title: The impact of concordant communication in outpatient care planning - nurses' perspective.
abstract: OBJECTIVE
  To elucidate registered nurses' experiences of coordinated care planning in outpatient care.
  
  
  BACKGROUND
  Coordinated care planning has been studied from the perspectives of both patients and nurses in inpatient care, but it is deficient in outpatient care.
  
  
  METHODS
  Qualitative content analysis of interviews with 10 registered nurses participating in two focus groups.
  
  
  RESULTS
  An overall theme was identified: creating concordant communication in relation to patient and health-care providers. The result is based on four categories and nine subcategories.
  
  
  CONCLUSIONS
  Nurses need extraordinary communication skills to reach concordance in outpatient care planning. In addition to involving and supporting the patients and next of kin in the decision-making process, the outcome of the nursing process must be understood by colleagues and members of other professions and health-care providers (non-nursing).
  
  
  CONCLUSIONS
  An effective outpatient care-planning process requires that care managers understand the impact of communicating, transferring information and reaching consensus with other health-care providers, actively supporting employees in the outpatient care-planning process and contributing to the development of common goals and policy documents across organisational boundaries.
authors.affiliation: Department of Psychiatry, NU-Hospital Organisation, Trollhättan, Sweden. maivor.olssson@vgregion.se
authors.forename: Maivor
authors.initials: M
authors.lastname: Olsson
authors.forename: Lena G
authors.initials: LG
authors.lastname: Larsson
authors.forename: Gullvi
authors.initials: G
authors.lastname: Flensner
authors.forename: Siv
authors.initials: S
authors.lastname: Bäck-Pettersson
mesh_terms: D000553:Ambulatory Care / Q000458:organization & administration*; D001291:Attitude of Health Personnel; D003142:Communication; D005260:Female; D017144:Focus Groups; D006801:Humans; D008297:Male; D015403:Nursing Evaluation Research; D015404:Nursing Methodology Research; D009740:Nursing Staff / Q000523:psychology*; D010347:Patient Care Planning / Q000458:organization & administration*; D010865:Pilot Projects; D036301:Qualitative Research