Abstract
This paper presents findings from a case study addressing practices in preventing and treating undernourishment at the intersection of primary and secondary care in Norway. (Primary care is the first level of healthcare that a patient usually encounters e.g. general practitioner or community nursing service). Secondary care services are usually based at hospitals and are handling more serious health conditions, patients are usually referred to them via primary care (however emergency care is also part of the secondary care level.) Two types of data were collected: nursing report summaries provided to and from the hospital upon hospitalization and discharge of patients; and semi-structured interviews with nurses in two hospital wards and home-based nursing services. The results point to weaknesses in the nutritional care process when disrupted by moving the patient between levels in the healthcare system: Nutritional information is often missing in the documentation that is transferred, and the information that is provided may be ambiguous to the recipient because of differences in language and little knowledge of each other’s practices. This suggests that greater emphasis should be placed on developing boundary spanning collaboration abilities between community care services and hospital in order to facilitate continuity in nutritional care.
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This research was funded by the County Governor of Oslo and Akershus.
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Reegård, K., Rosenqvist, M. (2020). Systematic Prevention and Treatment of Undernourishment: A Case of Collaboration Needs Across Healthcare Levels. In: Kalra, J., Lightner, N. (eds) Advances in Human Factors and Ergonomics in Healthcare and Medical Devices. AHFE 2020. Advances in Intelligent Systems and Computing, vol 1205. Springer, Cham. https://doi.org/10.1007/978-3-030-50838-8_1
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DOI: https://doi.org/10.1007/978-3-030-50838-8_1
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