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Cited by 4Geriatric Care and Nursing HomesDementia and Cognitive Impairment ResearchHospital Admissions and Outcomes

Understanding the hospital discharge planning process for medical patients with dementia

Duah-Owusu White, Mary, Kelly, Fiona, Vassallo, Michael, Nyman, Samuel R.·2023·Contemporary Nurse
DOI 10.1080/10376178.2023.2266530
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Abstract

Background: Poor hospital discharge processes can result in the readmission of patients and potentially increase the stress levels of carers. Therefore, this study sought to understand the factors related to the discharge planning process for patients with dementia.Methods: The researchers interviewed 32 carers of patients with dementia and 20 hospital staff who worked on medical wards in a United Kingdom (UK) hospital. The semi-structured interviews were analysed thematically using a systems theory (patient–carer–staff relationships, hospital equipment and policies).Results: The findings indicated that the following factors could either have a positive or negative impact on discharge planning: patient (e.g. cognitive capacity), carer (e.g. preconceived ideas about care homes), staff (e.g. communication skills), policy (e.g. procedures such as discharge meetings), equipment (e.g. type of service provider delivering the equipment) and the wider social context (e.g. availability of specialist dementia beds in care homes).Conclusion: It is important for hospital staff to adopt a systems perspective and to integrate the different elements of the hospital system when planning for patients’ discharge.

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Crossref · 10.1080/10376178.2023.2266530

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  • Pressure to comply with the system-level focus on occupancy targets and minimising length of stay further fuelled healthcare professionals' beliefs about patients with MLTCiD.

    “Analysis suggested that pressure to comply with the system-level focus on occupancy targets and minimising length of stay further fuelled these beliefs, as older adults with dementia typically stay longer in hospital [41, 43, 48, 50, 75, 78, 84, 89, 91–93].”

    From Do hospital-to-home transitions work for older adults with multiple long-term conditions including dementia? A realist review (2025) · cites this paper as [92]

    The Introduction (p. 5) discusses hospitals freeing beds and maintaining patient flow, while the Discussion (p. 18) reports factors that delay discharge for patients with dementia. Neither passage links occupancy or length-of-stay targets to pressure on healthcare professionals or shows that such pressure fuelled their beliefs about these patients. (LLM, conf=0.78)

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  • Collaboration between healthcare professionals was associated with delayed discharges, emphasising the problem in care co-ordination.

    “As a result, collaboration between HCPs was associated with delayed discharges, emphasising the problem in care co-ordination (CMOC19) [40, 42, 74, 83, 88, 91, 92].”

    From Do hospital-to-home transitions work for older adults with multiple long-term conditions including dementia? A realist review (2025) · cites this paper as [92]

    The Delays section (p. 14) says meetings involving staff and carers could add delays, and the Discussion (p. 18) says multidisciplinary meetings could potentially delay discharge by a few days. The paper describes these meetings as essential and notes that some delays protect patient safety; it does not establish that collaboration between healthcare professionals was associated with delayed discharge or characterize it as a care-coordination problem. (LLM, conf=0.86)

    Experimental — accuracy not yet measured

  • Older adults with dementia typically stay longer in hospital.

    “Analysis suggested that pressure to comply with the system-level focus on occupancy targets and minimising length of stay further fuelled these beliefs, as older adults with dementia typically stay longer in hospital [41, 43, 48, 50, 75, 78, 84, 89, 91–93].”

    From Do hospital-to-home transitions work for older adults with multiple long-term conditions including dementia? A realist review (2025) · cites this paper as [92]

    The Discussion (p. 18) reports that dementia combined with a need for nursing or care-home placement contributed to delayed hospital discharge, and says the study found similar delays. It does not establish that older adults with dementia typically have longer hospital stays overall; the reported finding is limited to particular discharge circumstances. (LLM, conf=0.82)

    Experimental — accuracy not yet measured

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Authors
Duah-Owusu White, M., Kelly, F., Vassallo, M., & Nyman, S. R.
Affiliations
  • Ageing and Dementia Research Centre, Bournemouth University, Poole, BH12 5BB, UK
  • Queen Margaret University (GB)
  • Royal Bournemouth Hospital (GB)
  • University of Winchester (GB)
ORCID
Venue
Contemporary Nurse
Publisher
Informa UK Limited
Published
2023-09-03
Volume
59
Issue
4-5
Pages
323-333
ISSN
  • 1037-6178 (ISSN-L)
  • 1839-3535
DOI
10.1080/10376178.2023.2266530
OpenAlex
W4387847542
Cited by
4
References
22
Citations by year
2026: 1 · 2025: 1 · 2024: 2
FWCI
1.41
Type
journal article
Language
en
Open access
closed
Locations
  • Contemporary Nurse (publishedVersion)
  • PubMed (publishedVersion)
  • Bournemouth University Research Online (Bournemouth University) (acceptedVersion)
  • Queen Margaret University Publications Repository (Queen Margaret University) (submittedVersion)
Funders
  • Bournemouth University
  • University Hospitals Dorset NHS Foundation Trust
Topics
  • Health Sciences › Health Professions › General Health Professions › Geriatric Care and Nursing Homes
  • Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
  • Health Sciences › Medicine › Emergency Medicine › Hospital Admissions and Outcomes
Keywords
discharge planning, dementia, caregiver perspectives, hospital staff, hospital equipment, hospital policy, cognitive ability, care homes, hospital readmission, systems theory
MeSH terms
Dementia, United Kingdom, Hospitals, Humans, Patient Discharge, Caregivers

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