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2. An investigation of written discharge communication between hospital clinicians, GPs, and patients in the UK

Author

Weetman, Katharine

Subjects
R Medicine (General), RA Public aspects of medicine
Abstract

Background: Discharge letters are important for transferring information from the hospital to the GP. Patients are sometimes copied into these letters, but this is not standardised. Hence, many patients do not receive such letters, but the consequences of this remain unclear. Research Aim: To describe why patients currently receive discharge letters (or not) and how different stakeholder groups think this process should take place to optimise patient experiences and outcomes. Methods: The mixed methods design comprised four studies. Study 1 formed a realist review. Study 2 involved 53 GPs sampling and commenting on 489 discharge letters and GP interviews and focus groups. Letters were examined using content analysis. For study 3, patients to whom the sample letters related were interviewed (N=50). Interview and focus group data were analysed using corpus linguistics. For study 4, hospital professionals (N=46) who wrote the sample letters were surveyed and the data analysed using descriptive statistics. The studies were triangulated to build matched cases termed "quartets" which aligned the discharge letters with the viewpoints of the relating patients, GPs, and hospital professionals. Findings: Participants across groups were generally in support of patients receiving discharge letters, although some expressed reservations. Many patients favoured receiving a direct copy of the GP letter. However, to increase clarity and usefulness, letters should be written in a form accessible to both GPs and patients (e.g. avoid acronyms). Additional key findings were: patient understanding is perhaps greater than clinicians perceive, clinician attitudes are a barrier to patients receiving letters, and that, negative outcomes more commonly manifested in contexts where patients had not received letters, rather than when they had. Conclusion: This thesis suggests several ways in which processes of written discharge communication may be improved. Patients should be offered a choice of discharge letter receipt and their preferences should be recorded.

Published
2019

3. Communication of palliative care needs in discharge letters from hospice providers to primary care: a multisite sequential explanatory mixed methods study

Author

Weetman, Katharine, Dale, Jeremy, Mitchell, Sarah J., Ferguson, Claire, Finucane, Anne M., Buckle, Peter, Arnold, Elizabeth, Clarke, Gemma, Karakitsiou, Despoina-Elvira, McConnell, Tracey, Sanyal, Nikhil, Schuberth, Anna, Tindle, Georgia, Perry, Rachel, Grewal, Bhajneek, Patynowska, Katarzyna A., and MacArtney, John I.

Published
2022
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9. Additional file 1 of Communication of palliative care needs in discharge letters from hospice providers to primary care: a multisite sequential explanatory mixed methods study

Author

Weetman, Katharine, Dale, Jeremy, Mitchell, Sarah J., Ferguson, Claire, Finucane, Anne M., Buckle, Peter, Arnold, Elizabeth, Clarke, Gemma, Karakitsiou, Despoina-Elvira, McConnell, Tracey, Sanyal, Nikhil, Schuberth, Anna, Tindle, Georgia, Perry, Rachel, Grewal, Bhajneek, Patynowska, Katarzyna A., and MacArtney, John I.

Abstract

Additional file 1. Data extraction form.

Published
2022
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10. Additional file 4 of Communication of palliative care needs in discharge letters from hospice providers to primary care: a multisite sequential explanatory mixed methods study

Author

Weetman, Katharine, Dale, Jeremy, Mitchell, Sarah J., Ferguson, Claire, Finucane, Anne M., Buckle, Peter, Arnold, Elizabeth, Clarke, Gemma, Karakitsiou, Despoina-Elvira, McConnell, Tracey, Sanyal, Nikhil, Schuberth, Anna, Tindle, Georgia, Perry, Rachel, Grewal, Bhajneek, Patynowska, Katarzyna A., and MacArtney, John I.

Abstract

Additional file 4. Aggregated special category data.

Published
2022
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11. Additional file 5 of Communication of palliative care needs in discharge letters from hospice providers to primary care: a multisite sequential explanatory mixed methods study

Author

Weetman, Katharine, Dale, Jeremy, Mitchell, Sarah J., Ferguson, Claire, Finucane, Anne M., Buckle, Peter, Arnold, Elizabeth, Clarke, Gemma, Karakitsiou, Despoina-Elvira, McConnell, Tracey, Sanyal, Nikhil, Schuberth, Anna, Tindle, Georgia, Perry, Rachel, Grewal, Bhajneek, Patynowska, Katarzyna A., and MacArtney, John I.

Abstract

Additional file 5. Corpus linguistics outputs.

