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Related Experiment Videos

Collaborative discharge planning: nursing and social services

K S Haddock

    Clinical Nurse Specialist CNS
    |September 1, 1994
    PubMed
    Summary
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    Collaborative discharge planning by clinical nurse specialists (CNS) and social workers improved patient satisfaction and reduced hospital stays and readmissions. This approach enhances patient care outcomes and organizational efficiency.

    Area of Science:

    • Nursing
    • Healthcare Management
    • Geriatric Care

    Background:

    • Effective discharge planning is crucial for managing hospital costs and improving patient outcomes.
    • Collaboration between healthcare professionals can optimize patient care transitions.
    • The role of clinical nurse specialists (CNS) and social workers in discharge planning requires further investigation.

    Purpose of the Study:

    • To evaluate the impact of a structured, collaborative discharge planning program involving a CNS and a social worker.
    • To assess the effects of this collaborative model on patient satisfaction, hospital length of stay, readmission rates, and postdischarge service utilization.

    Main Methods:

    • A quasi-experimental design was employed with 64 elderly patients.
    • The experimental group (n=29) received discharge planning through CNS-social worker collaboration.

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  • Data collection included post-discharge telephone follow-ups and chart reviews for length of stay, readmissions, and documentation.

    • Main Results:

    • Patients in the collaborative group reported higher satisfaction.
    • The experimental group experienced a shorter length of stay and fewer readmissions.
    • A higher rate of indicated postdischarge services was observed in the collaborative group.
    • Documentation, specifically patient teaching, was lower in the experimental group.

    Conclusions:

    • A collaborative discharge planning model involving CNS and social workers positively impacts patient satisfaction and key healthcare outcomes.
    • This interprofessional approach offers a viable strategy for nurse administrators to enhance patient care and organizational performance.
    • Further research may be needed to address documentation variations, particularly in patient teaching, within collaborative models.