Care delivery and Management 2
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The aim of this assignment is to demonstrate my ability to select an aspect of nursing of care management, identify relevant organisational factors. Critically analyse relevant literature, research and practice experience. Appraise organisational and managerial factors influencing the safe and effective delivery of quality care and evaluate the organisation and management of an aspect of nursing care.
Discharge planning can be defined as the assessment of inpatients medical conditions for the purpose of arranging appropriate care upon leaving the facility, within this planning it includes how long the patient will be in the hospital, the expected outcomes and whether there are special needs or requirements on discharge Watts and Garner, (2005). According to Goodman, (2010) a recent audit has identified that 16% of patients did not feel involved in their discharge arrangements. Rose and Haugen, (2010) identify a recent audit at a tertiary hospital showed that percentages of patients whose discharge needs were assessed within 24 hours varied between 100-50%. The Royal College of Nursing, (2010) state poor discharge planning is considered harmful to patients health as it could lead to the increase in readmissions to hospital due to patients not being able to manage, or not having relevant support put into place prior to discharge. Although it has been identified effective discharge planning is important according to Fader and Phillips, (2012) nursing staff are still not carrying out discharge planning effectively leading to delayed discharges, increased length of stays, and readmissions. This factor however is often beyond a nurse control and can be related to the organisation factors and managerial factors within a workplace.
Organizational factors are boundaries, which effect the establishment of care and cannot be changed, such as the environment of the ward, budgets and resources,