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Bedside nurses’ roles in discharge collaboration in general internal medicine: Disconnected, disempowered and devalued?

Authors :
Goldman, Joanne
MacMillan, Kathleen
Kitto, Simon
Wu, Robert
Silver, Ivan
Reeves, Scott
Source :
Nursing Inquiry; Jul2018, Vol. 25 Issue 3, p1-1, 11p
Publication Year :
2018

Abstract

Collaboration among nurses and other healthcare professionals is needed for effective hospital discharge planning. However, interprofessional interactions and practices related to discharge vary within and across hospitals. These interactions are influenced by the ways in which healthcare professionals’ roles are being shaped by hospital discharge priorities. This study explored the experience of bedside nurses’ interprofessional collaboration in relation to discharge in a general medicine unit. An ethnographic approach was employed to obtain an in‐depth insight into the perceptions and practices of nurses and other healthcare professionals regarding collaborative practices around discharge. Sixty‐five hours of observations was undertaken, and 23 interviews were conducted with nurses and other healthcare professionals. According to our results, bedside nurses had limited engagement in interprofessional collaboration and discharge planning. This was apparent by bedside nurses’ absence from morning rounds, one‐way flow of information from rounds to the bedside nurses following rounds, and limited opportunities for interaction with other healthcare professionals and decision‐making during the day. The disconnection, disempowerment and devaluing of bedside nurses in patient discharge planning has implications for quality of care and nursing work. Study findings are positioned within previous work on nurse–physician interactions and the current context of nursing care. [ABSTRACT FROM AUTHOR]

Details

Language :
English
ISSN :
13207881
Volume :
25
Issue :
3
Database :
Complementary Index
Journal :
Nursing Inquiry
Publication Type :
Academic Journal
Accession number :
130696412
Full Text :
https://doi.org/10.1111/nin.12236