Review: On discharge planning: dynamic complex processes -- uncertainty, surprise and standardisation
| Autor: | Annabel Rule |
|---|---|
| Rok vydání: | 2015 |
| Předmět: | |
| Zdroj: | Journal of Research in Nursing. 20:54-55 |
| ISSN: | 1744-988X 1744-9871 |
| DOI: | 10.1177/1744987114564272 |
| Popis: | This paper provides an introduction to considering complexity science alongside discharge planning. Through interviews and observations the study sought to understand the experiences of nurses involved in discharge planning in a Swedish hospital. It establishes a useful distinction between complex and complicated organisations and how they cannot be dealt with in the same way. The existing knowledge of dissatisfaction with communication throughout the discharge process from patients, their relatives and hospital staff forms a basis for the argument that standardisation, policies, systems and essentially more paper work does not necessarily equate to improvements. The narrative in this paper outlines the local issues experienced by this group of nurses and provides an example for where systems and policies make more work and can fragment the process. Although the argument for acknowledging and understanding the complexities of a process like discharge planning is strongly made, the findings do not necessarily support this, but rather outline the problem. Details regarding the researchers’ position, relationship with the participants, recruitment and sampling procedures would have improved the transparency of the research. There is also potential for readers to question the depth of data analysis – did the authors get the full mileage out of the data transcripts? Some discussion around why respondent validation was not sought would also have been useful. Arguably, the authors could have manipulated the findings to meet their research aims and better indicate how existing procedures and policies convolute the processes; there is little evidence to prove that this was not the case. Triangulation of methods or of investigators may also have allowed a more in-depth understanding of these nurses’ experiences and ensured more reliability in the analysis and formulation of the macronarrative. Although the author is clear about the use of participants’ own words to form the macro-narrative, it may have been more transparent to provide the exact quotations and identify the quotations or sections of the macro-narrative by participant number to allow the reader to understand any variations between participants. |
| Databáze: | OpenAIRE |
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