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Cross-sectoral exchange of nurses: An intervention study.

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|February 4, 2024
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Summary

Nurses participating in a cross-sectoral exchange program identified communication barriers between primary and secondary care. The exchange improved mutual understanding and respect, highlighting potential for better patient care coordination.

Keywords:
cross‐sectoral communicationcross‐sectoral transitiondischargee‐message systemsfocus group interviewhome carehospitalisationmedication safety

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Area of Science:

  • Health Policy
  • Nursing
  • Healthcare Management

Background:

  • Inadequate communication between primary and secondary healthcare sectors hinders safe patient trajectories.
  • Collaboration challenges persist despite ideal plans, particularly concerning hospitalisation and discharge.
  • A cross-sectoral nurse exchange program was initiated to foster better understanding and collaboration.

Purpose of the Study:

  • To identify barriers to effective patient trajectories in cross-sectoral collaboration.
  • To evaluate the impact of a sector-specific exchange program on participating nurses.
  • To explore nurses' perceptions of inter-sectoral collaboration challenges and benefits.

Main Methods:

  • A cross-sectoral exchange program involving 28 nurses (14 from cardiology, 14 from home care).
  • Nurses shadowed colleagues in the opposite sector to gain firsthand experience.
  • Six focus group interviews were conducted and analyzed using interpretation theory.

Main Results:

  • Identified themes included challenging communicative conditions (digital communication, care plans, discharge reports) and the perceived importance of the exchange.
  • Barriers such as inadequate digital communication and inflexible organizational models were highlighted.
  • Nurses gained mutual respect and insight into each other's working conditions.

Conclusions:

  • Electronic communication systems inadequately support cross-sectoral collaboration.
  • The exchange program has the potential to improve inter-sectoral relationships and communication.
  • Enhanced understanding and respect among nurses can lead to more coherent patient care pathways.