About me but without me? Older adult's perspectives on interpersonal communication during care transitions from hospital to seniors' residence

Lagacé, Martine; Fraser, Sarah; Ranger, Marie-Christine; Moorjani-Houle, Dévi; Ali, Nihad

doi:10.1016/j.jaging.2021.100914

Cited by 4 publications

(4 citation statements)

References 48 publications

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“…Like other studies, the themes from our study support improving patient-centered care and communication. ( 8 , 9 ) Huang and colleagues study evaluated how geriatric patients and their caregivers perceive HCP’s communication skills in an inpatient setting. This study illustrates a framework of “How” the healthcare team communicated, “When” they communicated, and “What” they communicated.…”

Section: Discussionmentioning

confidence: 99%

“…However, providing a space for OAs to communicate their perspectives could empower them and attenuate negative outcomes. ( 9 ) Engaging patients in the care plan entails an understanding of the patient's perspective by exploring their feelings, ideas, concerns, and experience regarding the impact of the illness, as well as setting clear expectations with HCPs. ( 4 ) Haverfield and colleagues demonstrate that failure to allow the patient the space for self-disclosure and openness makes it difficult for providers to gather information about the patient and fully understand their experience and needs.…”

Section: Discussionmentioning

confidence: 99%

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A Qualitative Analysis of Older Adults’ Views of Healthcare Provider Attributes and Communication Skills

Stewart

Hanke

Kucemba

et al. 2022

Journal of Patient Experience

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Understanding factors that improve patients’ healthcare experiences are essential for healthcare providers (HCPs) caring for older adults (OAs). Previous data supports that effective patient-centered care leads to a better understanding of patients’ experiences, values, and preferences. The aim of this study was to evaluate OAs views of HCPs attributes and communication skills to better understand patient's views about their HCP interactions. Qualitative analysis of the data revealed five key themes that emerged: professionalism, patient rapport, patient-centered care, empathy, and communication. Addressing and optimizing performance in these areas could improve patient experiences and support enhanced training for healthcare students.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

A Qualitative Analysis of Older Adults’ Views of Healthcare Provider Attributes and Communication Skills

Stewart

Hanke

Kucemba

et al. 2022

Journal of Patient Experience

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“…Similar results were found in qualitative analyses of patient and caregiver experiences, such that transport, communication, and services at home were commonly cited themes [ 44 ]. Lapses in communication were argued to be a major barrier to successful care transitions [ 44 , 45 ]. Like other authors, we have also found that patients report an overall positive perception of acute care services [ 46 ].…”

Section: Discussionmentioning

confidence: 99%

Transitions of care for older adults discharged home from the emergency department: an inductive thematic content analysis of patient comments

Couture,

Germain,

Côté

et al. 2024

BMC Geriatr

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Objective Improving care transitions for older adults can reduce emergency department (ED) visits, adverse events, and empower community autonomy. We conducted an inductive qualitative content analysis to identify themes emerging from comments to better understand ED care transitions. Methods The LEARNING WISDOM prospective longitudinal observational cohort includes older adults (≥ 65 years) who experienced a care transition after an ED visit from both before and during COVID-19. Their comments on this transition were collected via phone interview and transcribed. We conducted an inductive qualitative content analysis with randomly selected comments until saturation. Themes that arose from comments were coded and organized into frequencies and proportions. We followed the Standards for Reporting Qualitative Research (SRQR). Results Comments from 690 patients (339 pre-COVID, 351 during COVID) composed of 351 women (50.9%) and 339 men (49.1%) were analyzed. Patients were satisfied with acute emergency care, and the proportion of patients with positive acute care experiences increased with the COVID-19 pandemic. Negative patient comments were most often related to communication between health providers across the care continuum and the professionalism of personnel in the ED. Comments concerning home care became more neutral with the COVID-19 pandemic. Conclusion Patients were satisfied overall with acute care but reported gaps in professionalism and follow-up communication between providers. Comments may have changed in tone from positive to neutral regarding home care over the COVID-19 pandemic due to service slowdowns. Addressing these concerns may improve the quality of care transitions and provide future pandemic mitigation strategies.

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“…Despite this acknowledgement, older adults still experience adverse events such as compromised safety, health and quality of care when transferring between care settings [ 2 ]. In particular, transitional care scholars contend that poor communication [ 3 ], inadequate medication reconciliation [ 4 ] and a lack of patient follow-ups between services [ 5 ] impede the transitional care provided to older adults. These deficits in care have an adverse impact on older patients which has resulted in increased rates of infection, falls and medication errors during transitions in care [ 6 , 7 ].…”

Section: Introductionmentioning

confidence: 99%

Lost in transition? Community residential facility staff and stakeholder perspectives on previously incarcerated older adults’ transitions into long-term care

et al. 2023

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Background Establishing an effective continuum of care is a pivotal part of providing support for older populations. In contemporary practice; however, a subset of older adults experience delayed entry and/or are denied access to appropriate care. While previously incarcerated older adults often face barriers to accessing health care services to support community reintegration, there has been limited research on their transitions into long-term care. Exploring these transitions, we aim to highlight the challenges of securing long-term care services for previously incarcerated older adults and shed light on the contextual landscape that reinforces the inequitable care of marginalized older populations across the care continuum. Methods We performed a case study of a Community Residential Facility (CRF) for previously incarcerated older adults which leverages best practices in transitional care interventions. Semi-structured interviews were conducted with CRF staff and community stakeholders to determine the challenges and barriers of this population when reintegrating back into the community. A secondary thematic analysis was conducted to specifically examine the challenges of accessing long-term care. A code manual representing the project themes (e.g., access to care, long-term care, inequitable experiences) was tested and revised, following an iterative collaborative qualitative analysis (ICQA) process. Results The findings indicate that previously incarcerated older adults experience delayed access and/or are denied entry into long-term care due to stigma and a culture of risk that overshadow the admissions process. These circumstances combined with few available long-term care options and the prominence of complex populations already in long-term care contribute to the inequitable access barriers of previously incarcerated older adults seeking entry into long-term care. Conclusions We emphasize the many strengths of utilizing transitional care interventions to support previously incarcerated older adults as they transition into long-term care including: 1) education & training, 2) advocacy, and 3) a shared responsibility of care. On the other hand, we underscore that more work is needed to redress the layered bureaucracy of long-term care admissions processes, the lack of long-term care options and the barriers imposed by restrictive long-term care eligibility criteria that sustain the inequitable care of marginalized older populations.

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About me but without me? Older adult's perspectives on interpersonal communication during care transitions from hospital to seniors' residence

Cited by 4 publications

References 48 publications

A Qualitative Analysis of Older Adults’ Views of Healthcare Provider Attributes and Communication Skills

A Qualitative Analysis of Older Adults’ Views of Healthcare Provider Attributes and Communication Skills

Transitions of care for older adults discharged home from the emergency department: an inductive thematic content analysis of patient comments

Lost in transition? Community residential facility staff and stakeholder perspectives on previously incarcerated older adults’ transitions into long-term care

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