Reconceptualizing children's complex discharge with health systems theory: novel integrative review with embedded expert consultation and theory development.

Abstract:

AIM:To report a novel review to develop a health systems model of successful transition of children with complex healthcare needs from hospital to home. BACKGROUND:Children with complex healthcare needs commonly experience an expensive, ineffectual and prolonged nurse-led discharge process. Children gain no benefit from prolonged hospitalization and are exposed to significant harm. Research to enable intervention development and process evaluation across the entire health system is lacking. DESIGN:Novel mixed-method integrative review informed by health systems theory. DATA  SOURCES:CINAHL, PsychInfo, EMBASE, PubMed, citation searching, personal contact. REVIEW  METHODS:Informed by consultation with experts. English language studies, opinion/discussion papers reporting research, best practice and experiences of children, parents and healthcare professionals and purposively selected policies/guidelines from 2002-December 2012 were abstracted using Framework synthesis, followed by iterative theory development. RESULTS:Seven critical factors derived from thirty-four sources across five health system levels explained successful discharge (new programme theory). All seven factors are required in an integrated care pathway, with a dynamic communication loop to facilitate effective discharge (new programme logic). Current health system responses were frequently static and critical success factors were commonly absent, thereby explaining ineffectual discharge. CONCLUSION:The novel evidence-based model, which reconceptualizes 'discharge' as a highly complex longitudinal health system intervention, makes a significant contribution to global knowledge to drive practice development. Research is required to develop process and outcome measures at different time points in the discharge process and future trials are needed to determine the effectiveness of integrated health system discharge models.

journal_name

J Adv Nurs

authors

Noyes J,Brenner M,Fox P,Guerin A

doi

10.1111/jan.12278

subject

Has Abstract

pub_date

2014-05-01 00:00:00

pages

975-96

issue

5

eissn

0309-2402

issn

1365-2648

journal_volume

70

pub_type

杂志文章,评审
  • Patient experiences of caring and person-centredness are associated with perceived nursing care quality.

    abstract:AIMS:To explore the extent to which patient ratings of perceived caring and person-centredness are associated with perceived nursing care quality in an acute hospital sample of inpatients. BACKGROUND:Self-reported patient experiences have had limited attention in conceptualizations of healthcare quality as described i...

    journal_title:Journal of advanced nursing

    pub_type: 杂志文章

    doi:10.1111/jan.13105

    authors: Edvardsson D,Watt E,Pearce F

    更新日期:2017-01-01 00:00:00

  • Australian registered nurse medical device education: a comparison of life-sustaining and non-life-sustaining devices.

    abstract::Registered nurses are primarily responsible for the use of medical devices in direct patient care. This cross-sectional survey compared how and what 139 registered nurses working in a variety of wards/units in a 1000-bed tertiary care hospital in South Australia initially learned about the life-sustaining and non-life...

    journal_title:Journal of advanced nursing

    pub_type: 杂志文章

    doi:10.1046/j.1365-2648.1993.18101586.x

    authors: McConnell EA,Fletcher J

    更新日期:1993-10-01 00:00:00

  • Organization development in a psychiatric hospital: creating desirable changes.

    abstract::The organization of the way in which hospitals and hospital staff provide a service to patients is obviously of critical importance to their effectiveness, yet it is clear that rigidities and inappropriate and ineffective procedures frequently intrude. It is commonly held that changing hospitals as organizations is di...

    journal_title:Journal of advanced nursing

    pub_type: 杂志文章

    doi:10.1111/j.1365-2648.1980.tb00977.x

    authors: Cope D,Cox S

    更新日期:1980-07-01 00:00:00

  • A mixed study systematic review of social media in nursing and midwifery education: Protocol.

    abstract:AIM:To synthesize evidence on the use of social media in nursing and midwifery education. BACKGROUND:Social media is one type of online platform that is being explored to determine if there is value in using interactive, digital communication tools to support how nurses and midwives learn in a variety of settings. DE...

    journal_title:Journal of advanced nursing

    pub_type: 杂志文章

    doi:10.1111/jan.13310

    authors: O'Connor S,Jolliffe S,Stanmore E,Renwick L,Schmitt T,Booth R

    更新日期:2017-08-01 00:00:00

  • Competence of newly-graduated nurses--a comparison of the perceptions of qualified nurses and students.

    abstract:AIM:This paper reports a study that compares opinions of final year nursing students, rating their own competence, with the opinions of experienced nurses on the competence of newly-graduated nurses. BACKGROUND:The transition of nursing preparation into higher education is regarded as positive, although it has led to ...

    journal_title:Journal of advanced nursing

    pub_type: 杂志文章

    doi:10.1111/j.1365-2648.2006.03778.x

    authors: Lofmark A,Smide B,Wikblad K

    更新日期:2006-03-01 00:00:00

  • Stress, pre-term labour and birth outcomes.

