Collaboration in discharge planning in relation to an implicit framework

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Bångsbo, Angela,1968Högskolan i Borås,Gothenburg University,Göteborgs universitet,Institutionen för neurovetenskap och fysiologi, sektionen för hälsa och rehabilitering,Centrum för åldrande och hälsa (AgeCap),Institute of Neuroscience and Physiology, Department of Health and Rehabilitation,Centre for Ageing and Health (Agecap),Akademin för vård, arbetsliv och välfärd,University of Gothenburg,R & D Sjuhärad Welfare (author)

Collaboration in discharge planning in relation to an implicit framework

Article/chapterEnglish2017

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Elsevier BV,2017

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LIBRIS-ID:oai:gup.ub.gu.se/254616
https://gup.ub.gu.se/publication/254616URI
https://doi.org/10.1016/j.apnr.2017.05.010DOI
https://urn.kb.se/resolve?urn=urn:nbn:se:hb:diva-13303URI

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Language:English

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SwePubSwePub

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Subject category:ref swepub-contenttype
Subject category:art swepub-publicationtype

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Aim: The aim of our study was to explore healthcare and social care professionals’ experiences of preconditions for interorganizational and interprofessional collaboration to support frail elderly patients in discharge planning conferences. Background: At the time for hospital discharge, healthcare and social care professionals have to balance safe care, need for continuity of care, and elderly patients’ own expectations with economical demands. Therefore, collaboration interorganizationally and interprofessionally is essential, since deficiencies are risks to patient safety. Methods: Four focus groups, which consisted of 30 participants—occupational therapists, social workers, physiotherapists, and nurses from hospital, primary care, municipal health, and social welfare—were held. Results: The tacit framing of normative and contextual aspects that influenced discharge conferences’ outcomes, such as around decision-making about post-discharge activities, was identified as a main category in the results, comprised of the following four categories: (1) Different perceptions of prioritizing the elderly patients’ involvement in practice; (2) Choice of method for information transferal affecting collaboration; (3) The limited timeframe affecting assessments and choice of actions; (4) Underlying professional hierarchies. Conclusions: Overall, we found professional hierarchies and organizational administrative demands on efficiency reduced collaboration interorganizationally and between healthcare and social care professionals. Based on our findings, it is our opinion further development is needed both locally at hospitals and at a systemic level in Sweden.

Subject headings and genre

MEDICIN OCH HÄLSOVETENSKAP Hälsovetenskap Omvårdnad hsv//swe
MEDICAL AND HEALTH SCIENCES Health Sciences Nursing hsv//eng
SAMHÄLLSVETENSKAP Sociologi Socialt arbete hsv//swe
SOCIAL SCIENCES Sociology Social Work hsv//eng
MEDICIN OCH HÄLSOVETENSKAP Hälsovetenskap Arbetsterapi hsv//swe
MEDICAL AND HEALTH SCIENCES Health Sciences Occupational Therapy hsv//eng
Healthcare collaboration
Interprofessional collaboration
Patient discharge
Elderly care
Collaboration

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Dunér, Anna,1962Gothenburg University,Göteborgs universitet,Centrum för åldrande och hälsa (AgeCap),Institutionen för socialt arbete,Centre for Ageing and Health (Agecap),Department of Social Work,University of Gothenburg(Swepub:gu)xdunea (author)
Dahlin-Ivanoff, Synneve,1950Gothenburg University,Göteborgs universitet,Centrum för åldrande och hälsa (AgeCap),Institutionen för neurovetenskap och fysiologi, sektionen för hälsa och rehabilitering,Centre for Ageing and Health (Agecap),Institute of Neuroscience and Physiology, Department of Health and Rehabilitation,University of Gothenburg(Swepub:gu)xdahsy (author)
Lidén, Eva,1955Gothenburg University,Göteborgs universitet,Centrum för åldrande och hälsa (AgeCap),Institutionen för vårdvetenskap och hälsa,Centre for Ageing and Health (Agecap),Institute of Health and Care Sciences,University of Gothenburg(Swepub:gu)xlidev (author)
Göteborgs universitetInstitutionen för neurovetenskap och fysiologi, sektionen för hälsa och rehabilitering (creator_code:org_t)

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In:Applied Nursing Research: Elsevier BV36, s. 57-620897-18971532-8201

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By the author/editor: Bångsbo, Angela, ...; Dunér, Anna, 196 ...; Dahlin-Ivanoff, ...; Lidén, Eva, 1955

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MEDICAL AND HEALTH SCIENCES: MEDICAL AND HEAL ...; and Health Sciences; and Nursing

SOCIAL SCIENCES: SOCIAL SCIENCES; and Sociology; and Social Work

MEDICAL AND HEALTH SCIENCES: MEDICAL AND HEAL ...; and Health Sciences; and Occupational The ...

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By the university: University of Gothenburg; University of Borås

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