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Community nurses & discharge planning

A Worth, A Tierney, L Lockerbie

    Nursing Standard (Royal College of Nursing (Great Britain) : 1987)
    |February 16, 1994
    PubMed
    Summary
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    Community nurses are vital for elderly patient discharge planning. A survey explored their experiences and views on post-hospital care coordination following the Community Care Act.

    Area of Science:

    • Nursing
    • Healthcare Management
    • Gerontology

    Background:

    • The NHS and Community Care Act 1990 significantly impacted healthcare delivery, emphasizing community-based care.
    • Effective discharge planning for elderly patients transitioning from hospital to home is crucial for continuity of care and patient outcomes.

    Purpose of the Study:

    • To survey community nurses' views and experiences regarding the discharge of elderly patients from acute hospitals.
    • To identify the role of community nurses in pre-discharge assessment and post-discharge care.
    • To offer recommendations for optimizing community nurse involvement in discharge planning.

    Main Methods:

    • A national survey was conducted in Scotland in early 1993.
    • A 1 in 3 sample of community nurses participated.

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  • The survey focused on experiences with elderly patient discharge from acute care settings.

    • Main Results:

    • The study gathered data on community nurses' perspectives on discharge planning challenges and facilitators.
    • Findings highlighted the importance of community nurses in assessing patient needs before and after hospital discharge.
    • Results informed recommendations for enhancing the role of community nurses in this process.

    Conclusions:

    • Community nurses play an integral role in the discharge planning process for elderly patients.
    • The Community Care Act necessitates a clear definition and support for community nurses' responsibilities in post-hospital care.
    • Further integration and support for community nurses can improve patient transitions and outcomes.