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Nurses' discharge planning and risk assessment: behaviours, understanding and barriers

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  • Jane Graham
  • Robyn Gallagher
  • Janine Bothe

Abstract

Aims and objectives To examine nurses' discharge planning understanding, adherence and barriers. Background Discharge planning commenced at admission by nurses plays a key role in improving patient outcomes,but policies in place to maintain effective discharge planning are often not followed by nurses. Design This is a descriptive study. Methods Nurses (n = 64) working in acute wards undertook a self‐report survey of discharge planning understanding, adherence and barriers. Results Adherence to discharge planning policy is low (23%), despite a general awareness of the reduced quality of patient outcomes that may result. The most common barriers to discharge planning identified were lack of time and patient factors. Further contradictions occurred in that nurses understood the importance of discharge planning, yet did not comply with discharge planning policies. Conclusions Nurses require additional encouragement and support in complying with discharge planning policies, and discharge planning policies should be adapted to better handle unpredictable illness trajectories. Relevance to clinical practice Completion of discharge planning is important for the safe transition of patients from one care setting to the next. Before a systematic approach to discharge planning can be implemented, a greater understanding of nurses' discharge planning practice in acute care wards is required. Greater incorporation of discharge planning activities into nurses' daily practice may also occur if nurses are involved in the development and implementation of the discharge processes and then provided with education and regular feedback on monthly audit results.

Suggested Citation

  • Jane Graham & Robyn Gallagher & Janine Bothe, 2013. "Nurses' discharge planning and risk assessment: behaviours, understanding and barriers," Journal of Clinical Nursing, John Wiley & Sons, vol. 22(15-16), pages 2338-2346, August.
  • Handle: RePEc:wly:jocnur:v:22:y:2013:i:15-16:p:2338-2346
    DOI: 10.1111/jocn.12179
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    Cited by:

    1. Eiko Moriya & Noriko Nagao & Shinya Ito & Miyuki Makaya, 2020. "The relationship between perceived difficulty and reflection in the practice of discharge planning nurses in acute care hospitals: A nationwide observational study," Journal of Clinical Nursing, John Wiley & Sons, vol. 29(3-4), pages 511-524, February.

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