Next of kin's experiences of information and responsibility during their older relatives’ care transitions from hospital to municipal health care

Rustad, Else Cathrine; Cronfalk, Berit Seiger; Furnes, Bodil; Dysvik, Elin

doi:10.1111/jocn.13511

Cited by 19 publications

(36 citation statements)

References 26 publications

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“…To avoid such passivity, nurses need to be sensitive to each patient's needs The nurses described the importance of patients' relatives in the success in DP, as well as that relatives were often willing to help more than could be expected of them. That finding aligns with the results of Rustad et al [35] and Bragstad et al [36], who found that older patients' relatives consider it their duty to help the patients even if it takes significant time and effort. However, if what relatives believes is best for the patient differs from the opinion of healthcare personnel, then they can be perceived as obstacles by healthcare staff and left uninvolved [37].…”

Section: Discussionsupporting

confidence: 81%

A Spider in a Broken Web: Nurses’ Views on Discharge Planning for Older Patients after Hip Fracture Surgery Who Live in their Own Homes in Rural Areas

Segevall¹,

Söderberg²

2018

OJN

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Introduction: The in-hospital rehabilitation of patients who have undergone surgery for hip fracture requires a team-based effort, in which nurses play an all-embracing role throughout the patients' hospital stays. Although discharge planning has been widely studied, little is known about discharge planning from hospitals to homes in rural settings. Aim: To describe nurses' views on discharge planning for older patients after hip fracture surgery who live in their own homes in rural areas. Methods: A qualitative method was used. Four focus group interviews were conducted with 18 nurses who work at an orthopaedic clinic. The interview texts were analysed with qualitative content analysis. Findings: Nurses expressed that patients needed support from healthcare personnel as well as relatives in order to prepare for life at home. They also expressed that patients were not supported in all aspects of discharge planning because they faced difficulties in having their voices heard. Nurses described that many of those aspects were beyond their own control, which had left them with little to non-ability to influence discharge planning. Findings additionally indicate that discharge planning seems not affected by occurring in rural settings. Conclusions: Although discharge planning is intended to meet the unique wishes and needs of each patient given the realities of existing resources, nurses' responsibilities in discharge planning are unclear. This study shows an organisation in which healthcare personnel continue to make decisions for patients. Significance for nurses to perform a discharge planning that support patients' participation seems to be a communication based on shared understanding.

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Section: Discussionsupporting

confidence: 81%

A Spider in a Broken Web: Nurses’ Views on Discharge Planning for Older Patients after Hip Fracture Surgery Who Live in their Own Homes in Rural Areas

Segevall¹,

Söderberg²

2018

OJN

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“…Familiens støtte var avgjørende for pasienten ved utskriving, men pårørendes involvering var mangelfull (Perry et al, 2011). Pårørende til pasienter over 80 år beskrev utskrivning fra sykehus til kommunal omsorg som strevsom (Rustad, Cronfalk, Furnes & Dysvik, 2017). De jobbet hardt for å få tilstrekkelig informasjon om hva som skulle skje videre.…”

Section: Innledningunclassified

“…Resultatene indikerer at brukermedvirkning forstått som aktiv deltakelse i planlegging, gjennomføring og evaluering av tiltak, ikke er saerlig utbredt i den kommunale eldrehelsetjenesten. Dette er i tråd med andre studier (Haukelien et al, 2011;Johannessen et al, 2017;Rustad et al, 2017;Schulman-Green, Naik, Bradley, McCorkle & Bogardus, 2006). Også andre finner at god informasjon anses som viktigst (Johannessen et al, 2017;Perry et al, 2011;Rydeman et al, 2012).…”

Section: Diskusjonunclassified

Brukermedvirkning i helsetjeneste foreldre

Johannessen

Steihaug²

2020

TFO

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“…Older patients are, therefore, particularly vulnerable to poor outcomes during care transitions (Naylor & Keating, 2008;Pedersen, Meyer, & Uhrenfeldt, 2017;Tingle, 2016). In addition, these problems contribute to increased rates of readmission and economic costs (Chapin, Chandran, Sergeant, & Koenig, 2014) and affect the patients' lives and personal transition processes (Coffey & McCarthy, 2012;Rustad, Cronfalk, Furnes, & Dysvik, 2016).…”

Section: Introductionmentioning

confidence: 99%

Facilitating holistic continuity of care for older patients: Home care nurses’ experiences using checklists

Nilsen

Söderhamn

Dale

2019

Journal of Clinical Nursing

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Aims and objectives To explore home care nurses’ experiences of implementation and use of checklists developed for improving continuity of care for older patients (65+ years). Background The Norwegian Coordination Reform was implemented to improve coordination between hospitals and communities and facilitate a quicker return to home community after hospital discharge. To follow‐up, national learning networks were initialised to improve pathways for chronically ill older patients, including the development and use of standardised checklists. Design An explorative qualitative design was chosen. Methods Three focus group interviews were conducted, including 18 registered nurses from eight municipalities in southern Norway. Systematic text condensation was used to analyse the interview texts. The COREQ checklist was followed. Results Three categories emerged from the analysis. (a) “The implementation process” included the experiences of a chaotic beginning, the importance of involvement, the leaders’ role and resource allocation. (b) “Pros and cons of checklists in use” included the informants’ experiences of checklists’ usefulness for nurses and the patients. (c) “Competence needed” included the need for a comprehensive set of formal, experiential and social competences. Conclusion and relevance to clinical practice The leaders’ role, support and engagement are decisive for a successful implementation. To succeed and establish solid routines, allocating resources when implementing new laborious routines, such as checklists, is important. To improve holistic continuity of care to chronically ill older patients, checklists should be customisable to each patient's needs, be comprehensive enough to grasp the essence in what to be done at several time points, but at the same time brief enough to be operational. Checklists can be a useful tool for home care nurses, if customised to the individual municipality and the staffs’ working routines. It is important that the staff have versatile and extensive competencies enabling them to use the checklists appropriately.

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Next of kin's experiences of information and responsibility during their older relatives’ care transitions from hospital to municipal health care

Cited by 19 publications

References 26 publications

A Spider in a Broken Web: Nurses’ Views on Discharge Planning for Older Patients after Hip Fracture Surgery Who Live in their Own Homes in Rural Areas

A Spider in a Broken Web: Nurses’ Views on Discharge Planning for Older Patients after Hip Fracture Surgery Who Live in their Own Homes in Rural Areas

Brukermedvirkning i helsetjeneste foreldre

Facilitating holistic continuity of care for older patients: Home care nurses’ experiences using checklists

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