Communication and coordination during transition of older persons between nursing homes and hospital still in need of improvement
Open accessAbstract
Aim: To investigate registered hospital and nursing home nurses' experiences of coordination and communication within and between care settings when older persons are transferred from nursing homes to hospital and vice versa. Background: It has previously been reported that transfers to hospital from nursing homes and discharge of patients from hospital are surrounded by communication difficulties. However, studies focusing on both hospital and nursing home registered nurses' experiences of communication and coordination within and between nursing homes and hospitals are uncommon. Design: A descriptive study design with a qualitative approach was used. Methods: In 2008, three focus group discussions were conducted with registered nurses from hospitals and nursing homes (n = 20). Data were analysed using content analysis. Results: Nursing home registered nurses found it difficult to decide whether the older person should be referred to hospital from the nursing home. Hospital registered nurses reported often trying to stop premature discharges or having to carry out the discharge although it had not been fully prepared. Both hospital and nursing home registered nurses suggested increased collaboration to understand each other's work situation better. Conclusion: Communication and coordination among hospital and nursing home registered nurses need to be furthered improved. Registered nurses' coordination and planning in the nursing home are extremely important to future elder care. We recommend that the medical care plan be regularly updated and meticulously followed, the aim being to reduce the risk of inappropriate medical treatment and nursing care and unnecessary transfer and admission to hospital.
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A Swedish study that examined hospital and care home nurses' views of older people transfers between settings found similar findings.
“Similar findings were noted in a Swedish study [44] that examined hospital and care home nurses’ views of older people transfers between settings.”
From Stakeholder perspectives of care for people living with dementia moving from hospital to care facilities in the community: a systematic review (2019) · cites this paper as [44]
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“Similar findings were noted in a Swedish study [44] that examined hospital”
Result
- Authors
- Kirsebom, M., Wadensten, B., & Hedström, M.
- Affiliations
- Uppsala University (SE)
- Corresponding author
- Kirsebom, Marie
- Venue
- Journal of Advanced Nursing
- Publisher
- Wiley
- Published
- 2012-06-29
- Volume
- 69
- Issue
- 4
- Pages
- 886-895
- ISSN
- 0309-2402 (ISSN-L)
- 1365-2648
- OpenAlex
- W2091629575
- Cited by
- 73
- References
- 41
- Citations by year
- 2025: 3 · 2024: 6 · 2023: 2 · 2022: 6 · 2021: 7 · 2020: 5 · 2019: 11 · 2018: 7 · 2017: 5 · 2016: 10 · 2015: 5 · 2014: 3 · 2013: 3
- FWCI
- 3.91
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Journal of Advanced Nursing (publishedVersion)
- PubMed (publishedVersion)
- BIBSYS Brage (BIBSYS (Norway)) (submittedVersion)
- Topics
- Health Sciences › Medicine › Emergency Medicine › Hospital Admissions and Outcomes
- Health Sciences › Health Professions › General Health Professions › Geriatric Care and Nursing Homes
- Health Sciences › Health Professions › General Health Professions › Interprofessional Education and Collaboration
- Keywords
- interprofessional communication, care coordination, hospital discharge, older adults, registered nurses' experiences, premature discharge, hospitalization, care transitions, medical care planning
- MeSH terms
- Communication, Continuity of Patient Care, Hospital Administration, Humans, Nursing Homes, Sweden, Focus Groups
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