Published
2022
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12. Additional file 6 of Communication of palliative care needs in discharge letters from hospice providers to primary care: a multisite sequential explanatory mixed methods study

Author

Weetman, Katharine, Dale, Jeremy, Mitchell, Sarah J., Ferguson, Claire, Finucane, Anne M., Buckle, Peter, Arnold, Elizabeth, Clarke, Gemma, Karakitsiou, Despoina-Elvira, McConnell, Tracey, Sanyal, Nikhil, Schuberth, Anna, Tindle, Georgia, Perry, Rachel, Grewal, Bhajneek, Patynowska, Katarzyna A., and MacArtney, John I.

Abstract

Additional file 6. Data extraction results.

Published
2022
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13. Additional file 2 of Communication of palliative care needs in discharge letters from hospice providers to primary care: a multisite sequential explanatory mixed methods study

Author

Weetman, Katharine, Dale, Jeremy, Mitchell, Sarah J., Ferguson, Claire, Finucane, Anne M., Buckle, Peter, Arnold, Elizabeth, Clarke, Gemma, Karakitsiou, Despoina-Elvira, McConnell, Tracey, Sanyal, Nikhil, Schuberth, Anna, Tindle, Georgia, Perry, Rachel, Grewal, Bhajneek, Patynowska, Katarzyna A., and MacArtney, John I.

Abstract

Additional file 2. Focus group guide.

Published
2022
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14. Additional file 3 of Communication of palliative care needs in discharge letters from hospice providers to primary care: a multisite sequential explanatory mixed methods study

Author

Weetman, Katharine, Dale, Jeremy, Mitchell, Sarah J., Ferguson, Claire, Finucane, Anne M., Buckle, Peter, Arnold, Elizabeth, Clarke, Gemma, Karakitsiou, Despoina-Elvira, McConnell, Tracey, Sanyal, Nikhil, Schuberth, Anna, Tindle, Georgia, Perry, Rachel, Grewal, Bhajneek, Patynowska, Katarzyna A., and MacArtney, John I.

Abstract

Additional file 3. GRAMMS checklist.

Published
2022
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21. Evaluating the referred students' coaching programme through student surveys: A protocol for an evaluation of supporting healthcare students with language, communication and professional development.

Author

WEETMAN, KATHARINE, WISKIN, CONNIE, SKELTON, JOHN, and HEATHCOCK, KATHARINE

Subjects
LANGUAGE & languages, STUDENT assistance programs, MEDICAL education, PROFESSIONAL identity, COMMUNICATION, PROFESSIONAL employee training, ACADEMIC achievement, PSYCHOLOGY of medical students, SOCIAL support
Abstract

Background: Students completing a healthcare degree can experience difficulties, both academic and non-academic. Early intervention for struggling students may present an opportunity for remediation. Students may be coached in academic performance, clinical communication, values-based learning and development of professional identity. The referred students' coaching programme at the University of Birmingham is a unique offering, encompassing eight different healthcare programmes. Referrals can be triggered by academic performance and 'concern forms' by stakeholders. Concerns by referrers include exam failure, performance anxiety, lack of confidence, poor team and/or patient/public communication or inadequate self-presentation as well issues with attitudes/values, study methods, organisation, writing, language, motivation and conduct. Each student referred to the programme receives a bespoke coaching service. Sessions may include role play, narrative reflection, review and revision of academic work, structured feedback and signposting of resources. Methods and analysis: A qualitative evaluation is carried out of students referred to the Interactive Studies Unit at the University of Birmingham for coaching support with language, communication and professional development. This evaluation explores the experiences of referred students via qualitative surveys. The results are examined using thematic analysis and corpus linguistics. There is a minimum target of 15 participants. Dissemination: The findings will be published and shared internally for training and internal process improvement purposes. [ABSTRACT FROM AUTHOR]

Published
2022
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22. Additional file 5 of Adult patient perspectives on receiving hospital discharge letters: a corpus analysis of patient interviews

Author

Weetman, Katharine, Dale, Jeremy, Scott, Emma, and Schnurr, Stephanie

Subjects
ComputingMethodologies_PATTERNRECOGNITION, InformationSystems_INFORMATIONSTORAGEANDRETRIEVAL, ComputingMethodologies_DOCUMENTANDTEXTPROCESSING, ComputingMethodologies_ARTIFICIALINTELLIGENCE
Abstract

Additional file 5. Table of word counts for corpus and sub-corpora.

Published
2020
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