Integrating family caregivers in older adults' hospital stays: a needed cultural shift.

Q2 Medicine Hospital practice (1995) Pub Date : 2024-05-21 DOI:10.1080/21548331.2024.2357510

Chloe Muntefering, Amanda Kastrinos, Natalie S McAndrew, Madelyn Ahrens, Allison J Applebaum, Lauren Bangerter, Beth Fields

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Abstract

Objectives: This study aimed to examine perceived barriers and facilitators to caregiver inclusion in the hospital care of older adult family members or friends through the perspectives of (1) hospitalized older adults, (2) caregivers of a hospitalized older adult, (3) healthcare clinicians, and (4) policymakers.

Methods: This qualitative descriptive exploratory study utilized semi-structured interviews with N = 24 participants and was analyzed using a framework method.

Results: Eight codes arose that were categorized into four domains guided by the Social Ecological Model. Individual-level factors were determined both for the caregiver and for the clinician. Relationship-level factors were revealed pertaining to communication style and method. Hospital-level factors included hospital environment and resources. Societal-level factors included healthcare climate and policies.

Discussion: Findings indicated that hospital workflows and policies inadequately support family caregivers. This study highlights potential solutions to caregivers' integration into hospital workflows.

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让家庭看护者参与老年人住院治疗：一种必要的文化转变。

研究目的本研究旨在通过（1）住院老年人、（2）住院老年人的照护者、（3）医疗保健临床医生和（4）政策制定者的视角，探讨照护者参与老年人家人或朋友住院护理的障碍和促进因素：这项定性描述探索性研究采用半结构式访谈，共有 24 名参与者参加，研究采用框架法进行分析：结果：在社会生态模型的指导下，产生了八个代码，并将其归类为四个领域。确定了护理人员和临床医生的个人层面因素。关系层面的因素涉及沟通方式和方法。医院层面的因素包括医院环境和资源。社会层面的因素包括医疗环境和政策：讨论：研究结果表明，医院的工作流程和政策对家庭护理者的支持不足。本研究强调了护工融入医院工作流程的潜在解决方案。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Hospital practice (1995) Medicine-Medicine (all)

CiteScore

2.80

自引率

0.00%

发文量