Planning for our patients during times of transitions (for example: hospital to home, home to rehabilitation facility) involves collaboration with a number of healthcare professionals. Please address the following questions:
How does your facility promote interprofessional collaboration during times of patient transitions?
What is the role of the nurse in patient transitions?
What gaps can you identify in this process related to quality of care? (If you are not currently in practice, please use a previous role or clinical experience in your answers.)
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How the facility promotes interprofessional collaboration during times of patient transition
During the transition, the nurse is responsible for maintaining inter-personal communication and collaborating with other relevant care providers and various team members to guarantee patient safety. Therefore, nurses are tasked with collaborating with care-providing team members of the other facility where the patient is being transferred (Naylor and Keating, 2008). Thus, the facility ensures that the responsible nurse educates the patients' family on the importance of transition and encourages communication between the patient's family and the new facility or hospital team where the patient is shifting.
The role of the nurse inpatient transition
The nurse plays a vital role during the patient transition by first becoming the mediator between the patient and the doctor. During the transition, the nurse encourages the patient to adopt the new change and accept it better (ANA, 2015). The nurse is also tasked with acting as a patient care mediator while developing a trust relationship with the patients to provide quality and effective care, especially in a patient-centered type of care. A nurse also maintains inter-personal communication between the patient and a healthcare team while also acting as s coordinator.
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Gaps in the transition Process in relation to quality care
All transitions have both positives and negatives. For instance, some of the identifiable gaps during the transition process may include lack of information from the transferring hospital or facility, unwillingness from the family of the patient, negligence during transitions may be detrimental to the overall health of the patient (Naylor and Keating, 2008) as well as improper co-ordination between doctors and nurses and missing health records. For example, a patient might require services not offered in the hospital where they have been admitted, such as physiotherapy. Therefore, the doctor might propose a transition into another facility where the patient can comfortably get the services due to the lack of these services. However, because the charges for physiotherapy in the other facility are outrageously high, the patient and his family members might not be willing to transition into the other hospital, thus resulting in difficulty providing quality care to the patient.
American Nursing Association. (ANA, 2015). Nursing: Scope and standards of practice (3rd ed.). American Nurses Publishing.
Naylor, M., & Keating, S. A. (2008). Transitional care. The American journal of nursing, 108(9 Suppl), 58–63. https://doi.org/10.1097/01.NAJ.0000336420.34946.3a
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