Care transition from hospital to home: cancer patients’ perspective

Lorenzini, Elisiane; Böell, Julia Estela Willrich; Oelke, Nelly D.; Rodrigues, Caroline Donini; Trindade, Letícia Flores; Winter, Vanessa Dalsasso Batista; Malkiewiez, Michelle; Flôres, Gabriela Ceretta; Pluta, Pâmella; Kolankiewicz, Adriane Cristina Bernat

doi:10.1186/s13104-020-05099-x

Cited by 14 publications

(11 citation statements)

References 10 publications

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“…New studies need to be developed in Brazil, given that the literature is scarce, and there is no ministerial policy on CT in cancer patients 42 . Finally, practices that have been successful in the transition of care include the performance of liaison nurses or nurse navigators.…”

Section: Discussionmentioning

confidence: 99%

“…37,41 New studies need to be developed in Brazil, given that the literature is scarce, and there is no ministerial policy on CT in cancer patients. 42 Finally, practices that have been successful in the transition of care include the performance of liaison nurses or nurse navigators. Both have a fundamental role in the hospital discharge process, through the coordination of care after discharge and identification of the needs of the patient and family, in acting as educators and in the transfer of information about the planning of patient discharge.…”

Section: E52mentioning

confidence: 99%

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Care Transition From the Perspectives of Oncological Patients and the Multiprofessional Care Team

et al. 2022

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Background: Integration into the health system is essential for safe care and efficient use of resources. Objectives: The aims of this study were to analyze the transition of care from the perspective of adult patients with neoplasia of the digestive tract and the multiprofessional care team, identify factors that influence the transition of care, and, collectively with professionals, create actions to improve the transition of care at the study site. Methods: The Care Transitions Measure-15 was administered in a mixed methods study, with a QUAN→QUAL sequential explanatory approach. The principles of deliberative dialogue were used as a knowledge translation strategy, and data integration was carried out. Results: The average score of the Care Transitions Measure-15 considered satisfactory was 74.3. The care plan factor had an unsatisfactory score of 66. Strategies to improve the care transition were listed by the focus group participants, such as supplementary care protocol for patients with neoplasms of the digestive tract, and providing a single discharge plan containing all information relevant to the treatment and continuity of patient care. Conclusion: The low score for the care plan factor indicates weakness in the care transition. Implications for Practice: The integrated analysis results indicated that the care transition can be improved by an

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Section: Discussionmentioning

confidence: 99%

Section: E52mentioning

confidence: 99%

Care Transition From the Perspectives of Oncological Patients and the Multiprofessional Care Team

et al. 2022

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“…Similar to a previous study (van Melle et al, 2018), the CTM was the most common and validated measurement tool that evaluated the hospital‐to‐home transitional experience. Some DICARE items were obtained from the CTM (Boge et al, 2018), and the CTM was included as an outcome in multiple intervention studies of transitional care (Van Spall et al, 2019; Xu et al, 2020) and observational research (Lorenzini et al, 2020). Therefore, the CTM can be considered one of the gold standards for measuring transitional care quality.…”

Section: Discussionmentioning

confidence: 99%

Measurement tools that assess the quality of transitional care from patients' perspective: A literature review

Yoshimura

Sumi

2022

Japan Journal Nursing Sci

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Aim: Transitional care is important for improving the quality of life of patients discharged from hospitals. Patient-reported experience measures help improve transitional care quality. Thus, this literature review aimed to identify and appraise measurement tools that assess transitional care quality from the patient's perspective and identify its components. Methods: Development and validation studies were systematically searched in the PubMed and CINAHL databases. The review team appraised the methodological quality and statistical results of measurement properties using the COnsensus-based Standards for the selection of health Measurement INstruments (COSMIN) methodology.Results: A total of 30 studies and seven instruments were identified. The target population was patients discharged from hospital to a home or nursing home (mean age = 52-84 years). The measurement time was before or after the discharge. The number of items in the original versions of the measures ranged from eight to 41, with short versions ranging from three to 12. The overall methodological quality of structural validity, internal consistency, and hypotheses testing was mostly "very good or adequate," according to COSMIN criteria. However, content validity and development were mostly "inadequate or doubtful" or not reported. The main components of included measures comprised "self-care after discharge," "providing information to the patient," "patient engagement in the care plan," and "dealing with patient's concerns." Conclusion:The quality appraisal results and identified components are useful for choosing measurement tools in clinical practice and research. The Care Transitions Measure is the most widely validated measurement tool.

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“…In Brazil, there have been no studies to evaluate the care transitions of cancer patients [13]. The results of this study will contribute to the understanding of the perceptions of patients and/or their caregivers regarding the quality of care transitions during hospitalization and discharge to the community.…”

Section: Introductionmentioning

confidence: 94%

Care Transitions From Hospital to Community Among Oncological Patients

Rodrigues

Lorenzini

Romero

et al. 2021

Preprint

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Purpose To analyze the transition of care from the perspective of cancer patients, in a hospital in southern Brazil, correlating perspectives with sociodemographic and clinical characteristics. Methods Cross-sectional study using the Care Transitions Measure (CTM) with cancer patients undergoing clinical or surgical treatment following hospital discharge. Data collection was completed by telephone between June and September 2019. Data analysis was performed using descriptive and inferential statistics. Results The average CTM score was 74.1, which was considered satisfactory. The CTM factors, understanding about medications (83.3) and preparation for self-management (77.7) were satisfactory, while secured preferences (69.4) and care plan (66.1) were unsatisfactory for an effective and safe care transition. No statistically significant difference was found between sociodemographic variables and the CTM. Among the clinical variables, primary cancer and the secured preferences factor showed a significant difference (p = 0.044). Conclusion The transition from hospital care to the community was considered satisfactory in the overall assessment.

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Care transition from hospital to home: cancer patients’ perspective

Cited by 14 publications

References 10 publications

Care Transition From the Perspectives of Oncological Patients and the Multiprofessional Care Team

Care Transition From the Perspectives of Oncological Patients and the Multiprofessional Care Team

Measurement tools that assess the quality of transitional care from patients' perspective: A literature review

Care Transitions From Hospital to Community Among Oncological Patients

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