User experience and care for older people transitioning from hospital to home: Patients’ and carers’ perspectives

Allen, Jacqui; Hutchinson, Alison M.; Brown, Rhonda; Livingston, Patricia M.

doi:10.1111/hex.12646

Cited by 68 publications

(107 citation statements)

References 38 publications

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“…Both phases of the study were part of a larger study aiming to develop a communication tool for use by health practitioners, patients and caregivers [23,24]. As patients and caregivers were the end users, it was important to include their perspectives in the Phase 2 focus group regarding the communication tool that was developed.…”

Section: Methodsmentioning

confidence: 99%

Communication and Coordination Processes Supporting Integrated Transitional Care: Australian Healthcare Practitioners’ Perspectives

Allen¹,

Hutchinson²,

Brown³

et al. 2020

International Journal of Integrated Care

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Introduction: Although a large body of research has identified effective models of transitional care, questions remain about the optimal translation of this knowledge into practice. In Australia, the introduction of a model of consumer-directed care uniquely challenges the practice of integrated care transitions for older adults. This study aimed to identify strengths and weaknesses in transitional care for older adults in an Australian setting by describing healthcare practitioners' experiences of care provision. Methods: The study used a qualitative design in two phases: 1) semi-structured interviews, 2) one focus group. The setting comprised one public health network and five community services in urban Australia. In Phase 1, health practitioners across settings were interviewed about their experience of transitional care. Phase 2 sought feedback about the Phase 1 findings from different practitioners. All data were thematically analysed. Findings: In Phase 1), 48 healthcare practitioners were interviewed across multiple settings. Few participants were aware of the introduction of consumer-directed care in community aged care. Four main themes were identified: 'Rapid and safe care transition', 'Discussing as a team', 'Questioning the discharge', and 'Engaging patients and carers'. In Phase 2), seven participants from different settings reviewed and endorsed the findings from Phase 1. Discussion and conclusions: Findings indicate that healthcare practitioners use a range of communication and coordination processes in optimising integrated transitional care. Although participants involved their patients in transitional care planning, most participants were unaware of the recent implementation of consumer-directed care. In contexts of community-based care shaped by multidisciplinary, sub-acute and CDC models, care integration must focus on improved communication with patients and carers to ascertain their needs and to support their increased responsibility in their care transitions.

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Section: Methodsmentioning

confidence: 99%

Communication and Coordination Processes Supporting Integrated Transitional Care: Australian Healthcare Practitioners’ Perspectives

Allen¹,

Hutchinson²,

Brown³

et al. 2020

International Journal of Integrated Care

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View full text Add to dashboard Cite

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“…In the context inquiry, 20 semi‐structured interviews were conducted with patients and carers (Allen, Hutchinson, Brown, & Livingston, 2018). Following thematic analysis, patients and carers reflected that they needed to become independent in their care transition.…”

Section: Methodsmentioning

confidence: 99%

“…Following thematic analysis, patients and carers reflected that they needed to become independent in their care transition. The participants perceived that a range of social and communication processes supported their independence: supportive relationships with carers; caring relationships with healthcare practitioners; seeking information; discussing and negotiating the transitional care plan; and learning to self‐care (Allen et al, 2018).…”

Section: Methodsmentioning

confidence: 99%

Evaluation of the TRANSITION tool to improve communication during older patients’ care transitions: Healthcare practitioners’ perspectives

Allen

Hutchinson

Brown

et al. 2020

Journal of Clinical Nursing

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Aims To evaluate healthcare practitioners’ perceptions of the feasibility and acceptability of a communication tool, entitled the TRANSITION tool, to communicate with older patients during transition from acute care to a community setting. Background Transitional care for older patients is challenging due to their complex care needs and rapid care transitions. Research has identified effective models of transitional care. However, optimal communication between healthcare practitioners and older patients remains under‐investigated. Design Exploratory descriptive qualitative design. Methods The methods are reported using the Consolidated Criteria for Reporting Qualitative Studies checklist. The setting comprised two acute medical wards in an urban hospital in Australia. Twenty‐two nursing and allied healthcare practitioners used the TRANSITION tool to guide communication about transitional care with an older patient and then participated in an interview about their experience of using the tool. All data were thematically analysed. Findings Healthcare practitioners reported their perceptions that the TRANSITION tool was feasible and acceptable, and that they perceived the tool supported them to know what to ask and to find out information regarding their patient's transitional care needs. Some ward‐based nurses reported their perception that transitional care was not their role. Conclusions Findings emphasise transitional care as a continuing care process that requires effective communication between nurses and older patients in acute medical wards. Relevance to clinical practice Given shorter lengths of stay, complex care needs and slow recovery, ward‐based nurses are vital in communicating with older patients about their transitional care needs. The TRANSITION tool may support communication between ward‐based nurses and older patients to improve assessment and planning. Implementation of the tool will require a planned strategy to facilitate translation of the tool into routine practice of ward‐based nurses to support their roles during older patients’ care transitions.

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“…The transition of care from hospital to home is a challenge for the health professionals, the dependent person and the informal caregiver with one of the biggest difficulties being related to the noninclusion of the dependent person and their caregiver in care (20). The empowerment of the dependent person in self-care and their informal caregiver during hospitalisation has been demonstrated as one of the strategies that promote the dependent person's and caregiver's quality of life.…”

Section: Introductionmentioning

confidence: 99%

Dependent person in self‐care: analysis of care needs

Dixe

Frontini

Sousa

et al. 2019

Scandinavian Caring Sciences

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Background The aim of this study was to assess the self‐care dependency levels of the dependent person at the time of home discharge and its relationship between (1) the degree of dependency of each self‐care domain; (2) the previous dependency levels; and (3) the gender of the dependent person. It also aims to assess the relationship between the degree of dependency of each self‐care domain, the length of admission, the length of dependency and the age of the dependent person at the time of discharge. Methods A cross‐sectional study was conducted. The sample comprised hospitalised adults and elderly in the medical services of a Portuguese hospital during the months of March, April and May of 2018. The data were collected by an interview conducted at the time of home discharge from the hospital medical ward. Results The average age of dependent people of the sample is 80.7 years (±10.1) with the majority being women (51.7%), with no statistical difference in the mean age according to gender (U = 2205.500; p > 0.05). They were hospitalised on average 11.4 days (±33.2), most of them (44.0%) due to respiratory problems (85% of which were due to pneumonia). There were no statistically significant differences between the length of the hospital stay, the length of dependency and the participants' gender (U = 2200.500, p > 0.05; U = 1688.000, p > 0.05). Medication intake was the highest dependency domain amongst participants (41.3%), followed by instrumental activities of daily living (40.6%) and bathing (39.9%). Conclusion The amount of support required may vary according to the domain that the person is dependent. Thus, it is important to use a robust and reliable assessment tool that will be able to assess the degree of dependency on the various domains of self‐care.

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User experience and care for older people transitioning from hospital to home: Patients’ and carers’ perspectives

Cited by 68 publications

References 38 publications

Communication and Coordination Processes Supporting Integrated Transitional Care: Australian Healthcare Practitioners’ Perspectives

Communication and Coordination Processes Supporting Integrated Transitional Care: Australian Healthcare Practitioners’ Perspectives

Evaluation of the TRANSITION tool to improve communication during older patients’ care transitions: Healthcare practitioners’ perspectives

Dependent person in self‐care: analysis of care needs

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