Evidence based practice

For each Barrier to Patient Centered Care listed below, identify facilitators that could be introduced to balance/offset the barrier. Provide rationale for your response based on resources (articles, practice guidelines, etic) as appropriate:

Barriers:

1. Competing care obligations (patient–load) interfere with prioritizing discussions of discharge planning with patient/planning.
2. Discharge communication ranged from simple one-sided instruction to shared decision making.
3. Patients did not feel prepared for discharge and post-discharge care was not individualized.
4. Discharge process/decisions affected by pressure for available beds.