How to get one's voice heard: the problems of the discharge planning conference

Efraimsson, Eva Österlund; Sandman, Per‐Olof; Hydén, Lars–Christer; Rasmussén, Birgit H.

doi:10.1111/j.1365-2648.2006.03771.x

Cited by 25 publications

(51 citation statements)

References 20 publications

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“…In addition, being active could imply the need for a degree of courage (Larsson et al, 2007). Old age combined with frailty presented poor conditions for participation (Efraimsson et al, 2004(Efraimsson et al, , 2006, making it more difficult for nurses to encourage the patient (Larsson et al, 2007) and facilitate participation (Almborg et al, 2009;Tutton, 2003Tutton, , 2005. Furthermore, participation depended on the patients' competencies and desire for participation (Aadal and Kirkevold, 2011;Helgesen et al, 2010;Schoot et al, 2005;Soleimani, 2010).…”

Section: Time Information and Knowledge -Preconditions Of Patient Pmentioning

confidence: 96%

“…This implies they have the power to encourage or hinder participation. Some studies indicated the impact of the organisational structure in the hospital (Efraimsson et al, 2004(Efraimsson et al, , 2006Kvangarsnes et al, 2012), which endows nurses with authority. This may cause anxiety in the patient and lead them to keep a low profile (Sainio et al, 2001).…”

Section: Author Study Conclusion About Information and Knowledgementioning

confidence: 99%

“…However, professional engagement in the participatory relationship required professionals' respect, interest and acknowledgement of the patient's perspective and right to make decisions. Efraimsson et al (2004Efraimsson et al ( , 2006 A discourse analysis of eight transcribed video-recorded discharge planning conferences.…”

Section: Author Study Conclusion About Information and Knowledgementioning

confidence: 99%

See 2 more Smart Citations

Challenges in achieving patient participation: A review of how patient participation is addressed in empirical studies

Angel¹,

Frederiksen²

2015

International Journal of Nursing Studies

105

131

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Section: Time Information and Knowledge -Preconditions Of Patient Pmentioning

confidence: 96%

Section: Author Study Conclusion About Information and Knowledgementioning

confidence: 99%

Section: Author Study Conclusion About Information and Knowledgementioning

confidence: 99%

See 1 more Smart Citation

Challenges in achieving patient participation: A review of how patient participation is addressed in empirical studies

Angel¹,

Frederiksen²

2015

International Journal of Nursing Studies

105

131

View full text Add to dashboard Cite

“…However, this study declares that the patient already has difficulties in today's discharge planning due to the dysfunctional interaction between different stakeholders. Efraimsson et al [30] state that discharge planning in its present form does not enhance the possibility for the patients to express their personal wishes in a dignified manner. It also interferes with a caring perspective that protects patients' integrity.…”

Section: Discussionmentioning

confidence: 99%

Discharge planning: Narrated by nursing staff in primary healthcare and their concerns about using video conferencing in the planning session – An interview study

Hofflander

Nilsson

Eriksén

et al. 2013

JNEP

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Background/Objective: This paper sets out to describe experience-based reflections on discharge planning as narrated by nursing staff in primary healthcare, along with their concerns about how the introduction of video conferencing might influence the discharge planning situation. Methods:Interviews were conducted with nursing staff working at a primary healthcare centre in South East Sweden. Each interview took place was conducted on a one-to-one basis in dialogue form, using open questions and supported by an interview guide. It was then analysed using a phenomenological hermeneutic method. Participants were eligible for the study if they had given their informed consent and if they worked with discharge planning and home-based healthcare provision. In total, 10 of the 30 persons working at the primary healthcare centre participated in the study.Results: It was found that nursing staff in primary healthcare regarded the planning session as stressful, time-consuming and characterised by a lack of respect between nursing staff at the hospital and nursing staff in primary healthcare. They also described uncertainty and hesitation about using video conferences where patients might probably be the losers and nursing staff the winners. Conclusions:It is suggested that there is a need for improvement in communication and understanding between nursing staff at the hospital and nursing staff in primary healthcare in order to develop discharge planning. There is also a need for the nursing staff in primary healthcare to obtain more information about how Information Technology (IT) solutions could support their work and help them to find ways to collaborate.

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“…Previous research on decisions concerning a place at a residential home has focused on the interaction between healthcare-and social care providers and their relationships to older people and their families during hospital discharges (e.g. Efraimsson, et al, 2006;Phillips and Waterson, 2002).…”

Section: Care Managementmentioning

confidence: 99%

How the Care Managers Handle the Process when Older People Consider Relocation to a Residential Home

2014

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The aim of this article is to reveal how care managers handle the process when older people consider relocation to a residential home in a Swedish context. The article is based on vignettebased interviews with seven care managers. The main findings in the article are that the care managers assist older people in their decisions by turning ageing in place and relocation respectively into seemingly natural choices. In both approaches they use warrants related partly to 'the best for older people', partly to 'the common good of economizing'. The conclusions drawn are that the care managers by applying risk management and extensive alliance-strategies are not really able to question their own work situation and that they perform their work in a context of different parties restraining themselves. The implications for social work policy and practice are that the approach referring to older people's self-determination while actually dealing in risk assessment must be thoroughly reconsidered. Other practical implications are that the idea of the purchaser/provider-model must be clarified, beyond the assessment of resources.* Email: Maria.Soderberg@soch.lu.se 2

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How to get one's voice heard: the problems of the discharge planning conference

Cited by 25 publications

References 20 publications

Challenges in achieving patient participation: A review of how patient participation is addressed in empirical studies

Challenges in achieving patient participation: A review of how patient participation is addressed in empirical studies

Discharge planning: Narrated by nursing staff in primary healthcare and their concerns about using video conferencing in the planning session – An interview study

How the Care Managers Handle the Process when Older People Consider Relocation to a Residential Home

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