An exploratory study of patient assessment within the discharge and rehabilitation team

Within the interdisciplinary Discharge and Rehabilitation Team, all disciplines undertake the initial holistic patient assessment. However, despite the development of interdisciplinary working, there is limited research of the nurses and allied health professionals (AHP) who undertake the initial patient assessment within the discharge and rehabilitation teams. This study explores interdisciplinary working among nurses and allied health professions who have experience of crossing professional boundaries while undertaking the initial assessment.

This was a small qualitative study. Nine participants, who included an equal mix of nurses and AHPs, were purposively selected and included in semi-structured interviews that were audio-taped. A content thematic analysis was then carried out.

Nurses reported no difficulties undertaking the patient assessment. However, AHPs undertook the patient assessment infrequently and described more difficulties. Despite concerns of where professional boundaries lie, cross-boundary working has the ability to enhance patient care and develop professionals.

There is an appreciation of the role of the nurse within the initial patient assessment process. However, AHPs within the discharge and rehabilitation teams who undertake the initial holistic patient assessment would benefit from further training.