Information practices of health care professionals related to patient discharge from hospital

Wibe, Torunn; Ekstedt, Mirjam; Hellesø, Ragnhild

doi:10.3109/17538157.2013.879150

Cited by 16 publications

(21 citation statements)

References 16 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Further, to ensure patients understand who to contact after discharge, the role of the GP or a rehabilitation specialist in advising, treating and linking the patient to other health professionals needs to be clarified. To facilitate comprehensive and timely communication and information sharing between health professionals as patients transition from the hospital/rehabilitation to community care [ 50 , 51 ], electronic communication systems and follow-up phone calls from treating doctors to GPs could assist [ 50 ].…”

Section: Discussionmentioning

confidence: 99%

Patient-identified information and communication needs in the context of major trauma

Braaf

Ameratunga

Nunn

et al. 2018

BMC Health Serv Res

View full text Add to dashboard Cite

BackgroundNavigating complex health care systems during the multiple phases of recovery following major trauma entails many challenges for injured patients. Patients’ experiences communicating with health professionals are of particular importance in this context. The aim of this study was to explore seriously injured patients’ perceptions of communication with and information provided by health professionals in their first 3-years following injury.MethodsA qualitative study designed was used, nested within a population-based longitudinal cohort study. Semi-structured telephone interviews were undertaken with 65 major trauma patients, aged 17 years and older at the time of injury, identified through purposive sampling from the Victorian State Trauma Registry. A detailed thematic analysis was undertaken using a framework approach.ResultsMany seriously injured patients faced barriers to communication with health professionals in the hospital, rehabilitation and in the community settings. Key themes related to limited contact with health professionals, insufficient information provision, and challenges with information coordination. Communication difficulties were particularly apparent when many health professionals were involved in patient care, or when patients transitioned from hospital to rehabilitation or to the community. Difficulties in patient-health professional engagement compromised communication and exchange of information particularly at transitions of care, e.g., discharge from hospital. Conversely, positive attributes displayed by health professionals such as active discussion, clear language, listening and an empathetic manner, all facilitated effective communication. Most patients preferred communication consistent with patient-centred approaches, and the use of multiple modes to communicate information.ConclusionsThe communication and information needs of seriously injured patients were inconsistently met over the course of their recovery continuum. To assist patients along their recovery trajectories, patient-centred communication approaches and considerations for environmental and patients’ health literacy are recommended. Additionally, assistance with information coordination and comprehensive multimodal information provision should be available for injured patients.

show abstract

Section: Discussionmentioning

confidence: 99%

Patient-identified information and communication needs in the context of major trauma

Braaf

Ameratunga

Nunn

et al. 2018

BMC Health Serv Res

View full text Add to dashboard Cite

show abstract

“…Collaboration between the levels of care are obstructed by both organisational boundaries and governance through different regulations and laws [18]. Laws relating to privacy (e.g., the Personal Data Act), hospital routines, and professional culture have been shown to impede transparency in information transfer between the multidisciplinary providers of out-of-hospital care [19]. The fragmentation of care for a patient lies in that providers are responsible for distinct facets of care, while also working in silos with few cross-diagnostic meeting points, where a holistic view of the patient could otherwise have appeared.…”

Section: Introductionmentioning

confidence: 99%

The Information Flow in a Healthcare Organisation with Integrated Units

Kneck

Flink

Frykholm

et al. 2019

International Journal of Integrated Care

Self Cite

View full text Add to dashboard Cite

Introduction:Integrated care is believed to provide support to patients with multiple long-term and complex conditions. Transparency in information delivery is key for shared decision-making, and co-production of care. This study aimed to explore information pathways within an integrated healthcare and social care organisation and describe how information continuity was delivered for an older patient with complex care needs.Methods:An explorative single-case study conducted in a Swedish healthcare organization where municipality and the county council have integrated their services. One focus group discussion and six individual interviews were conducted.Results:Information flow to partners in care was obstructed, with compensatory double documentation, complementary information channels, and information loss. A heavy burden was on the patient and relatives to keep track of and communicate information between different caregivers. Patients were expected to be active partners in their own care, but were largely excluded from the information flow.Discussion:Even integration of care organisations does not imply that integrated care is delivered at the sharp end of practice. An integrated electronic health record is needed to improve accessibility of care information from within all the organisations, facilitating handovers between professionals and levels of care, and involving patients in the information flow.

show abstract

“…The headings are different than the discrete concepts, limiting comparison between the professions and our work. Another study from Norway shows how the terminologies for the hospital nurse and hospital physician are different but does not try to combine them at the individual patient level [54]. …”

Section: Discussionmentioning

confidence: 99%

Physician nurse care: A new use of UMLS to measure professional contribution

Boyd

Lopez

Lugaresi

et al. 2018

International Journal of Medical Informatics

View full text Add to dashboard Cite

Background Physician and nurses have worked together for generations; however, their language and training are vastly different; comparing and contrasting their work and their joint impact on patient outcomes is difficult in light of this difference. At the same time, the EHR only includes the physician perspective via the physician-authored discharge summary, but not nurse documentation. Prior research in this area has focused on collaboration and the usage of similar terminology. Objective The objective of the study is to gain insight into interprofessional care by developing a computational metric to identify similarities, related concepts and differences in physician and nurse work. Methods 58 physician discharge summaries and the corresponding nurse plans of care were transformed into Unified Medical Language System (UMLS) Concept Unique Identifiers (CUIs). MedLEE, a Natural Language Processing (NLP) program, extracted “physician terms” from free-text physician summaries. The nursing plans of care were constructed using the HANDS© nursing documentation software. HANDS© utilizes structured terminologies: nursing diagnosis (NANDA-I), outcomes (NOC), and interventions (NIC) to create “nursing terms”. The physician’s and nurse’s terms were compared using the UMLS network for relatedness, overlaying the physician and nurse terms for comparison. Our overarching goal is to provide insight into the care, by innovatively applying graph algorithms to the UMLS network. We reveal the relationships between the care provided by each professional that is specific to the patient level. Results We found that only 26% of patients had synonyms (identical UMLS CUIs) between the two professions’ documentation. On average, physicians’ discharge summaries contain 27 terms and nurses’ documentation, 18. Traversing the UMLS network, we found an average of 4 terms related (distance less than 2) between the professions, leaving most concepts as unrelated between nurse and physician care. Conclusion Our hypothesis that physician’s and nurse’s practice domains are markedly different is supported by the preliminary, quantitative evidence we found. Leveraging the UMLS network and graph traversal algorithms, allows us to compare and contrast nursing and physician care on a single patient, enabling a more complete picture of patient care. We can differentiate professional contributions to patient outcomes and related and divergent concepts by each profession.

show abstract

Information practices of health care professionals related to patient discharge from hospital

Cited by 16 publications

References 16 publications

Patient-identified information and communication needs in the context of major trauma

Patient-identified information and communication needs in the context of major trauma

The Information Flow in a Healthcare Organisation with Integrated Units

Physician nurse care: A new use of UMLS to measure professional contribution

Contact Info

Product

Resources

About