Influence of interprofessional communication on discharge decisions in prelicensure healthcare learners

Stokes, C. Kim; Lysaght, Christine; Kim, Young; Lin, Chia-Cheng; Murphy, Lynne; Radloff, Jennifer C.

doi:10.1016/j.xjep.2020.100329

Cited by 4 publications

(5 citation statements)

References 10 publications

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“…During the COVID-19 lockdowns, educators created synchronous virtual interprofessional simulations focused on discharge planning for nursing and medical students, highlighting another example of effective pedagogy for these skills (Robertson et al 2021). Critically, Stokes et al (2020) found that occupational therapy and physiotherapy students who undertook interprofessional collaboration significantly improved their discharge decisions when evaluated against expert opinions. This acknowledgement of interprofessional practice both facilitating discharge planning and improving the clinical reasoning of novice practitioners around discharge planning highlights the significance of pre-professional training for interprofessional practice (Stokes et al 2020).…”

Section: Discussionmentioning

confidence: 99%

“…Critically, Stokes et al (2020) found that occupational therapy and physiotherapy students who undertook interprofessional collaboration significantly improved their discharge decisions when evaluated against expert opinions. This acknowledgement of interprofessional practice both facilitating discharge planning and improving the clinical reasoning of novice practitioners around discharge planning highlights the significance of pre-professional training for interprofessional practice (Stokes et al 2020).…”

Section: Discussionmentioning

confidence: 99%

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Hospital discharge planning: a qualitative study of new-graduate physiotherapists' experiences

Martin

Phan

Tan

et al. 2022

HEPJ

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Purpose: Discharge planning constitutes a large part of a physiotherapist's role when working in hospital settings. The challenges of decision-making relating to discharge planning have been identified by experienced physiotherapists. Despite known challenges associated with the transition from student to clinician, the experiences of new-graduates undertaking discharge planning are largely unknown. Therefore, this study aimed to explore:1) new-graduate physiotherapists' experiences of discharge planning in hospital settings, and2) the influence of pre-professional training on their perceived preparedness for discharge planning.Design: A qualitative general inductive approach using semi-structured interviews. New-graduate physiotherapists (n = 14) working in hospital settings were recruited.Finding: Four themes were generated: 1) responding to the pressures associated with discharging patients, 2) complex decision-making, 3) the role of the interprofessional team, and 4) desiring additional context and complexity from pre-professional training.Practice Implications: The study has identified that new-graduates underestimate the extent to which discharge planning features in their roles within hospital settings, and are unaware of the interprofessional practice required. Whilst they felt that their pre-professional training provides the technical skills required for their roles, they felt that they were not prepared for their role within the broader healthcare system, nor the complexity of clinical practice. This study encourages education providers to emphasise the role of physiotherapists within the broader health care system, through highlighting contexts where physiotherapy knowledge can be applied (i.e., discharge planning) and understanding the role of the physiotherapist within the interprofessional team.Limitations: Important perspectives of mentors and other members of the interprofessional team involved in discharge planning have not been included in this study which may have impacted the interpretation of the results.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Hospital discharge planning: a qualitative study of new-graduate physiotherapists' experiences

Martin

Phan

Tan

et al. 2022

HEPJ

View full text Add to dashboard Cite

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“…Studies have found that lack of communication around discharge led to poor patient outcomes and suggested that interprofessional communication be standardized [44]. Furthermore, a recent study found that interprofessional communication improves discharge decision making for hospitalized patients [45]. Participants overwhelmingly reported that the CHAT could increase and streamline interprofessional communication, especially at discharge, by providing a team a standardized tool for discussion.…”

Section: Discussionmentioning

confidence: 99%

Evaluating the Appropriateness and Feasibility of the Care Partner Hospital Assessment Tool (CHAT)

Carbery

Schulz

Rodakowski

et al. 2021

IJERPH

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Hospital practitioners rely on care partners of older adults to provide complex care without identifying and addressing their needs. The Care Partner Hospital Assessment Tool (CHAT) was developed to identify the education skill training needs of care partners of hospitalized older adults. This two-phased mixed-method study evaluated the appropriateness and feasibility of the CHAT. The phase 1 quantitative survey with caregiving experts indicated 70–100% agreement for the length and helpfulness of the CHAT (n = 23). These results were supported by phase 2 qualitative interviews with hospital administrators and practitioners, which revealed the following themes: (1) intuitive and clear design worth sustaining and (2) concerns and proposed solutions for implementation. Findings suggest the CHAT is an appropriate and feasible tool for hospital practitioners to tailor their education and skills training to address care partners’ needs. Identifying care partners’ needs is an important step in ensuring they are prepared to complete their caregiving responsibilities.

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“…Some of this work has focused on communication and collaboration as connected skill sets that enable interdisciplinary groups to function effectively and provide quality patient care (Apker et al, 2006;Stadick, 2020). Other research has looked at communication during critical moments of collaboration-like sharing patient orders, discharge, or patient handoffs-and found that the use of closed-loop communication significantly improves efficiency and that interdisciplinary communication improves discharge decisions (Abd El-Shafy et al, 2018;Stokes et al, 2020). Communication scholars have also examined the tensions present in group communication that may complicate collaborative care (Apker et al, 2016;Dean & Oetzel, 2014).…”

Section: Collaborative Care In Health Organizationsmentioning

confidence: 99%

Navigating the Hierarchy: Communicating Power Relationships in Collaborative Health Care Groups

Noyes

2021

Management Communication Quarterly

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Interdisciplinary health care groups increasingly face issues related to power and authority in the patient care process. Many of these issues stem from a tension between the historically entrenched hierarchy in health care organizations and the growing pressure of collaborative models of care that require a flattening of this hierarchy, greater mutual respect among disciplines, and more willingness to share power. This project used the framework of text and conversation to explore how groups negotiate this tension through communication. Findings suggest how some groups navigate texts that reinforce the hierarchy alongside texts that challenge it, creating a delicate balance of power that supports collaboration without threatening the position of those at the top of the hierarchy. Other groups primarily use texts that reinforce the hierarchy without consistently using texts that challenge it, which seems to make collaboration more difficult. These findings challenge the idea that equal balance should always be the goal of power sharing in collaborative interdisciplinary groups and offer a more nuanced understanding of how everyday group communication creates and recreates power relationships that impact collaborative care.

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Influence of interprofessional communication on discharge decisions in prelicensure healthcare learners

Cited by 4 publications

References 10 publications

Hospital discharge planning: a qualitative study of new-graduate physiotherapists' experiences

Hospital discharge planning: a qualitative study of new-graduate physiotherapists' experiences

Evaluating the Appropriateness and Feasibility of the Care Partner Hospital Assessment Tool (CHAT)

Navigating the Hierarchy: Communicating Power Relationships in Collaborative Health Care Groups

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