    abstract::Stress, pre-term labour and birth outcomes Preliminary studies have suggested that stress may be associated with the onset, treatment and outcomes of pre-term labour; however, a systematic comparison of the stress of women with and without pre-term labour has not been reported. Therefore, the purpose of this explorato...

    journal_title:Journal of advanced nursing

    pub_type: 杂志文章

    doi:10.1046/j.1365-2648.2000.01526.x

    authors: MacKey MC,Williams CA,Tiller CM

    更新日期:2000-09-01 00:00:00

  • Innovation in the assessment of nursing theory and its evaluation: a team approach.

    abstract::In response to recent national changes in United Kingdom (UK) nurse education (e.g. devolution of assessment, moves to higher education, revision of the aims) and to local concerns (e.g. fairness to students, validity and reliability of written assessments, helping staff with less experience of assessment, student lea...

    journal_title:Journal of advanced nursing

    pub_type: 杂志文章

    doi:10.1046/j.1365-2648.1998.00690.x

    authors: Dean JM,Mountford B

    更新日期:1998-08-01 00:00:00

  • Perceived family dynamics of persons with chronic pain.

    abstract::This qualitative study was conducted to gain an understanding of the experiences of persons with chronic pain and their relationships with family members and the family as a whole. The framework of systemic organization was used to define the areas of investigation guiding the formulation of broad questions relative t...

    journal_title:Journal of advanced nursing

    pub_type: 杂志文章

    doi:10.1046/j.1365-2648.1999.01123.x

    authors: Smith AA,Friedemann ML

    更新日期:1999-09-01 00:00:00

  • An analysis of altruism: a concept of caring.

    abstract::In clinical settings, nurses have observed a conflict within women who are expected to focus on caring for themselves, while their value lies in attending to the needs of others at the sacrifice of self. In this concept analysis of altruism, the term is defined and the critical attributes are identified. Model, border...

    journal_title:Journal of advanced nursing

    pub_type: 杂志文章,评审

    doi:10.1046/j.1365-2648.1995.22040785.x

    authors: Smith A

    更新日期:1995-10-01 00:00:00

  • Portfolios: a developmental influence?

    abstract::A situational analysis had demonstrated a need to help staff within an orthopaedic/trauma unit review past and plan future learning. One way of doing this is through the preparation of a portfolio. An action research project was undertaken to explore two research questions: Is the process of portfolio preparation in i...

    journal_title:Journal of advanced nursing

    pub_type: 杂志文章

    doi:10.1111/j.1365-2648.1995.tb02539.x

    authors: Cayne JV

    更新日期:1995-02-01 00:00:00

  • Keeping Vigil over the Patient: a grounded theory of nurse anaesthesia practice.

    abstract:AIM:This paper is a report of a study exploring the role and practice of nurse anaesthetists, with particular attention to describing how it is 'nursing'. BACKGROUND:In many countries, there is no nurse anaesthetist role. Recent events suggest that hesitancy about the role may be changing in Canada. Yet, there is limi...

    journal_title:Journal of advanced nursing

    pub_type: 杂志文章

    doi:10.1111/j.1365-2648.2009.05207.x

    authors: Schreiber R,Macdonald M

    更新日期:2010-03-01 00:00:00

  • Evaluation of services for people with HIV/AIDS in an inner-city health authority: perspectives of key service providers.

    abstract::This paper reports the findings of the first phase of a study designed to assess the needs of people with HIV and AIDS and the extent to which these needs are being met by services in Camberwell Health Authority in inner London. The study involves collecting information and opinions from key service providers, clients...

    journal_title:Journal of advanced nursing

    pub_type: 杂志文章

    doi:10.1046/j.1365-2648.1993.18010069.x

    authors: Beedham HM,Wilson-Barnett J

    更新日期:1993-01-01 00:00:00

  • Glass contamination in parenterally administered medication.

    abstract:AIM:This paper reports a study examining glass particle contamination in two ampoule sizes under three different experimental conditions (n = 18 in each group). BACKGROUND:While existing literature is clear that glass contamination occurs on opening single-dose glass ampoules, the clinical significance of intramuscula...

    journal_title:Journal of advanced nursing

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1111/j.1365-2648.2004.03195.x

    authors: Preston ST,Hegadoren K

    更新日期:2004-11-01 00:00:00

  • An evaluative study of a community health service development.

    abstract::This paper describes a research study designed to evaluate a community health service development in one health authority in rural England. The study compared two types of primary care teams working towards the same objectives. Surveys of patients and staff in the health authority were conducted about a range of issue...

    journal_title:Journal of advanced nursing

    pub_type: 杂志文章

    doi:10.1111/j.1365-2648.1994.tb01051.x

    authors: Young KR

    更新日期:1994-01-01 00:00:00

  • Identifying the health needs of elderly people using the Omaha Classification Scheme.

