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“You only have time for so much in 12 hours” unmet social needs of hospitalised patients: A qualitative study of acute care nurses
Author(s) -
Brooks Carthon J. Margo,
Hedgeland Taylor,
Brom Heather,
Hounshell Danielle,
Cacchione Pamela Z.
Publication year - 2019
Publication title -
journal of clinical nursing
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.94
H-Index - 102
eISSN - 1365-2702
pISSN - 0962-1067
DOI - 10.1111/jocn.14944
Subject(s) - thematic analysis , focus group , nursing , qualitative research , medicine , acute care , vulnerability (computing) , psychology , health care , social science , computer security , marketing , sociology , computer science , economics , business , economic growth
Aims and objectives To explore the experiences of nurses caring for socially at‐risk patients and gain an understanding of the challenges nurses face when providing care. Background Nurses play a pivotal role in caring for hospitalised patients with social risk factors and preparing them for discharge. Few studies have explored whether acute care nurses are adequately supported in their practice environments to address the unique needs of socially at‐risk patients as they transition back into community settings. Design A qualitative descriptive study of nurses working in a large urban academic medical centre. Methods We conducted six semi‐structured focus groups of nurses ( n = 21). Thematic content analysis was performed to analyse the transcripts from the focus groups. We adhered to COREQ guidelines for reporting this qualitative study. Results Six key themes emerged: (a) nurses’ assessments of social risk factors, (b) experiences providing care, (c) barriers to care, (d) fear of “labelling” socially at‐risk patients, (e) unmet social care needs and (f) recommendations to improve care. Conclusions Our findings suggest that nurses are able to identify social risk factors. However, prioritisation of medical needs during acute care hospitalisation and lack of organisational supports may deter nurses from fully addressing social concerns. Relevance to clinical practice Acute care nurses should be involved in the development of future efforts to address the needs of socially at‐risk patients and be provided with additional supports in their practice environments. This could include continuing education to build nursing competencies in community‐based care and social vulnerability.