Journal article
Nurses' heart failure discharge planning part II: Implications for the hospital system
Applied nursing research, Vol.56, pp.151336-151336
12/2020
DOI: 10.1016/j.apnr.2020.151336
PMID: 32741656
Abstract
The purpose of this interpretive descriptive study was to understand bedside nurses' motivation and decision-making during discharge planning for patients with HF on a 48-bed telemetry unit.
Heart failure (HF) discharge planning interventions have largely excluded the contributions of bedside nurses.
Fifteen nurses were interviewed. Coding was done using NVivo and thematic analysis was completed.
This paper is the second in a two-part series which presents separate results of one interpretive descriptive study delineating the factors that impact bedside nurses' HF discharge planning. This paper presents how nurses' lack of time, competing priorities, and hospital policies affect nurses' HF discharge planning. In addition to the previous report (part I) of how nurses felt more motivated during HF discharge planning when they had time to establish a personal connection with patients, nurses reported being motivated when they had time to individualize HF education and did not feel rushed to complete discharge planning tasks.
Findings from this study suggest that patients with HF may benefit if bedside nurses are afforded the support to effectively assess patients' discharge needs and educate them. A shift in organizational practice is needed, such as employing HF nurse educators to lead bedside nurses in a more structured method of HF education delivery, requiring discharge planning as a component of each shift's work, and promoting bedside nurse involvement in HF discharge planning decision-making within interdisciplinary teams.
Details
- Title: Subtitle
- Nurses' heart failure discharge planning part II: Implications for the hospital system
- Creators
- Erica Davisson - University of Iowa College of Nursing, 101 College of Nursing Building, 50 Newton Road, Iowa City, IA 52242-1121, United States of America. Electronic address: erica-davisson@uiowa.eduElizabeth Swanson - University of Iowa College of Nursing, 101 College of Nursing Building, 50 Newton Road, Iowa City, IA 52242-1121, United States of America
- Resource Type
- Journal article
- Publication Details
- Applied nursing research, Vol.56, pp.151336-151336
- Publisher
- United States
- DOI
- 10.1016/j.apnr.2020.151336
- PMID
- 32741656
- ISSN
- 0897-1897
- eISSN
- 1532-8201
- Language
- English
- Date published
- 12/2020
- Academic Unit
- Nursing
- Record Identifier
- 9984066343802771
Metrics
23 Record Views