    abstract::An examination of what constitutes assessment would help to clarify those aspects which are essential for establishing a suitable nursing plan for clients. There is no consensus on one assessment tool in nursing, and many methods are used. The important areas in a comprehensive assessment (physiological, mental, socia...

    journal_title:Journal of advanced nursing

    pub_type: 杂志文章

    doi:10.1046/j.1365-2648.1997.00397.x

    authors: Maggs C,Abedi HA

    更新日期:1997-10-01 00:00:00

  • Factors influencing decisions of mental health professionals to release service users from seclusion: A qualitative study.

    abstract:AIM:This study aims to explore and understand factors influencing the decisions of mental health professionals releasing service users from seclusion. BACKGROUND:Seclusion should only be used as a last resort and for the minimum possible duration. Current evidence outlines which service users are more likely to be sec...

    journal_title:Journal of advanced nursing

    pub_type: 杂志文章

    doi:10.1111/jan.14086

    authors: Jackson H,Baker J,Berzins K

    更新日期:2019-10-01 00:00:00

  • The learning history: A research method to advance the science and practice of organizational learning in healthcare.

    abstract:AIMS:This paper presents a discussion of the learning history research method, including a description of how to conduct a learning history. Suggested applications of the method in research and clinical practice are also provided. BACKGROUND:Organizational learning has been linked to improved clinical performance and ...

    journal_title:Journal of advanced nursing

    pub_type: 历史文章,杂志文章

    doi:10.1111/jan.13858

    authors: Lyman B,Moore C

    更新日期:2019-02-01 00:00:00

  • Methodological considerations in the study of frail elderly people.

    abstract::The purpose of this paper is to increase the awareness of gerontological nurse researchers about methodological, theoretical and ethical issues that are unique and critical to the study of frail elderly people. Discussion focuses on: (a) sampling, recruitment, informed consent and retention of subjects; (b) selection ...

    journal_title:Journal of advanced nursing

    pub_type: 杂志文章

    doi:10.1046/j.1365-2648.1993.18060873.x

    authors: Bowsher J,Bramlett M,Burnside IM,Gueldner SH

    更新日期:1993-06-01 00:00:00

  • Demographical, sociomedical and physical characteristics in relation to malnutrition in geriatric patients.

    abstract::The purpose of this study was to describe and compare demographical, sociomedical and physical characteristics between protein-energy malnourished and non-malnourished geriatric patients on admission. According to the International Statistical Classification of Diseases, 104 malnourished patients were age-, gender- an...

    journal_title:Journal of advanced nursing

    pub_type: 杂志文章

    doi:10.1111/j.1365-2648.1991.tb01587.x

    authors: Unosson M,Ek AC,Bjurulf P,Larsson J

    更新日期:1991-12-01 00:00:00

  • Information transfer for multi-trauma patients on discharge from the emergency department: mixed-method narrative review.

    abstract:AIM:This paper is a report of a review conducted to identify (a) best practice in information transfer from the emergency department for multi-trauma patients; (b) conduits and barriers to information transfer in trauma care and related settings; and (c) interventions that have an impact on information communication at...

    journal_title:Journal of advanced nursing

    pub_type: 杂志文章,评审

    doi:10.1111/j.1365-2648.2010.05494.x

    authors: Calleja P,Aitken LM,Cooke ML

    更新日期:2011-01-01 00:00:00

  • The effect of music on preoperative anxiety in day surgery.

    abstract:AIM:This paper reports a study to test the hypothesis that day surgery patients who listen to music during their preoperative wait will have statistically significantly lower levels of anxiety than patients who receive routine care. BACKGROUND:Although previous day surgery research suggests that music effectively redu...

    journal_title:Journal of advanced nursing

    pub_type: 杂志文章,随机对照试验

    doi:10.1111/j.1365-2648.2005.03563.x

    authors: Cooke M,Chaboyer W,Schluter P,Hiratos M

    更新日期:2005-10-01 00:00:00

  • Primary family caregivers' observations and perceptions of their older relatives' knee osteoarthritis pain and pain management: a qualitative study.

    abstract:AIM:To explore primary family caregivers' observations and perceptions of their older relatives' knee osteoarthritis pain and pain management. BACKGROUND:Osteoarthritis is one of the most common joint disorders in older people. Studies have mainly focused on spouses' or partners' perceptions of older individuals' oste...

    journal_title:Journal of advanced nursing

    pub_type: 杂志文章

    doi:10.1111/jan.12684

    authors: Hsu KY,Tsai YF,Lin YP,Liu HT

    更新日期:2015-09-01 00:00:00

  • Increased hope following successful treatment for hepatitis C infection.

