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Homecare Nurses' Decision-Making During Admission Care Planning
Journal article   Peer reviewed

Homecare Nurses' Decision-Making During Admission Care Planning

Paulina Sockolow, Ellen J Bass, Carl L Eberle and Kathryn H Bowles
Studies in health technology and informatics, v 225, pp 28-32
2016
PMID: 27332156

Abstract

Clinical Decision-Making - methods Electronic Health Records - utilization Home Care Services - statistics & numerical data Nurses, Community Health - statistics & numerical data Patient Care Planning - statistics & numerical data Patient Readmission - statistics & numerical data Philadelphia Practice Patterns, Nurses' - statistics & numerical data
The re-hospitalization rate of homecare patients within 60 days of hospital discharge is 30%. Enhanced care planning based on better information may reduce this rate. However, very little is known about the homecare admission and care planning processes. The research team collected data during observations of three nursing visits to admit homecare patients in Camden NJ, and conducted thematic content analysis on these data. Human factors methods helped to identify nurse decision-making related to selection of the plan of care problems, non-nursing resources, and the nursing visit pattern. They identified how the electronic health record (EHR) assisted the nurse in visit pattern frequency decisions. Major themes that emerged included reduced efficiency due to use of redundant intra-team communication methods to augment EHR documentation, redundant documentation, and workarounds and reorganization of clinical workflow.

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13 citations in Scopus

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Collaboration types
Domestic collaboration
Web of Science research areas
Health Care Sciences & Services
Health Policy & Services
Medical Informatics
Nursing
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