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How to get one's voice heard: The problems of the discharge planning conference
School of Health Sciences, University College of Boras, Boras, Sweden, School of Health Sciences, University College of Boras, Allegatan 1, Boras, S-501 90, Sweden.
Department of Nursing, Umea University, Umea, Sweden.
Linköping University, Faculty of Arts and Sciences. Linköping University, Department of Medicine and Health Sciences, Health and Society.ORCID iD: 0000-0002-3033-9879
Holritz Rasmussen, B., Department of Nursing, Umea University, Umea, Sweden.
2006 (English)In: Journal of Advanced Nursing, ISSN 0309-2402, Vol. 53, no 6, 646-655 p.Article in journal (Refereed) Published
Abstract [en]

Aims. This paper reports a study describing how patients, relatives and healthcare professionals dealt with the variety of problems and responsibilities that occur in discharge planning conferences and especially how they managed to do this given the institutional frame that surrounded the meeting. Background. In Sweden, the aim of a discharge planning conference is to co-ordinate social and healthcare resources as patients are discharged from hospitals. Patients, relatives and hospital staff, along with healthcare professionals responsible for outpatient care, assemble to achieve an individual care plan. One of the explicit principles informing the discharge planning conference is to increase patients' influence on decision-making. However, research points at shortcomings in this respect. Method. A discourse analysis was conducted using transcriptions of eight video-recorded discharge planning conferences. The selected patients were eight older women expected to be discharged from hospital. Other participants were staff nurses, social workers and occasionally relatives, an occupational therapist, district nurse or home care aide. Findings. Participants adopted different roles as persons/patients, relative/next of kin and healthcare professionals/institutional representatives during the discharge planning conference, which they simultaneously struggled to act upon. The findings are presented under the categories 'ss14Clashing roles and perspectives' and 'ss18Facing the institutional frame'. Conclusions. The performance of the discharge planning conference in its present form interferes with a caring perspective that protects patients' integrity and gives prominence to their life worlds. Moreover, it does not satisfy patients' and relatives' right to expect proceedings that enhance their possibility to express their personal wishes in a dignified manner. © 2006 Blackwell Publishing Ltd.

Place, publisher, year, edition, pages
2006. Vol. 53, no 6, 646-655 p.
Keyword [en]
Discharge planning, Discourse analysis, Elder care, Institutional conversations, Nursing, Participation, Research report
National Category
Social Sciences
URN: urn:nbn:se:liu:diva-50286DOI: 10.1111/j.1365-2648.2006.03771.xOAI: diva2:271182
Available from: 2009-10-11 Created: 2009-10-11 Last updated: 2013-09-04

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