    abstract:AIMS:To evaluate hope in hepatitis C patients 9 years after curative treatment with pegylated interferon and ribavirin. BACKGROUND:Successful treatment of hepatitis C leads to improved quality of life in responders compared with non-responders. The long-term effect of successful treatment on hope in these patients is ...

    journal_title:Journal of advanced nursing

    pub_type: 杂志文章

    doi:10.1111/jan.13487

    authors: Bjøro B,Dalgard O,Midgard H,Verbaan H,Småstuen MC,Rustøen T

    更新日期:2018-03-01 00:00:00

  • Natural science and nursing science: where do the horizons fuse?

    abstract::The natural sciences have an influential effect on society, contemporary world-views, and other scientific disciplines. A brief history of the major advances in the natural sciences and the associated philosophies provides a platform for scholarly discourse regarding the subsequent influence on nursing epistemology. T...

    journal_title:Journal of advanced nursing

    pub_type: 历史文章,杂志文章

    doi:10.1046/j.1365-2648.1999.01206.x

    authors: Whittemore R

    更新日期:1999-11-01 00:00:00

  • An education-service partnership: analysis of the development of a satellite baccalaureate nursing programme.

    abstract::The development of a satellite education partnership between the School of Nursing at the University of Wisconsin Eau Claire and St Joseph's Hospital in Marshfield, Wisconsin, is reported. The factors which were identified as key to this successful partnership are compared to the antecedent conditions and defining att...

    journal_title:Journal of advanced nursing

    pub_type: 杂志文章

    doi:10.1046/j.1365-2648.1998.00836.x

    authors: Sullinger H,Ostmoe PM

    更新日期:1998-12-01 00:00:00

  • Knowledge expectations of recently diagnosed patients with knee osteoarthritis.

    abstract:AIM:The aim of this study was to assess the socio-demographic and disease-related symptoms and emotions and knowledge expectations of patients recently diagnosed with knee osteoarthritis. A further aim was to determine associations between selected demographic variables and patients' expected knowledge. BACKGROUND:Pat...

    journal_title:Journal of advanced nursing

    pub_type: 杂志文章

    doi:10.1111/jan.13053

    authors: Pellinen T,Villberg J,Raappana M,Leino-Kilpi H,Kettunen T

    更新日期:2016-11-01 00:00:00

  • Nursing is different than medicine: ethical difficulties in the process of care in surgical units.

    abstract:AIM:This paper describes a study of the kinds of ethical difficulties nurses face in the process of care in surgical units. BACKGROUND:Nurses face ethically difficult situations in trying to find the most appropriate actions to take for patients. Differences of opinion with doctors about the treatment and care of pati...

    journal_title:Journal of advanced nursing

    pub_type: 杂志文章

    doi:10.1111/j.1365-2648.2006.04013.x

    authors: Torjuul K,Sorlie V

    更新日期:2006-11-01 00:00:00

  • Discharge planning: issues and challenges for gerontological nursing. A critique of the literature.

    abstract::Families are rapidly becoming unpaid givers of complex care. Using McKeehan & Coulton's systems model, this critique reviews the evolution of the structure and processes of discharge planning programmes. It explores three common assumptions: discharge planning programmes are cost-effective, allow for enhancement of pa...

    journal_title:Journal of advanced nursing

    pub_type: 杂志文章,评审

    doi:10.1111/j.1365-2648.1994.tb01112.x

    authors: Jackson MF

    更新日期:1994-03-01 00:00:00

  • Transforming the obstetric nursing workforce in NE Brazil through international collaboration.

    abstract:AIMS:This paper seeks to analyse the content, people and process of transformational change to introduce new ways of working for specialized obstetric nurses in northeast Brazil, and identify the lessons learned. BACKGROUND:Countries across the globe are beginning to focus on improving the nursing workforce through ne...

    journal_title:Journal of advanced nursing

    pub_type: 杂志文章

    doi:10.1111/j.1365-2648.2005.03450.x

    authors: Girot EA,Enders BC,Wright J

    更新日期:2005-06-01 00:00:00

  • Factors influencing arrival of patients with acute myocardial infarction at emergency departments: implications for community nursing interventions.

    abstract:AIM:This paper identifies the characteristics of Greek patients with acute myocardial infarction who have long prehospital delays and identifies the factors that are specifically associated with these delays. BACKGROUND:The time between the first appearance of symptoms until the hospitalization of the patient with myo...

    journal_title:Journal of advanced nursing

    pub_type: 杂志文章,多中心研究

    doi:10.1111/j.1365-2648.2010.05301.x

    authors: Xanthos T,Pantazopoulos I,Vlachos I,Stroumpoulis K,Barouxis D,Kitsou V,Marathias K,Karabinis A,Papadimitriou L

    更新日期:2010-07-01 00:00:00