Respiratory Discharge Nurse Specialist (Nurse Led Discharge)

Respiratory Discharge Nurse Specialist (Nurse Led Discharge) Nursing Essay Assignment help

Respiratory Discharge Nurse Specialist (Nurse Led Discharge) Nursing Essay assignment

Background

Patients who are well enough for discharge are sometimes spending hours or days longer than they needed to in hospital waiting for the next doctor’s ward round. At the same time, patients in the emergency department are waiting for a bed to become available so they could be admitted to a ward. This led to frustrations for both patients and staff. A nurse-led discharge could be the answer to these problems.

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Nurse led discharge is a process that involves nurses assessing the patient, liaising with the multi-disciplinary team and planning timely discharge based on an agreed clinical management plan. It may also involve the writing of discharge letters, making follow up calls and giving advice to patients and carer and other health and social care professionals involved in the person’s care (Lees, 2004). Also the term ‘nurse-led discharge may imply that discharging patients is an interdisciplinary activity. Therefore, it is important that the constructs of nurse-led discharge should be understood from professional to organizational perspectives.

The achievement of nurse-led discharge is one of the key roles shaping the future of nursing. Although there have seen development in nursing roles, discharge planning has rarely been seen as an area ripe for new roles. However, there are clear benefits for the patients, nurses and trusts in developing a nurse-led discharge and a discharge nurse specialist.

Nurse led discharge is about nurses taking responsibility for initiating, driving and following through on the decision to discharge which may be carried out in partnership with medical colleagues and within clear protocols. This culture change of nurses taking ownership of driving patient discharge has real potential to make far reaching changes in future reform and modernization of service delivery.

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