Reducing risks in complex care transitions in rural areas: a grounded theory
Purpose Although previous research indicates that care transitions differ between rural and urban areas, the knowledge of challenges related to care transitions in rural areas appears limited. This study aimed to provide a deeper understanding of what registered nurses’ perceive as the main concerns...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Taylor & Francis Group
2023-12-01
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| Series: | International Journal of Qualitative Studies on Health & Well-Being |
| Subjects: | |
| Online Access: | http://dx.doi.org/10.1080/17482631.2023.2185964 |
| _version_ | 1797401451314544640 |
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| author | Idun Winqvist Ulla Näppä Helén Rönning Marie Häggström |
| author_facet | Idun Winqvist Ulla Näppä Helén Rönning Marie Häggström |
| author_sort | Idun Winqvist |
| collection | DOAJ |
| description | Purpose Although previous research indicates that care transitions differ between rural and urban areas, the knowledge of challenges related to care transitions in rural areas appears limited. This study aimed to provide a deeper understanding of what registered nurses’ perceive as the main concerns in care transitions from hospital care to home healthcare in rural areas, and how they handle these during the care transition process. Methods A Constructivist Grounded Theory method based on individual interviews with 21 registered nurses. Results The main concern in the transition process was “Care coordination in a complex context”. The complexity stemmed from several environmental and organizational factors, creating a messy and fragmented context for registered nurses to navigate. The core category “Actively communicating to reduce patient safety risks” was explained by the three categories– “Collaborating on expected care needs”, “Anticipating obstacles” and “Timing the departure”. Conclusions The study shows a very complex and stressed process that includes several organizations and actors. Reducing risks during the transition process can be facilitated by clear guidelines, tools for communication across organizations and sufficient staffing. |
| first_indexed | 2024-03-09T02:09:17Z |
| format | Article |
| id | doaj.art-ea6e032527ac436e9505977ea4113302 |
| institution | Directory Open Access Journal |
| issn | 1748-2623 1748-2631 |
| language | English |
| last_indexed | 2024-03-09T02:09:17Z |
| publishDate | 2023-12-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | International Journal of Qualitative Studies on Health & Well-Being |
| spelling | doaj.art-ea6e032527ac436e9505977ea41133022023-12-07T15:12:02ZengTaylor & Francis GroupInternational Journal of Qualitative Studies on Health & Well-Being1748-26231748-26312023-12-0118110.1080/17482631.2023.21859642185964Reducing risks in complex care transitions in rural areas: a grounded theoryIdun Winqvist0Ulla Näppä1Helén Rönning2Marie Häggström3Mid Sweden UniversityMid Sweden UniversityMid Sweden UniversityMid Sweden UniversityPurpose Although previous research indicates that care transitions differ between rural and urban areas, the knowledge of challenges related to care transitions in rural areas appears limited. This study aimed to provide a deeper understanding of what registered nurses’ perceive as the main concerns in care transitions from hospital care to home healthcare in rural areas, and how they handle these during the care transition process. Methods A Constructivist Grounded Theory method based on individual interviews with 21 registered nurses. Results The main concern in the transition process was “Care coordination in a complex context”. The complexity stemmed from several environmental and organizational factors, creating a messy and fragmented context for registered nurses to navigate. The core category “Actively communicating to reduce patient safety risks” was explained by the three categories– “Collaborating on expected care needs”, “Anticipating obstacles” and “Timing the departure”. Conclusions The study shows a very complex and stressed process that includes several organizations and actors. Reducing risks during the transition process can be facilitated by clear guidelines, tools for communication across organizations and sufficient staffing.http://dx.doi.org/10.1080/17482631.2023.2185964care transitionsdischargegrounded theoryhome healthcarehospital careinter-organizational cooperationnursingrural health services |
| spellingShingle | Idun Winqvist Ulla Näppä Helén Rönning Marie Häggström Reducing risks in complex care transitions in rural areas: a grounded theory International Journal of Qualitative Studies on Health & Well-Being care transitions discharge grounded theory home healthcare hospital care inter-organizational cooperation nursing rural health services |
| title | Reducing risks in complex care transitions in rural areas: a grounded theory |
| title_full | Reducing risks in complex care transitions in rural areas: a grounded theory |
| title_fullStr | Reducing risks in complex care transitions in rural areas: a grounded theory |
| title_full_unstemmed | Reducing risks in complex care transitions in rural areas: a grounded theory |
| title_short | Reducing risks in complex care transitions in rural areas: a grounded theory |
| title_sort | reducing risks in complex care transitions in rural areas a grounded theory |
| topic | care transitions discharge grounded theory home healthcare hospital care inter-organizational cooperation nursing rural health services |
| url | http://dx.doi.org/10.1080/17482631.2023.2185964 |
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