Elucidating the information exchange during interfacility care transitions: Insights from a Qualitative Study
| Autor: | Madelyn Law, Lianne Jeffs, Kerry Kuluski, Chaim M. Bell, Jane Merkley, Sherry Espin, Marianne Saragosa |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: |
Rehabilitation hospital
Male Patient Transfer medicine.medical_specialty Health Information Exchange Attitude of Health Personnel medicine.medical_treatment care transitions information 03 medical and health sciences 0302 clinical medicine continuity of care Nursing Acute care medicine Humans Transitional care 030212 general & internal medicine Information exchange Qualitative Research Aged Aged 80 and over Rehabilitation business.industry 030503 health policy & services Research Health information exchange General Medicine older patients Hospitals Exchange of information Caregivers Family medicine Female 0305 other medical science business Qualitative research |
| Zdroj: | BMJ Open |
| ISSN: | 2044-6055 |
| Popis: | Objective To explore the perceptions of patients, their caregivers and healthcare professionals associated with the exchange of information during transitioning from two acute care hospitals to one rehabilitation hospital. Design An exploratory qualitative study using semistructured interviews and observation. Participants and setting Patients over the age of 65 years admitted to an orthopaedic unit for a non-elective admission, their caregivers and healthcare professionals involved in their care. Participating sites included orthopaedic inpatient units from two acute care teaching hospitals and one orthopaedic unit at a rehabilitation hospital in an urban setting. Findings Three distinct themes emerged from participants' narrative of their transitional care experience: (1) having no clue what the care plan is, (2) being told and notified about the plan and (3) experiencing challenges absorbing information. Participating patients and their caregivers reported not being engaged in an active discussion with healthcare professionals about their care transition plan. Several healthcare professionals described withholding information within the plan until they themselves were clear about the transition outcomes. Conclusion This study highlights the need to increase efforts to ensure that effective information exchanges occur during transition from acute care hospital to rehabilitation settings. |
| Databáze: | OpenAIRE |
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