دورية أكاديمية
أعرض في EDS

Mixed-methods study examining family carers' perceptions of the relationship between intrahospital transitions and patient readiness for discharge.

التفاصيل البيبلوغرافية
العنوان: Mixed-methods study examining family carers' perceptions of the relationship between intrahospital transitions and patient readiness for discharge.
المؤلفون: Bristol AA; College of Nursing, University of Utah Health, Salt Lake City, Utah, USA alycia.bristol@nurs.utah.edu., Elmore CE; College of Nursing, University of Utah Health, Salt Lake City, Utah, USA., Weiss ME; College of Nursing, Marquette University, Milwaukee, Wisconsin, USA., Barry LA; College of Nursing, University of Utah Health, Salt Lake City, Utah, USA., Iacob E; College of Nursing, University of Utah Health, Salt Lake City, Utah, USA., Johnson EP; College of Nursing, University of Utah Health, Salt Lake City, Utah, USA., Wallace AS; College of Nursing, University of Utah Health, Salt Lake City, Utah, USA.
المصدر: BMJ quality & safety [BMJ Qual Saf] 2023 Aug; Vol. 32 (8), pp. 447-456. Date of Electronic Publication: 2022 Sep 13.
نوع المنشور: Journal Article; Research Support, N.I.H., Extramural; Research Support, U.S. Gov't, P.H.S.; Research Support, Non-U.S. Gov't
اللغة: English
بيانات الدورية: Publisher: BMJ Pub. Group Country of Publication: England NLM ID: 101546984 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 2044-5423 (Electronic) Linking ISSN: 20445415 NLM ISO Abbreviation: BMJ Qual Saf
أسماء مطبوعة: Original Publication: London : BMJ Pub. Group
مواضيع طبية MeSH: Patient Discharge* , Caregivers*, Humans ; Aftercare ; Retrospective Studies ; Hospitalization
مستخلص: Introduction: Intrahospital transitions (IHTs) represent movements of patients during hospitalisation. While transitions are often clinically necessary, such as a transfer from the emergency department to an intensive care unit, transitions may disrupt care coordination, such as discharge planning. Family carers often serve as liaisons between the patient and healthcare professionals. However, carers frequently experience exclusion from care planning during IHTs, potentially decreasing their awareness of patients' clinical status, postdischarge needs and carer preparation. The purpose of this study was to explore family carers' perceptions about IHTs, patient and carer ratings of patient discharge readiness and carer self-perception of preparation to engage in at home care.
Methods: Sequential, explanatory mixed-methods study involving retrospective analysis of hospital inpatients from a parent study (1R01HS026248; PI Wallace) for whom patient and family carer Readiness for Hospital Discharge Scale (RHDS) score frequency of IHTs and patient and caregiver characteristics were available. Maximum variation sampling was used to recruit a subsample of carers with diverse backgrounds and experiences for the participation in semistructured interviews to understand their views of how IHTs influenced preparation for discharge.
Results: Of discharged patients from July 2020 to April 2021, a total of 268 had completed the RHDS and 23 completed the semistructured interviews. Most patients experienced 0-2 IHTs and reported high levels of discharge readiness. During quantitative analysis, no association was found between IHTs and patients' RHDS scores. However, carers' perceptions of patient discharge readiness were negatively associated with increased IHTs. Moreover, non-spouse carers reported lower RHDS scores than spousal carers. During interviews, carers shared barriers experienced during IHTs and discussed the importance of inclusion during discharge care planning.
Conclusions: IHTs often represent disruptive events that may influence carers' understanding of patient readiness for discharge to home and, thus, their own preparation for discharge. Further consideration is needed regarding how to support carers during IHT to facilitate high-quality discharge planning.
Competing Interests: Competing interests: ASW has received travel funding from PCORI and NIH to attend grant review panels. ASW is a consultant for the American Association of Medical Colleges for SDOH content. ASW is a member of the United Way of Utah 211 Steering Committee. MEW serves as a consultant for the University of Utah on an AHRQ-funded grant.
(© Author(s) (or their employer(s)) 2023. No commercial re-use. See rights and permissions. Published by BMJ.)
التعليقات: Comment in: BMJ Qual Saf. 2023 Aug;32(8):435-437. (PMID: 36948545)
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معلومات مُعتمدة: R01 NR019944 United States NR NINR NIH HHS; R01 HS026248 United States HS AHRQ HHS; R21 HS026505 United States HS AHRQ HHS; K07 AG068185 United States AG NIA NIH HHS; T32 NR013456 United States NR NINR NIH HHS
فهرسة مساهمة: Keywords: Health services research; Patient-centred care; Transitions in care
تواريخ الأحداث: Date Created: 20220913 Date Completed: 20230721 Latest Revision: 20230923
رمز التحديث: 20231215
مُعرف محوري في PubMed: PMC10512519
DOI: 10.1136/bmjqs-2022-015120
PMID: 36100445
قاعدة البيانات: MEDLINE
الوصف
تدمد:2044-5423
DOI:10.1136/bmjqs-2022-015120