Barriers to information exchange during older patients' transfer: nurses' experiences
Barriers to information exchange during older patients' transfer: nurses' experiences
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DOI：
10.1111/jocn.12246
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发表时间：
2013-10-01
影响因子：
4.2
通讯作者：
Hellzen, Ove
中科院分区：
文献类型：
--
作者：
Olsen, Rose M.;Ostnor, Bjorg H.;Hellzen, Ove
目的和目标描述护士的经验，影响他们的信息交流的障碍，在医院和家庭care.Background之间的老年患者的转移过程中，一个老年患者跨卫生组织的成功转移需要良好的沟通和协调供应商之间。尽管越来越多的关注需要跨医疗机构的供应商之间的合作，研究人员仍然报告的问题，在医院和医疗系统之间的信息交换在municipals.Design定性研究使用焦点小组methodology.Methods三个焦点小组访谈使用主题指南进行和解释。该研究包括来自医院和家庭护理的注册护士（n=14）。数据进行了分析，通过内容analysis.Results确定了三个主要主题：与护士的障碍，与人际关系的过程和组织的障碍。这些主题包括几个subthemes.Conclusions的研究结果强调，护士遇到的挑战，确保成功的信息交流，在老年患者的转移通过医疗系统。这些障碍对护士的信息交流产生了负面影响，并可能使患者处于弱势和暴露的境地。为了让护士进行成功的信息交流，这是至关重要的，医院和家庭护理系统通过足够的资源，明确的使命和责任，以及可理解的policy.Relevance促进这一点临床实践的障碍，影响护士的信息交流的认识是很重要的，以确保病人的安全和成功的过渡。这里所描述的障碍，应帮助护士在实践中和他们的领导者更加关注所需的先决条件，以实现令人满意的护理信息交流，提高信息的连续性。
Aims and objectives To describe nurses' experiences of barriers that influence their information exchange during the transfer of older patients between hospital and home care.Background The successful transfer of an older patient across health organisations requires good communication and coordination between providers. Despite an increased focus on the need for cooperation among providers across healthcare organisations, researchers still report problems in the exchange of information between the hospitals and the healthcare systems in the municipalities.Design A qualitative study using focus group methodology.Methods Three focus group interviews using topic guides were conducted and interpreted. The study included registered nurses (n=14) from hospital and home care. The data were analysed through content analysis.Results Three main themes were identified: barriers associated with the nurse, barriers associated with interpersonal processes and barriers associated with the organisation. These themes included several subthemes.Conclusions The findings highlight the challenges that nurses encounter in ensuring a successful information exchange during older patients' transfer through the healthcare system. The barriers negatively influence the nurses' information exchange and may put the patients in a vulnerable and exposed situation. In order for nurses to conduct a successful exchange of information, it is critical that hospital and home care systems facilitate this through adequate resources, clear missions and responsibilities, and understandable policies.Relevance to clinical practice Recognition of the barriers that affect nurses' exchange of information is important to ensure patient safety and successful transitions. The barriers described here should help both nurses in practice and their leaders to be more attentive to the prerequisites needed to achieve a satisfactory nursing information exchange and enhance informational continuity.