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Patients in transition – improving hospital–home care collaboration through electronic messaging: providers’ perspectives

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  • Line Melby
  • Berit J Brattheim
  • Ragnhild Hellesø

Abstract

Aims and objectives To explore how the use of electronic messages support hospital and community care nurses’ collaboration and communication concerning patients’ admittance to and discharges from hospitals. Background Nurses in hospitals and in community care play a crucial role in the transfer of patients between the home and the hospital. Several studies have shown that transition situations are challenging due to a lack of communication and information exchange. Information and communication technologies may support nurses’ work in these transition situations. An electronic message system was introduced in Norway to support patient transitions across the health care sector. Design A descriptive, qualitative interview study was conducted. Methods One hospital and three adjacent communities were included in the study. We conducted semi‐structured interviews with hospital nurses and community care nurses. In total, 41 persons were included in the study. The analysis stemmed from three main topics related to the aims of e‐messaging: efficiency, quality and safety. These were further divided into sub‐themes. Results All informants agreed that electronic messaging is more efficient, i.e. less time‐consuming than previous means of communication. The shift from predominantly oral communication to writing electronic messages has brought attention to the content of the information exchanged, thereby leading to more conscious communication. Electronic messaging enables improved information security, thereby enhancing patient safety, but this depends on nurses using the system as intended. Conclusion Nurses consider electronic messaging to be a useful tool for communication and collaboration in patient transitions. Relevance to clinical practice Patient transitions are demanding situations both for patients and for the nurses who facilitate the transitions. The introduction of information and communication technologies can support nurses’ work in the transition situations, and this is likely to benefit the patients.

Suggested Citation

  • Line Melby & Berit J Brattheim & Ragnhild Hellesø, 2015. "Patients in transition – improving hospital–home care collaboration through electronic messaging: providers’ perspectives," Journal of Clinical Nursing, John Wiley & Sons, vol. 24(23-24), pages 3389-3399, December.
    • Handle: RePEc:wly:jocnur:v:24:y:2015:i:23-24:p:3389-3399
    DOI: 10.1111/jocn.12991
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    References listed on IDEAS

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    1. Cheryl Holly & Eileen B Poletick, 2014. "A systematic review on the transfer of information during nurse transitions in care," Journal of Clinical Nursing, John Wiley & Sons, vol. 23(17-18), pages 2387-2396, September.
    2. Campbell, S. M. & Roland, M. O. & Buetow, S. A., 2000. "Defining quality of care," Social Science & Medicine, Elsevier, vol. 51(11), pages 1611-1625, December.
    3. Elizabeth Manias & Marie Gerdtz & Allison Williams & Michael Dooley, 2015. "Complexities of medicines safety: communicating about managing medicines at transition points of care across emergency departments and medical wards," Journal of Clinical Nursing, John Wiley & Sons, vol. 24(1-2), pages 69-80, January.
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    1. Elin R. Nilsen & Ulrika Söderhamn & Bjørg Dale, 2019. "Facilitating holistic continuity of care for older patients: Home care nurses’ experiences using checklists," Journal of Clinical Nursing, John Wiley & Sons, vol. 28(19-20), pages 3478-3491, October.
    2. Elias David Lundereng & Alfhild Dihle & Simen A. Steindal, 2020. "Nurses’ experiences and perspectives on collaborative discharge planning when patients receiving palliative care for cancer are discharged home from hospitals," Journal of Clinical Nursing, John Wiley & Sons, vol. 29(17-18), pages 3382-3391, September.

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