A scoping review of unpaid caregivers’ experiences during older adults’ hospital-to-home transitions

Liebzeit, Daniel; Jaboob, Saida; Bjornson, Samantha; Geiger, Olivia; Buck, Harleah; Arbaje, Alicia I.; Ashida, Sato; Werner, Nicole E.

doi:10.1016/j.gerinurse.2023.08.010

Cited by 3 publications

(2 citation statements)

References 63 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…A substantial body of evidence underscores the effectiveness of hospital-based transitional care models on readmission and mortality rates, and quality of life in disease-specific populations (i.e., heart failure, stroke, chronic obstructive pulmonary disease, hip fracture) [9][10][11][12]. However, there are gaps in the care transition intervention evidence, notably around interventions focused specifically on older adults and their family caregivers as well as exploring interventions examining the value of unpaid social and community-based professional networks [13].…”

Section: Introductionmentioning

confidence: 99%

Examining the Role of Third Sector Organization Volunteers in Facilitating Hospital-to-Home Transitions for Older Adults – a Collective Case Study

Nelson,

Saragosa,

Singh

et al. 2024

International Journal of Integrated Care

View full text Add to dashboard Cite

Introduction: With increasing attention to models of transitional support delivered through multisectoral approaches, third-sector organizations (TSOs) have supported community reintegration and independent living post-hospitalization. This study aimed to identify the core elements of these types of programs, the facilitators, and barriers to service implementation and to understand the perspectives of providers and recipients of their experiences with the programs. Methods and Analysis:A collective case study collected data from two UK-based 'Home from Hospital' programs. An inductive thematic analysis generated rich descriptions of each program, and analytical activities generated insights across the cases.Results: Programs provided a range of personalized support for older adults and addressed many post-discharge needs, including well-being assessments, support for instrumental activities of daily living, psychosocial support, and other individualized services directed by the needs and preferences of the service user. Results suggest that these programs can act as a 'safety net' and promote independent living. Skilled volunteers can positively impact older adults' experience returning home. Conclusions:When the programs under study are considered in tandem with existing evidence, it facilitates a discussion of how TSO services could be made available more widely to support older adults in their transition experiences.

show abstract

Section: Introductionmentioning

confidence: 99%

Examining the Role of Third Sector Organization Volunteers in Facilitating Hospital-to-Home Transitions for Older Adults – a Collective Case Study

Nelson,

Saragosa,

Singh

et al. 2024

International Journal of Integrated Care

View full text Add to dashboard Cite

show abstract

“…Previous researchers have found that caregivers report better preparedness when they are offered more involvement in the coordination of care, as partners in the patient care experience ( Hagedoorn et al, 2020 ; Liebzeit et al, 2023 ). Based on the seminal work of Archbold et al (1990) , preparedness refers to the extent to which caregivers believe themselves ready for the tasks and stressors of the caregiving role.…”

Section: Introductionmentioning

confidence: 99%

Transforming the discharge conversation through support and structure: A scoping review

Haverfield,

De Leon,

Johnson

et al. 2024

International Journal of Nursing Studies Advances

View full text Add to dashboard Cite

Navigating Hospital To Home Transitions: Exploring Israeli Older Adult And Informal Caregiver Experiences, Challenges And Opportunities.

Kolade,

Porat-Dahlerbruch,

Achterberg

et al. 2024

Preprint

View full text Add to dashboard Cite

Background Transitioning from hospital to home is not just a process but a crucial aspect of healthcare delivery, particularly for older adults and their informal caregivers. This transition from the structured environment of the hospital to the more independent home setting presents various challenges and opportunities that significantly impact the post-discharge journey and remains a critical and vulnerable phase for patients, especially those with complex medical needs or limited support systems. With a rapidly aging population, diverse cultural demographics, and a centralized healthcare system, Israel provides a multifaceted context to explore the intricacies of this transition process. This paper explores the experiences of older adults and informal caregivers navigating hospital-to-home care transitions in Israel and the challenges and opportunities in optimizing care transitions. Methods Conducted within the European TRANS-SENIOR consortium, we conducted a qualitative descriptive study using one-to-one interviews with Israeli older adults and informal caregivers. who experienced hospital-to-home transitions within the past 12 months. Interview questions explored negative and positive experiences navigating hospital-to-home transitions and challenges and opportunities for optimizing care transitions. Thematic analysis was used. Results Seven older adults and nine informal caregivers participated in interviews, revealing diverse perceptions of hospital-to-home transitions. The experiences of hospital-to-home transitions varied, with negative experiences characterized by abrupt farewells and a perceived lack of ongoing support, while positive experiences involved reassurance, empowerment, and follow-up care. Challenges included fragmented healthcare management and a lack of person-centered care, particularly for older adults without family support or facing critical conditions, Additional issues included bureaucratic hurdles, language barriers, and communication deficiencies. Opportunities for improvement in Israel's care transition system for older adults and informal caregivers include promoting individual autonomy, involvement in decision-making, and enhancing collaboration between hospitals and communities. Conclusion Challenges across the care continuum highlighted the need for targeted interventions to address communication, person-centered care, and continuity of care. Policymakers can use this information to develop and implement strategies to improve the transition process, ultimately leading to better patient outcomes and experiences.

show abstract

A scoping review of unpaid caregivers’ experiences during older adults’ hospital-to-home transitions

Cited by 3 publications

References 63 publications

Examining the Role of Third Sector Organization Volunteers in Facilitating Hospital-to-Home Transitions for Older Adults – a Collective Case Study

Examining the Role of Third Sector Organization Volunteers in Facilitating Hospital-to-Home Transitions for Older Adults – a Collective Case Study

Transforming the discharge conversation through support and structure: A scoping review

Navigating Hospital To Home Transitions: Exploring Israeli Older Adult And Informal Caregiver Experiences, Challenges And Opportunities.

Contact Info

Product

Resources

About