University Hospital of South Manchester NHS Foundation Trust, Wythenshawe Hospital, Manchester, UK.
J Interprof Care. 2010 Nov;24(6):633-43. doi: 10.3109/13561820903418614.
Discharge preparation is a multiprofessional activity that is not always conducted efficiently. Perspectives of staff provide an insight into challenges and solutions for this organizational process. The study aimed to examine current discharge practice in one hospital and to compare perceptions of this activity between healthcare workers from different professions. A questionnaire was sent to 1344 staff in an English hospital. It consisted of items related to discharge, which were rated on a Likert scale, and included space for free text. Data were analyzed using descriptive and inferential statistics. The survey method has a number of limitations and conclusions must be considered with caution. A total of 455 usable questionnaires were returned from nurses/midwives, doctors and therapists/allied health professionals. Although respondents showed agreement on a number of areas, differences did arise, which could be linked, in part, to values and roles associated with specific healthcare disciplines. Tensions between professional groups were evident, especially between social workers, nurses and medics. Differences of opinion also appeared between practitioners, patients and carers. Different views among practitioners of discharge preparation could impede efficient joint working. Better understanding of the roles and expertise of team members might improve this process. Factors affecting discharge preparation need to be understood to reduce staff and consumer dissatisfaction and to avoid potential readmissions.
出院准备是一项多专业的活动，并不总是能高效进行。员工的观点为了解这一组织流程的挑战和解决方案提供了深入的认识。本研究旨在考察一家医院的现行出院实践，并比较不同专业医护人员对该活动的看法。一项问卷被发送至一家英国医院的 1344 名员工，内容涉及与出院相关的项目，这些项目都采用了李克特量表进行评分，并提供了自由文本的空间。使用描述性和推断性统计对数据进行了分析。调查方法存在一些局限性，因此必须谨慎考虑结论。共收到来自护士/助产士、医生和治疗师/辅助医疗专业人员的 455 份有效问卷。尽管受访者在一些方面表示认同，但确实存在差异，这些差异部分可以与特定医疗保健学科相关的价值观和角色联系起来。社工、护士和医务人员之间存在明显的专业群体紧张关系。从业者、患者和照顾者之间也出现了意见分歧。出院准备的从业者之间不同的观点可能会阻碍有效的联合工作。更好地了解团队成员的角色和专业知识可能会改善这一过程。需要了解影响出院准备的因素，以减少员工和消费者的不满，并避免潜在的再入院。
