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Reducing risks in complex care transitions in rural areas: a grounded theory
Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences (HOV).ORCID iD: 0000-0002-3184-7883
Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences (HOV).ORCID iD: 0000-0003-3075-0833
Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences (HOV).ORCID iD: 0000-0001-8945-6458
Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences (HOV).ORCID iD: 0000-0002-9936-8395
2023 (English)In: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 18, no 1, article id 2185964Article in journal (Refereed) Published
Abstract [en]

Purpose: Although previous research indicates that care transitions differ between rural andurban areas, the knowledge of challenges related to care transitions in rural areas appearslimited. 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 inrural areas, and how they handle these during the care transition process.

Methods: A Constructivist Grounded Theory method based on individual interviews with 21registered nurses.

Results: The main concern in the transition process was “Care coordination in a complexcontext”. 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”.

Conclusions: The study shows a very complex and stressed process that includes severalorganizations and actors. Reducing risks during the transition process can be facilitated byclear guidelines, tools for communication across organizations and sufficient staffing.

Place, publisher, year, edition, pages
2023. Vol. 18, no 1, article id 2185964
Keywords [en]
Care transitions, discharge, grounded theory, home healthcare, hospital care, inter-organizational cooperation, nursing, rural health services
National Category
Nursing
Identifiers
URN: urn:nbn:se:miun:diva-47728DOI: 10.1080/17482631.2023.2185964ISI: 000943038900001PubMedID: 36866630Scopus ID: 2-s2.0-85149262738OAI: oai:DiVA.org:miun-47728DiVA, id: diva2:1741291
Available from: 2023-03-03 Created: 2023-03-03 Last updated: 2023-04-03Bibliographically approved

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Winqvist, IdunNäppä, UllaRönning, HelénMarie, Häggström

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