Department of Health Sciences, Mid Sweden University, Östersund and Sundsvall, Sweden.
Int J Qual Stud Health Well-being. 2023 Dec;18(1):2185964. doi: 10.1080/17482631.2023.2185964.
Although previous research indicates that care transitions differ between rural and urban areas, the knowledge of challenges related to care transitions in rural areas appears limited. This study aimed to provide a deeper understanding of what registered nurses' perceive as the main concerns in care transitions from hospital care to home healthcare in rural areas, and how they handle these during the care transition process.
A Constructivist Grounded Theory method based on individual interviews with 21 registered nurses.
The main concern in the transition process was "Care coordination in a complex context". The complexity stemmed from several environmental and organizational factors, creating a messy and fragmented context for registered nurses to navigate. The core category "Actively communicating to reduce patient safety risks" was explained by the three categories- "Collaborating on expected care needs", "Anticipating obstacles" and "Timing the departure".
The study shows a very complex and stressed process that includes several organizations and actors. Reducing risks during the transition process can be facilitated by clear guidelines, tools for communication across organizations and sufficient staffing.
尽管先前的研究表明，农村和城市地区的医疗服务交接存在差异，但对于农村地区医疗服务交接相关挑战的了解似乎有限。本研究旨在更深入地了解注册护士在农村地区从医院护理到家庭医疗护理的交接过程中，认为主要关注点是什么，以及他们如何在交接过程中处理这些关注点。
基于对 21 名注册护士的个体访谈，采用建构主义扎根理论方法。
交接过程中的主要关注点是“在复杂背景下进行护理协调”。这种复杂性源于若干环境和组织因素，为注册护士的工作带来了混乱和分散的背景。核心类别“积极沟通以降低患者安全风险”可通过三个类别来解释，即“协作确定预期的护理需求”、“预测障碍”和“把握离职时机”。
该研究表明，这是一个非常复杂和紧张的过程，涉及多个组织和参与者。通过明确的指导方针、跨组织沟通工具和充足的人员配置，可以促进交接过程中风险的降低。
