Perceptions and experience of emergency discharge as reported by nurses and medical officers.

Stevens, L; Fry, M; Jacques, M; Barnes, A

Perceptions and experience of emergency discharge as reported by nurses and medical officers.

Stevens, L Fry, M

Jacques, M Barnes, A

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Publisher:: ELSEVIER SCI LTD
Publication Type:: Journal Article
Citation:: Australasian emergency care, 2020, 23, (1), pp. 55-61
Issue Date:: 2020-03

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Field	Value	Language
dc.contributor.author	Stevens, L
dc.contributor.author	Fry, M https://orcid.org/0000-0003-1265-7096
dc.contributor.author	Jacques, M
dc.contributor.author	Barnes, A
dc.date.accessioned	2020-08-31T06:32:34Z
dc.date.available	2019-12-12
dc.date.available	2020-08-31T06:32:34Z
dc.date.issued	2020-03
dc.identifier.citation	Australasian emergency care, 2020, 23, (1), pp. 55-61
dc.identifier.issn	2589-1375
dc.identifier.issn	2588-994X
dc.identifier.uri	http://hdl.handle.net/10453/142450
dc.description.abstract	BACKGROUND:Emergency Department (ED) discharge involves the communication of healthcare information to optimise patient safety, selfmanagement, and understanding and compliance with ongoing treatment. However, little is known about the discharge practices or processesn undertaken by emergency clinicians. Therefore, the aim of this study was to explore the experience and perceptions of managing ED patient discharge by clinicians. METHODS:A qualitative descriptive study was conducted in one district Tasmanian hospital. Data collection involved face to face interviews with emergency clinicians. RESULTS:Twenty-one (36%) (12 medical officers, 6 registered nurses and 3 nurse practitioners) emergency clinicians agreed to participate in the study. From the data, five key themes emerged; (1) managing emergency department discharge; (2) Managing the workload of discharge; (3) Working as a team to support discharge; and (4) Building a safety net for the transition of care and (5) Improving emergency discharge. CONCLUSIONS:Emergency discharge can be improved with the availability of a broader range of written patient discharge flyers, family and carer involvement, greater discharge role clarification, integration of electronic medical record and investigation ordering systems, defined nurse led discharge roles particularly after hours (after 4pm) to improve the safety of patient discharged.
dc.format	Print-Electronic
dc.language	eng
dc.publisher	ELSEVIER SCI LTD
dc.relation.ispartof	Australasian emergency care
dc.relation.isbasedon	10.1016/j.auec.2019.12.002
dc.rights	info:eu-repo/semantics/restrictedAccess
dc.title	Perceptions and experience of emergency discharge as reported by nurses and medical officers.
dc.type	Journal Article
utslib.citation.volume	23
utslib.location.activity	Australia
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Strength - CHSP - Health Services and Practice
pubs.organisational-group	/University of Technology Sydney
utslib.copyright.status	closed_access	*
pubs.consider-herdc	false
dc.date.updated	2020-08-31T06:32:31Z
pubs.issue	1
pubs.publication-status	Published
pubs.volume	23
utslib.citation.issue	1

Abstract:

BACKGROUND:Emergency Department (ED) discharge involves the communication of healthcare information to optimise patient safety, selfmanagement, and understanding and compliance with ongoing treatment. However, little is known about the discharge practices or processesn undertaken by emergency clinicians. Therefore, the aim of this study was to explore the experience and perceptions of managing ED patient discharge by clinicians. METHODS:A qualitative descriptive study was conducted in one district Tasmanian hospital. Data collection involved face to face interviews with emergency clinicians. RESULTS:Twenty-one (36%) (12 medical officers, 6 registered nurses and 3 nurse practitioners) emergency clinicians agreed to participate in the study. From the data, five key themes emerged; (1) managing emergency department discharge; (2) Managing the workload of discharge; (3) Working as a team to support discharge; and (4) Building a safety net for the transition of care and (5) Improving emergency discharge. CONCLUSIONS:Emergency discharge can be improved with the availability of a broader range of written patient discharge flyers, family and carer involvement, greater discharge role clarification, integration of electronic medical record and investigation ordering systems, defined nurse led discharge roles particularly after hours (after 4pm) to improve the safety of patient discharged.

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http://hdl.handle.net/10453/142450