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

IF 0.5 4区 医学 Q4 NURSING Research and Theory for Nursing Practice Pub Date : 2021-03-05 DOI:10.1891/RTNP-D-20-00067
İlknur Dolu, Mehmet İIlkin Naharcı, Patricia A Logan, Piret Paal, Mojtaba Vaismoradi
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Abstract

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.

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老年患者和家庭护理人员对从医院到家庭的过渡护理的定性研究。
背景和目的:随着人口老龄化的加剧,全球各地对高质量长期医疗保健服务的需求日益增加。从医院到家庭的过渡性护理需要改进策略。本研究旨在探讨土耳其城市地区 65 岁及以上患者及其家庭护理人员从医院向家庭过渡时的观点:对至少患有一种慢性疾病并住院至少 3 天的老年患者(14 人)和自愿参与的家庭护理人员(11 人)进行了深入的半结构式访谈,并对访谈进行了主题分析:主要的主题是 "安全感和压力感混乱"、"担心独自一人 "和 "医疗旅程中断"。积极主动的康复模式被用来阐述研究结果,解读老年患者及其家庭护理者的观点和经历,可用于提高出院后的护理质量:高质量的过渡性护理计划需要多学科团队照顾老年患者及其家庭护理人员的安全感,并加强他们在出院后对护理措施的参与。
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来源期刊
CiteScore
1.20
自引率
0.00%
发文量
32
审稿时长
>12 weeks
期刊介绍: Research and Theory for Nursing Practice focuses on issues relevant to improving nursing practice, education, and patient care. The articles strive to discuss knowledge development in its broadest sense, reflect research using a variety of methodological approaches, and combine several methods and strategies in a single study. Because of the journal''s international emphasis, article contributors address the implications of their studies for an international audience.
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