Assignment 13: Evidence Based Practice

For each Barrier to Patient Centered Care, identify facilitators that could be introduced to balance/offset the barrier. Provide rationale for your response based on (text books, articles, practice guidelines, etc) as appropriate:

Barriers:

Competing care obligations (patient–load) interfere with prioritizing discussions of discharge planning with patient/planning.
Discharge communication ranged from simple one-sided instruction to shared decision making. Discharge planning talks with the patient/planning can’t be put at the top of the list because there are other things that need to be done (patient load).
Communication at the time of discharge ranged from simple instructions to making decisions together.
Patients did not feel prepared for discharge and post-discharge care was not individualized.
Discharge process/decisions affected by pressure for available beds.

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