Transforming the discharge conversation through support and structure: A scoping review.
| Autor: | Haverfield MC; Department of Communication Studies, San José State University, CA, United States., De Leon G; Department of Communication Studies, San José State University, CA, United States., Johnson A; Department of Communication Studies, San José State University, CA, United States., Jackson VL; Betty Irene Moore School of Nursing, University of California, Davis, CA, United States., Basu G; Dr. Martin Luther King Junior Library, San José State University, CA, United States., Dodge J; Dr. Martin Luther King Junior Library, San José State University, CA, United States. |
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| Jazyk: | angličtina |
| Zdroj: | International journal of nursing studies advances [Int J Nurs Stud Adv] 2024 Apr 30; Vol. 6, pp. 100203. Date of Electronic Publication: 2024 Apr 30 (Print Publication: 2024). |
| DOI: | 10.1016/j.ijnsa.2024.100203 |
| Abstrakt: | Background: System level demands and interpersonal barriers can disrupt nurse delivery of high-quality information at discharge, which can contribute to a lack of caregiver preparedness to manage care of the patient and ultimately affect patient health. Objective: To synthesize evidence on effective nurse communication with informal caregivers during hospital discharge of adult patients with cognitive decline or Alzheimer's disease and related dementia. Design: A scoping review of inpatient nurse communication with informal caregivers. Methods: Collected research (published between 2011 and 2023) from three databases (MEDLINE, PsycINFO, and CINAHL), along with a separate search for gray literature ( N = 18), to extract and synthesize recommended communication practices evidenced to improve the nurse care experience and support caregiver activation and preparedness. Results: Extraction synthesis of strategies resulted in two themes with corresponding sub-themes: Support (Information exchange, Space and time to determine preparedness, and Positive reinforcement of caregiver efforts) and Structure (Setting shared expectations, Informational resources, and Standardization). Conclusions: We offer practical recommendations for both interpersonal and policy level facilitation of nurse delivery of high-quality information at discharge to caregivers of patients with serious illness. Competing Interests: The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper. |
| Databáze: | MEDLINE |
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