Partners at Care Transitions (PACT) -e xploring older peoples' experiences of transitioning from hospital to home in the UK: protocol for an observation and interview study of older people and their families to understand patient experience and involvement in care at transitions.

Autor:	Hardicre NK; Yorkshire Quality and Safety Research Group, Bradford Institute for Health Research, Bradford, UK., Birks Y; Social Policy Research Unit, University of York, York, UK., Murray J; Yorkshire Quality and Safety Research Group, Bradford Institute for Health Research, Bradford, UK., Sheard L; Yorkshire Quality and Safety Research Group, Bradford Institute for Health Research, Bradford, UK., Hughes L; Yorkshire Quality and Safety Research Group, Bradford Institute for Health Research, Bradford, UK., Heyhoe J; Yorkshire Quality and Safety Research Group, Bradford Institute for Health Research, Bradford, UK., Cracknell A; Leeds Centre for Older People's Medicine, Leeds Teaching Hospitals NHS Trust, Leeds, UK., Lawton R; School of Psychology, University of Leeds, Leeds, UK.
Jazyk:	angličtina
Zdroj:	BMJ open [BMJ Open] 2017 Dec 01; Vol. 7 (11), pp. e018054. Date of Electronic Publication: 2017 Dec 01.
DOI:	10.1136/bmjopen-2017-018054
Abstrakt:	Introduction: Length of hospital inpatient stays have reduced. This benefits patients, who prefer to be at home, and hospitals, which can treat more people when stays are shorter. Patients may, however, leave hospital sicker, with ongoing care needs. The transition period from hospital to home can be risky, particularly for older patients with complex health and social needs. Improving patient experience, especially through greater patient involvement, may improve outcomes for patients and is a key indicator of care quality and safety. In this research, we aim to: capture the experiences of older patients and their families during the transition from hospital to home, and identify opportunities for greater patient involvement in care, particularly where this contributes to greater individual-level and organisational-level resilience. Methods and Analysis: A 'focused ethnography' comprising observations, 'Go-Along' and semistructured interviews will be used to capture patient and carer experiences during different points in the care transition from admission to 90 days after discharge. We will recruit 30 patients and their carers from six hospital departments across two National Health Service (NHS) Trusts. Analysis of observations and interviews will use a framework approach to identify themes to understand the experience of transitions and generate ideas about how patients could be more actively involved in their care. This will include exploring what 'good' care at transitions looks like and seeking out examples of success, as well as recommendations for improvement. Ethics and Dissemination: Ethical approval was received from the NHS Research Ethics Committee in Wales. The research findings will add to a growing body of knowledge about patient experience of transitions, in particular providing insight into the experiences of patients and carers throughout the transitions process, in 'real time'. Importantly, the data will be used to inform the development of a patient-centred intervention to improve the quality and safety of transitions. Competing Interests: Competing interests: None declared. (© Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted.)
Databáze:	MEDLINE
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