Evaluation and perceptions of a nursing discharge plan among nurses from different healthcare settings in Spain
Abstract Purpose 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 percepti...
| Main Authors: | , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2022-05-01
|
| Series: | BMC Health Services Research |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12913-022-08109-9 |
| _version_ | 1811254284843483136 |
|---|---|
| author | Gloria Reig-Garcia Anna Bonmatí-Tomàs Rosa Suñer-Soler Mari Carmen Malagón-Aguilera Sandra Gelabert-Vilella Cristina Bosch-Farré Susana Mantas-Jimenez Dolors Juvinyà-Canal |
| author_facet | Gloria Reig-Garcia Anna Bonmatí-Tomàs Rosa Suñer-Soler Mari Carmen Malagón-Aguilera Sandra Gelabert-Vilella Cristina Bosch-Farré Susana Mantas-Jimenez Dolors Juvinyà-Canal |
| author_sort | Gloria Reig-Garcia |
| collection | DOAJ |
| description | Abstract Purpose 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. Methods A mixed methods approach comprising a specifically designed ad hoc questionnaire (n = 437) and a focus group session (n = 8). Findings 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. Conclusions 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. |
| first_indexed | 2024-04-12T17:04:00Z |
| format | Article |
| id | doaj.art-168c9233520c4540b21ba94c99ce17e6 |
| institution | Directory Open Access Journal |
| issn | 1472-6963 |
| language | English |
| last_indexed | 2024-04-12T17:04:00Z |
| publishDate | 2022-05-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Health Services Research |
| spelling | doaj.art-168c9233520c4540b21ba94c99ce17e62022-12-22T03:23:59ZengBMCBMC Health Services Research1472-69632022-05-0122111010.1186/s12913-022-08109-9Evaluation and perceptions of a nursing discharge plan among nurses from different healthcare settings in SpainGloria Reig-Garcia0Anna Bonmatí-Tomàs1Rosa Suñer-Soler2Mari Carmen Malagón-Aguilera3Sandra Gelabert-Vilella4Cristina Bosch-Farré5Susana Mantas-Jimenez6Dolors Juvinyà-Canal7Department of Nursing, University of GironaDepartment of Nursing, University of GironaDepartment of Nursing, University of GironaDepartment of Nursing, University of GironaDepartment of Nursing, University of GironaDepartment of Nursing, University of GironaDepartment of Nursing, University of GironaDepartment of Nursing, University of GironaAbstract Purpose 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. Methods A mixed methods approach comprising a specifically designed ad hoc questionnaire (n = 437) and a focus group session (n = 8). Findings 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. Conclusions 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.https://doi.org/10.1186/s12913-022-08109-9Discharge planning, nursing discharge plan, continuity of careQuality of careNurse management |
| spellingShingle | Gloria Reig-Garcia Anna Bonmatí-Tomàs Rosa Suñer-Soler Mari Carmen Malagón-Aguilera Sandra Gelabert-Vilella Cristina Bosch-Farré Susana Mantas-Jimenez Dolors Juvinyà-Canal Evaluation and perceptions of a nursing discharge plan among nurses from different healthcare settings in Spain BMC Health Services Research Discharge planning, nursing discharge plan, continuity of care Quality of care Nurse management |
| title | Evaluation and perceptions of a nursing discharge plan among nurses from different healthcare settings in Spain |
| title_full | Evaluation and perceptions of a nursing discharge plan among nurses from different healthcare settings in Spain |
| title_fullStr | Evaluation and perceptions of a nursing discharge plan among nurses from different healthcare settings in Spain |
| title_full_unstemmed | Evaluation and perceptions of a nursing discharge plan among nurses from different healthcare settings in Spain |
| title_short | Evaluation and perceptions of a nursing discharge plan among nurses from different healthcare settings in Spain |
| title_sort | evaluation and perceptions of a nursing discharge plan among nurses from different healthcare settings in spain |
| topic | Discharge planning, nursing discharge plan, continuity of care Quality of care Nurse management |
| url | https://doi.org/10.1186/s12913-022-08109-9 |
| work_keys_str_mv | AT gloriareiggarcia evaluationandperceptionsofanursingdischargeplanamongnursesfromdifferenthealthcaresettingsinspain AT annabonmatitomas evaluationandperceptionsofanursingdischargeplanamongnursesfromdifferenthealthcaresettingsinspain AT rosasunersoler evaluationandperceptionsofanursingdischargeplanamongnursesfromdifferenthealthcaresettingsinspain AT maricarmenmalagonaguilera evaluationandperceptionsofanursingdischargeplanamongnursesfromdifferenthealthcaresettingsinspain AT sandragelabertvilella evaluationandperceptionsofanursingdischargeplanamongnursesfromdifferenthealthcaresettingsinspain AT cristinaboschfarre evaluationandperceptionsofanursingdischargeplanamongnursesfromdifferenthealthcaresettingsinspain AT susanamantasjimenez evaluationandperceptionsofanursingdischargeplanamongnursesfromdifferenthealthcaresettingsinspain AT dolorsjuvinyacanal evaluationandperceptionsofanursingdischargeplanamongnursesfromdifferenthealthcaresettingsinspain |