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The Role of Organizational Culture on Patient Discharge Planning

Fredericks, Melanie Rosanna
http://orcid.org/0000-0002-8815-6004
http://rave.ohiolink.edu/etdc/view?acc_num=frank1637086207739769

Abstract Details

2021, Doctorate of Healthcare Administration, Franklin University, Health Programs.
Discharge planning is a process to develop a care plan for medically stable patients ready to leave an acute-care hospital. A multidisciplinary team of healthcare professionals that include physicians, nurses, therapists, pharmacists, social workers, the patient, and their family caregiver collaborates to develop a post-acute plan of care for when the patient. The research literature indicates that patients are dissatisfied with the process because the information is not readily available to guide their decisions about post-acute care. Published research shows that healthcare providers cite insufficient time, resources, low patient health literacy, incomplete and accurate health data sharing obstacles to effective discharge planning. The research gap is that organizational culture is not considered when healthcare leaders identify and implement strategies to improve discharge planning. This exploratory, qualitative study was conducted in the northeastern United States. Based on grounded theory, the study investigated how organizational culture plays a role in the discharge planner’s performance at patient discharge planning. Semi-structured interviews were conducted with hospital discharge planners to build a new theory about how organizational culture plays a role in patient discharge planning. Key findings indicated that discharge planners view their role as patient advocates. They are often frustrated with their organization's culture and find it to impede effective patient discharge planning. The discharge planners' frustrations stem from personal and professional values conflict. The conflict and resulting frustration impacts the discharge planners' motivation to perform patient discharge planning effectively.
Alyncia Bowen (Committee Chair)
Dale Gooden (Committee Member)
Bora Pajo (Committee Member)
141 p.
Behavioral Psychology; Behaviorial Sciences; Business Administration; Business Education; Clinical Psychology; Cognitive Psychology; Cultural Resources Management; Demography; Ethics; Ethnic Studies; Gerontology; Health; Health Care; Health Care Management; Health Education; Health Sciences; Labor Relations; Law; Legal Studies; Literacy; Management; Medical Ethics; Mental Health; Minority and Ethnic Groups; Multicultural Education; Multilingual Education; Operations Research; Organizational Behavior; Personal Relationships; Personality; Personality Psychology; Philosophy; Public Administration; Public Health; Public Health Education; Public Policy; Rehabilitation; Social Psychology; Social Research
discharge planning, post-acute care, organizational culture

Recommended Citations

Citations

  • Fredericks, M. R. (2021). The Role of Organizational Culture on Patient Discharge Planning [Doctoral dissertation, Franklin University]. OhioLINK Electronic Theses and Dissertations Center. http://rave.ohiolink.edu/etdc/view?acc_num=frank1637086207739769

    APA Style (7th edition)

  • Fredericks, Melanie. The Role of Organizational Culture on Patient Discharge Planning. 2021. Franklin University, Doctoral dissertation. OhioLINK Electronic Theses and Dissertations Center, http://rave.ohiolink.edu/etdc/view?acc_num=frank1637086207739769.

    MLA Style (8th edition)

  • Fredericks, Melanie. "The Role of Organizational Culture on Patient Discharge Planning." Doctoral dissertation, Franklin University, 2021. http://rave.ohiolink.edu/etdc/view?acc_num=frank1637086207739769

    Chicago Manual of Style (17th edition)

frank1637086207739769
536
© 2021, all rights reserved.
This open access ETD is published by Franklin University and OhioLINK.