A Qualitative Study of Older Patients' and Family Caregivers' Perspectives of Transitional Care From Hospital to Home

被引:16
作者
Dolu, Ilknur [1 ]
Naharci, Mehmet Ilkin [2 ,3 ]
Logan, Patricia A. [4 ]
Paal, Piret [5 ]
Vaismoradi, Mojtaba [6 ]
机构
[1] Bartin Univ, Fac Hlth Sci, Bartin, Turkey
[2] Univ Hlth Sci, Gulhane Fac Med, Ankara, Turkey
[3] Univ Hlth Sci, Gulhane Training & Res Hosp, Ankara, Turkey
[4] Charles Sturt Univ, Fac Sci, Bathurst Campus, Bathurst, NSW, Australia
[5] Paracelsus Med Univ, Inst Nursing Sci & Practice, Salzburg, Austria
[6] Nord Univ, Fac Nursing & Hlth Sci, N-8049 Bodo, Nordland, Norway
关键词
continuity of care; interdisciplinary care; nursing; older patient; safe care; transitional care; feeling of safety; ADULTS; PROGRAM; EXPERIENCES; PEOPLE; INTERVENTION; READMISSION; MEDICINES; SAFETY; NURSE; COST;
D O I
10.1891/RTNP-D-20-00067
中图分类号
R47 [护理学];
学科分类号
1011 ;
摘要
Background and Purpose: The need for high-quality long-term healthcare services is increasing across the globe as the population ages. Strategies for improving transitional care from hospital to home are needed. This study aimed to explore the perspectives of patients aged 65 years and over and their family caregivers transitioning from hospital to home in an urban area of Turkey. Methods: Thematic analysis of in-depth semi-structured interviews was conducted with older patients (n = 14), with at least one chronic disease and admitted to the hospital for a minimum of 3 days, and family caregivers (n = 11) who voluntarily participated. Results: Main themes were "confused feelings of safety and stress"; "worried about being left alone"; and "disrupted healthcare journey." The proactive rehabilitation model was used to elaborate on the study findings and interpret the perspectives and experiences of older patients and their family caregivers, which can be used for improving the quality of care after discharge from hospital. Implications for Practice: A high-quality transitional care program requires taking care of the feeling of safety in older patients and their family caregivers by the multidisciplinary team and their enhanced involvement in care initiatives after hospital discharge.
引用
收藏
页码:168 / 188
页数:21
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