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Related Experiment Videos

How do critical care nurses define the discharge planning process?

Rosemary J Watts1, Jane Pierson, Heather Gardner

  • 1Alfred/Deakin Nursing Research Centre, Deakin University, Burwood, Vic. 3125, Australia. rjwatts@deakin.edu.au

Intensive & Critical Care Nursing
|February 1, 2005
PubMed
Summary

Critical care nurses in Victoria have a poor understanding of discharge planning, often not recognizing it as part of their role. Further education is needed to improve patient care continuity and discharge processes.

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Area of Science:

  • Healthcare Management
  • Nursing Practice
  • Patient Care Continuity

Background:

  • Discharge planning is crucial for continuity of care but is complex, especially in critical care settings.
  • Professional, political, and organizational factors highlight the importance of discharge planning in Victoria's healthcare sector.
  • Critical care presents unique challenges to effective discharge planning.

Purpose of the Study:

  • To explore critical care nurses' perceptions and understanding of discharge planning in Victoria, Australia.
  • To define discharge planning within the context of the critical care environment.
  • To identify barriers and facilitators to effective discharge planning from critical care.

Main Methods:

  • An exploratory descriptive study using quantitative and qualitative methodologies.

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  • A survey was distributed to 502 critical care nurses in Victoria, with 218 participants completing the survey.
  • A response rate of 43.4% was achieved.

    • Main Results:

    • A significant number of nurses did not perceive discharge planning as occurring in critical care.
    • Uncertainty existed regarding the scope of discharge planning (e.g., critical care to ward vs. hospital discharge).
    • Patient transfer to general wards was often driven by bed availability in critical care.

    Conclusions:

    • The discharge planning process is not well understood by critical care nurses.
    • A need for enhanced education on discharge planning principles for critical care nurses is evident.
    • Improving understanding can enhance patient care and continuity.