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Cited by 30Palliative and Oncologic CareHospital Admissions and OutcomesInterprofessional Education and Collaboration

Nurses’ experiences and perspectives on collaborative discharge planning when patients receiving palliative care for cancer are discharged home from hospitals

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Lundereng, Elias David, Dihle, Alfhild, Steindal, Simen A.·2020·Journal of Clinical Nursing
DOI 10.1111/jocn.15371
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Abstract

Aims and objectives: To explore nurses’ experiences and perspectives on discharge collaboration when patients receiving palliative care for cancer are discharged home from hospitals. Background: Patients receiving palliative care for cancer experience multiple transitions between the hospital and their home. Poor discharge collaboration is a major cause of preventable hospital readmissions. Collaborative discharge planning could improve the care for these patients outside the hospital setting. Previous research has mostly been conducted in noncancer populations. Further research regarding both home care nurses’ and hospital nurses’ perspectives on care transitions is required. Design: A qualitative study with descriptive and explorative design. Methods: Data were collected through 10 individual, semi‐structured interviews of nurses working at two oncology wards at a university hospital and home care services in four municipalities within the hospital's catchment area. Data were analysed using systematic text condensation. COREQ guidelines were adhered to in the reporting of this study. Results: Three categories emerged from the data analysis: lack of familiarity and different perceptions lead to distrust; inefficient communication creates a need for informal collaboration; and delayed discharge planning challenges collaboration. Conclusions: The nurses lacked an understanding of each other's work situation, which created distrust, misunderstandings and misconceptions regarding each other's abilities to care for the patient. This led to inefficient communication, relying on individual knowledge, informal communication and personal networking. Delays in the discharge planning resulted in poorly prepared discharges often lacking necessary equipment and documentation. Relevance to clinical practice: To improve the care of patients receiving palliative care for cancer outside the hospital setting, better communication is a key factor to promote confidence and understanding between nurses working in different settings of health care.

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  • Interdisciplinary collaboration is essential to ensure continuous and consistent care, necessitating close cooperation among medical teams, family caregivers, and community resources to develop personalised care plans.

    “The study found that interdisciplinary collaboration is essential to ensure continuous and consistent care, necessitating close cooperation among medical teams, family caregivers, and community resources to develop personalised care plans [36].”

    From Experiences of family caregivers of patients with end-of-life cancer during the transition from hospital to home palliative care: a qualitative study (2024) · cites this paper as [36]

    The Findings (§4) and Conclusion (§6) support the importance of collaboration and communication between hospital and home-care nurses when planning discharge for patients receiving palliative cancer care. The study does not establish the broader claim that medical teams, family caregivers, and community resources must work together to develop personalised care plans; its findings focus on collaboration between nurses in the two care settings. (LLM, conf=0.86)

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Cited by

Sorted by citations

Authors
Lundereng, E. D., Dihle, A., & Steindal, S. A.
Affiliations
  • Oslo University Hospital (NO)
  • OsloMet – Oslo Metropolitan University (NO)
  • Lovisenberg Diakonale Høgskole (NO)
Corresponding author
Lundereng, Elias David
ORCID
Venue
Journal of Clinical Nursing
Publisher
Wiley
Published
2020-06-28
Volume
29
Issue
17-18
Pages
3382-3391
ISSN
  • 0962-1067 (ISSN-L)
  • 1365-2702
DOI
10.1111/jocn.15371
OpenAlex
W3034476606
Cited by
30
References
1
Citations by year
2026: 6 · 2025: 5 · 2024: 7 · 2023: 6 · 2022: 5 · 2020: 1
FWCI
2.25
Type
journal article
Language
en
Open access
Licence
Locations
  • Journal of Clinical Nursing (publishedVersion, cc-by)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Palliative and Oncologic Care
  • Health Sciences › Medicine › Emergency Medicine › Hospital Admissions and Outcomes
  • Health Sciences › Health Professions › General Health Professions › Interprofessional Education and Collaboration
Keywords
palliative care, cancer, hospital-to-home transition, care transitions, home care nurses, hospital nurses, interprofessional communication, informal collaboration, hospital readmission, discharge preparation
MeSH terms
Attitude of Health Personnel, Cooperative Behavior, Female, Home Care Services, Humans, Middle Aged, Neoplasms, Nursing Staff, Hospital, Palliative Care, Patient Discharge, Patient Transfer, Qualitative Research

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