Iglehart A P
University of California, Los Angeles 90024.
Health Soc Work. 1990 Nov;15(4):301-9. doi: 10.1093/hsw/15.4.301.
The rise in legitimacy and visibility of hospital discharge planning has been accompanied by competition between social work and nursing over control of this function. The author used a survey of 229 California hospitals to test the hypothesis that the discharge planning process is the same regardless of the discipline or department in which it is located. The only significant difference among the social work, nursing, and administrative departments was in the type of staff used. Social work departments were more likely to have both a social worker and a nurse on the discharge planning staff and on the discharge planning team. The needs of the organization, rather than professional perspectives, drove discharge planning. More collaborative bonds between social work and nursing could propel system innovation and change.
医院出院计划的合法性和可见性的提高伴随着社会工作和护理部门之间对该职能控制权的竞争。作者对229家加利福尼亚医院进行了一项调查，以检验以下假设：无论出院计划过程位于哪个学科或部门，其过程都是相同的。社会工作、护理和行政部门之间唯一显著的差异在于所使用的工作人员类型。社会工作部门更有可能在出院计划工作人员和出院计划团队中同时配备一名社会工作者和一名护士。推动出院计划的是组织的需求，而非专业观点。社会工作和护理之间更紧密的合作关系可以推动系统创新和变革。
