PPN 202 - WEEK 10 EXAM QUESTIONS WELL ANSWERED LATEST 2025-2026
What is Discharge Planning? - Answers A process used to decide what a pt needs for a smooth
move from one level of care to another
- The doctor is the one who will authorize a pt's release from the hospital, but the actual process
of discharge planning may be completed by a social worker, a discharge planner, or a nurse
Why is Discharge so Important? - Answers Focus on minimizing length of stay at the hospital,
ensuring safe and high-quality discharge experience and reducing unnecessary re-admissions
- Length of stay is linked to organizational imperatives concerning pt flow
When does Discharge Planning Start? - Answers AT ADMISSION
- Never too early to start strategizing
Nursing Role in Discharge Planning - Answers Preparing pts for discharge is one of the most
important nursing duties
What is the Overall Purpose of Article #1 by Goldman et al., 2016? - Answers To elicit a more in
depth understanding of interprofessional interactions in discharge by using 2 sociological
perspectives to understand the interplay of structural factors and microlevel practices
- Planning/implementation of pt discharge is a complex process involving multiple HCPs but
driven by competing health, political and economic factors
- Interprofessional collaboration important but limitations with teamwork, communication,
collaboration in clinical context
What is a Major Theme in Article #1 as discussed by Goldman et al., 2016? - Answers Major
theme in previous studies on discharge is lack of clarity of roles of the various members of the
interprofessional team and who does what in relation to discharge
Looking at Discharge from a Sociological Perspective (Goldman et al., 2016) - Answers
Sociological theories of medical dominance and negotiated order provide macrolevel structural
factors and microlevel interprofessional interactions
Looking at Discharge from a Sociological Perspective: NEGOTIATED ORDER (Goldman et al.,
2016) - Answers - Understanding the processes of interaction amongst HCPs by focusing on
how social order in health care contexts is negotiated
- "The continual working out together of who is to do what, how, and with whom"
Findings of the Study in Article #1 (Goldman et al., 2016) - Answers - There is an existence of a
medically dominant approach to pt discharge and opportunities for interprofessional
negotiations within this broader structure
, - Role of organizational routines in facilitating and challenging interprofessional negotiations in
pt discharge
- Competing organizational priorities and the implications for an interprofessional approach to
discharge
Discharge Process (Goldman et al., 2016) - Answers - Hospital discharge policy outlines
physicians' authoritative role in discharge
- Policy indicated that physicians were responsible for discharge, but the decision making
should occur in collaboration with the interprofessional team
Discharge Process - Looking at Interprofessional Perspective - Answers - Social workers:
Discharge planning always took precedence over other roles
- Physiotherapists and occupation therapists: Assessment of a pt being physically and
cognitively ready to be discharged from the hospital
- Pharmacists: Medication reconciliation
- Nurse Managers: Not involved
- Ambiguity re: bedside nurse's role
Competing Organizational Priorities and Negotiations - Challenges (Goldman et al., 2016) -
Answers - Physicians explained that their decision making was affected by other professional
responsibilities and hospital policies that could introduce tensions
- Challenges in timing of discharge and a lack of negotiation
- Limited physician to nurse interaction
- Pressures to address organizational expectations concerning pt safety and pt flow
Main Ideas to Point Out from Article #1 (Goldman et al., 2016) - Answers - Need to explore
medical dominance not as a binary issue
- Pressure for nurses to free up beds
- Move beyond "descriptive" teamwork evaluations to recognize the key professional, social and
political issues
What does the Study in Article #2 by Hahn-Goldman et al., 2018 discuss? - Answers -
Admissions to hospitals for acute illness is difficult
- Pts are given a lot of info throughout their hospital stay and instructions at discharge
- The study was undertaken to explore factors impacting the ability of pts to understand and
What is Discharge Planning? - Answers A process used to decide what a pt needs for a smooth
move from one level of care to another
- The doctor is the one who will authorize a pt's release from the hospital, but the actual process
of discharge planning may be completed by a social worker, a discharge planner, or a nurse
Why is Discharge so Important? - Answers Focus on minimizing length of stay at the hospital,
ensuring safe and high-quality discharge experience and reducing unnecessary re-admissions
- Length of stay is linked to organizational imperatives concerning pt flow
When does Discharge Planning Start? - Answers AT ADMISSION
- Never too early to start strategizing
Nursing Role in Discharge Planning - Answers Preparing pts for discharge is one of the most
important nursing duties
What is the Overall Purpose of Article #1 by Goldman et al., 2016? - Answers To elicit a more in
depth understanding of interprofessional interactions in discharge by using 2 sociological
perspectives to understand the interplay of structural factors and microlevel practices
- Planning/implementation of pt discharge is a complex process involving multiple HCPs but
driven by competing health, political and economic factors
- Interprofessional collaboration important but limitations with teamwork, communication,
collaboration in clinical context
What is a Major Theme in Article #1 as discussed by Goldman et al., 2016? - Answers Major
theme in previous studies on discharge is lack of clarity of roles of the various members of the
interprofessional team and who does what in relation to discharge
Looking at Discharge from a Sociological Perspective (Goldman et al., 2016) - Answers
Sociological theories of medical dominance and negotiated order provide macrolevel structural
factors and microlevel interprofessional interactions
Looking at Discharge from a Sociological Perspective: NEGOTIATED ORDER (Goldman et al.,
2016) - Answers - Understanding the processes of interaction amongst HCPs by focusing on
how social order in health care contexts is negotiated
- "The continual working out together of who is to do what, how, and with whom"
Findings of the Study in Article #1 (Goldman et al., 2016) - Answers - There is an existence of a
medically dominant approach to pt discharge and opportunities for interprofessional
negotiations within this broader structure
, - Role of organizational routines in facilitating and challenging interprofessional negotiations in
pt discharge
- Competing organizational priorities and the implications for an interprofessional approach to
discharge
Discharge Process (Goldman et al., 2016) - Answers - Hospital discharge policy outlines
physicians' authoritative role in discharge
- Policy indicated that physicians were responsible for discharge, but the decision making
should occur in collaboration with the interprofessional team
Discharge Process - Looking at Interprofessional Perspective - Answers - Social workers:
Discharge planning always took precedence over other roles
- Physiotherapists and occupation therapists: Assessment of a pt being physically and
cognitively ready to be discharged from the hospital
- Pharmacists: Medication reconciliation
- Nurse Managers: Not involved
- Ambiguity re: bedside nurse's role
Competing Organizational Priorities and Negotiations - Challenges (Goldman et al., 2016) -
Answers - Physicians explained that their decision making was affected by other professional
responsibilities and hospital policies that could introduce tensions
- Challenges in timing of discharge and a lack of negotiation
- Limited physician to nurse interaction
- Pressures to address organizational expectations concerning pt safety and pt flow
Main Ideas to Point Out from Article #1 (Goldman et al., 2016) - Answers - Need to explore
medical dominance not as a binary issue
- Pressure for nurses to free up beds
- Move beyond "descriptive" teamwork evaluations to recognize the key professional, social and
political issues
What does the Study in Article #2 by Hahn-Goldman et al., 2018 discuss? - Answers -
Admissions to hospitals for acute illness is difficult
- Pts are given a lot of info throughout their hospital stay and instructions at discharge
- The study was undertaken to explore factors impacting the ability of pts to understand and
