Registered Nurses and Discharge Planning in a Taiwanese ED: A Neglected Issue?
Published research on discharge planning is written from the perspective of hospital wards and community services. Limited research focuses on discharge planning in the emergency department (ED). The objective of this study was to identify ED nurses' perceptions of factors influencing the implementation of discharge planning. This qualitative study collected data from 25 ED nurses through in-depth interviews and a drawing task in which participants were asked to depict on paper the implementation of discharge planning in their practice. Factors influencing discharge planning were grouped into three categories: discharge planning as a neglected issue in the ED, heavy workload, and the negative attitudes of ED patients and their families. The study highlighted a need for effective discharge planning to be counted as an essential clinical competency for ED nurses and factored into their everyday workload. Nurses perceived that organizational culture, and parents' and relatives' attitudes were barriers to implementing discharge teaching in the ED.
Chang Gung University of Science and Technology, Taiwan, Republic of China.
Wen
W
Chang
University of Calgary, Alberta, Canada.
Suzanne
S
Goopy
Chang Gung University of Science and Technology, Taiwan, Republic of China.
Chun-Chih
CC
Lin
Queensland University of Technology, Brisbane, Australia.
Alan
A
Barnard
Chang Gung University, Taiwan, Republic of China.
Hsueh-Erh
HE
Liu
Chang Gung University of Science and Technology, Taiwan, Republic of China cyhan@gw.cgust.edu.tw.
Chin-Yen
CY
Han
D000328:Adult; D002983:Clinical Competence; D004636:Emergency Service, Hospital; D005260:Female; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D008875:Middle Aged; D009741:Nursing Staff, Hospital / Q000523:psychology*; D015279:Organizational Culture; D010351:Patient Discharge / Q000592:standards*; D010353:Patient Education as Topic / Q000379:methods; D036301:Qualitative Research; D013624:Taiwan; D016526:Workload
discharge planning; emergency nursing; qualitative study