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Developing a framework for admission and discharge: a nurse-led initiative within a mental health setting
Manchester University.
Manchester University.
Manchester University.
Manchester University.
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2007 (English)In: Journal of Psychiatric and Mental Health Nursing, ISSN 1351-0126, E-ISSN 1365-2850, Vol. 14, no 7, p. 705-712Article in journal (Refereed) Published
Abstract [en]

Admission to a mental health inpatient setting is one important aspect of care which requires collaborative working between Community Mental Health Teams (CMHTs) and ward staff. However, links are not always formalized. The failure of effective gatekeeping coupled with inconsistent admission and discharge practices further complicates the situation for all those involved. A number of local changes, for example, adoption of a centralized bed bureau, together with policy changes, initiated a nurse-led practice development project. It was predicted that by creating a framework for more formalized communication between the different disciplines admission and discharge processes would be improved, thus enhancing service users' satisfaction and empowering all staff participating in the process. During the project, 132 service users were notified as potentially requiring admission. Admissions were avoided and diverted for 22 of them. The quality of the communication and information shared between the CMHTs and ward staff was significantly improved. Accessing inpatient beds, at times still remained problematic, as beds could only remain ring-fenced on 65% of occasions. This initiative, conducted within a 'real world setting', showed that it is possible to improve admission and discharge practices by creating a framework for a formalized communication process between disciplines.

Place, publisher, year, edition, pages
Blackwell Publishing, 2007. Vol. 14, no 7, p. 705-712
Keywords [en]
collaborative working; communication; Community Mental Health Teams; inpatient care; practice development
National Category
Nursing
Research subject
Nursing Science
Identifiers
URN: urn:nbn:se:kau:diva-76438DOI: 10.1111/j.1365-2850.2007.01126.xISI: 000249663600011PubMedID: 17880665OAI: oai:DiVA.org:kau-76438DiVA, id: diva2:1388135
Available from: 2020-01-23 Created: 2020-01-23 Last updated: 2020-01-23Bibliographically approved

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Borglin, Gunilla

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