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Delayed discharges within community hospitals.
- Source :
- Journal of Integrated Care; 2016, Vol. 24 Issue 5/6, p260-270, 11p
- Publication Year :
- 2016
-
Abstract
- Purpose The purpose of this paper is to understand the perspectives of frontline health and social care professionals in relation to delays in discharge from community hospitals.Design/methodology/approach A qualitative approach was taken, using semi-structured interviews and non-participant observation, within three community hospitals in NHS Scotland. In total, 12 frontline health and social care professionals were interviewed and observation of the multi-disciplinary team meeting was completed. Thematic content analysis was used to analyse the data produced.Findings The key findings were delayed discharge as an issue, lack of resources and capacity, difficulties in the relationship between acute and community health staff, silo working between health and social care, conflicting pressures on staff, and influence over services and external factors. There were perceived different ways of working within acute health, community health and social work, which were suggested to reduce efficiency, cause tension and ultimately result in delays. All professionals perceived an inability to influence any of the factors causing delays in discharge.Practical implications The internal issues regarding inter-professional working could potentially damage integration, indicating a need to teach collaborative team skills as well as quality improvement training to support staff to challenge and change current ways of working.Originality/value The paper contributes to the evidence base of community hospitals. There are implications for both health and social care policy. [ABSTRACT FROM AUTHOR]
- Subjects :
- HOSPITALS
ATTITUDE (Psychology)
COMMUNICATION
HEALTH services accessibility
LENGTH of stay in hospitals
INTERPROFESSIONAL relations
INTERVIEWING
RESEARCH methodology
MEDICAL personnel
NATIONAL health services
SCIENTIFIC observation
PERSONNEL management
TEAMS in the workplace
QUALITATIVE research
JUDGMENT sampling
UNOBTRUSIVE measures
THEMATIC analysis
DISCHARGE planning
SOCIAL worker attitudes
Subjects
Details
- Language :
- English
- ISSN :
- 14769018
- Volume :
- 24
- Issue :
- 5/6
- Database :
- Complementary Index
- Journal :
- Journal of Integrated Care
- Publication Type :
- Academic Journal
- Accession number :
- 119907021
- Full Text :
- https://doi.org/10.1108/JICA-06-2016-0023