
Health and Healthcare Research Group, University of Girona, Girona, Spain. anna.bonmati@udg.edu.

Rosa Suñer-Soler (R)

Department of Nursing, University of Girona, Emili Grahït, 77 17003, Girona, Spain.
Health and Healthcare Research Group, University of Girona, Girona, Spain.

Mari Carmen Malagón-Aguilera (MC)

Department of Nursing, University of Girona, Emili Grahït, 77 17003, Girona, Spain.
Health and Healthcare Research Group, University of Girona, Girona, Spain.

Sandra Gelabert-Vilella (S)

Department of Nursing, University of Girona, Emili Grahït, 77 17003, Girona, Spain.
Health and Healthcare Research Group, University of Girona, Girona, Spain.

Cristina Bosch-Farré (C)

Department of Nursing, University of Girona, Emili Grahït, 77 17003, Girona, Spain.
Health and Healthcare Research Group, University of Girona, Girona, Spain.

Susana Mantas-Jimenez (S)

Department of Nursing, University of Girona, Emili Grahït, 77 17003, Girona, Spain.

Dolors Juvinyà-Canal (D)

Department of Nursing, University of Girona, Emili Grahït, 77 17003, Girona, Spain.
Health and Healthcare Research Group, University of Girona, Girona, Spain.

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