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Cited by 57Health Policy Implementation ScienceHospital Admissions and OutcomesPatient Safety and Medication Errors

The DOI matches its Crossref record; 3 of the 3 references it cites were found in a registry or an index.

Process evaluation of discharge planning implementation in healthcare using normalization process theory

Open access
Nordmark, Sofi, Zingmark, Karin, Lindberg, Inger·2016·BMC Medical Informatics and Decision Making
DOI 10.1186/s12911-016-0285-4PMC PMC4847180
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Abstract

BACKGROUND: Discharge planning is a care process that aims to secure the transfer of care for the patient at transition from home to the hospital and back home. Information exchange and collaboration between care providers are essential, but deficits are common. A wide range of initiatives to improve the discharge planning process have been developed and implemented for the past three decades. However, there are still high rates of reported medical errors and adverse events related to failures in the discharge planning. Using theoretical frameworks such as Normalization Process Theory (NPT) can support evaluations of complex interventions and processes in healthcare. The aim of this study was to explore the embedding and integration of the DPP from the perspective of registered nurses, district nurses and homecare organizers. METHODS: The study design was explorative, using the NPT as a framework to explore the embedding and integration of the DPP. Data consisted of written documentation from; workshops with staff, registered adverse events and system failures, web based survey and individual interviews with staff. RESULTS: Using the NPT as a framework to explore the embedding and integration of discharge planning after 10 years in use showed that the staff had reached a consensus of opinion of what the process was (coherence) and how they evaluated the process (reflexive monitoring). However, they had not reached a consensus of opinion of who performed the process (cognitive participation) and how it was performed (collective action). This could be interpreted as the process had not become normalized in daily practice. CONCLUSION: The result shows necessity to observe the implementation of old practices to better understand the needs of new ones before developing and implementing new practices or supportive tools within healthcare to reach the aim of development and to accomplish sustainable implementation. The NPT offers a generalizable framework for analysis, which can explain and shape the implementation process of old practices, before further development of new practices or supportive tools.

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Metadata

Authors
Nordmark, S., Zingmark, K., & Lindberg, I.
Affiliations
Luleå University of Technology (SE)
Corresponding author
Nordmark, Sofi
ORCID
Venue
BMC Medical Informatics and Decision Making
Publisher
Springer Science and Business Media LLC
Published
2016-04-27
Volume
16
Issue
1
Pages
48-48
ISSN
1472-6947 (ISSN-L)
DOI
10.1186/s12911-016-0285-4
PMC
PMC4847180
OpenAlex
W2344806000
Cited by
57
References
3
Citations by year
2026: 1 · 2025: 4 · 2024: 2 · 2023: 6 · 2022: 13 · 2021: 9 · 2020: 9 · 2019: 7 · 2018: 2 · 2017: 4
FWCI
8.07
Type
journal article
Language
en
Open access
Licence
Locations
  • BMC Medical Informatics and Decision Making (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
Funders
Luleå Tekniska Universitet
Topics
  • Health Sciences › Health Professions › General Health Professions › Health Policy Implementation Science
  • Health Sciences › Nursing › Leadership and Management › Hospital Admissions and Outcomes
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Patient Safety and Medication Errors
Keywords
discharge planning, Normalization Process Theory, care transitions, registered nurses, district nurses, adverse events, medical errors, complex interventions
MeSH terms
Adult, Attitude of Health Personnel, Health Services Research, Humans, Organizational Innovation, Patient Discharge, Process Assessment, Health Care, Qualitative Research

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