An observational study of older patients' experiences of involvement in discharge planning

Erlang, Anne Snoghøj; Schjødt, Karina; Starup-Linde, Jakob; Jensen, Annesofie Lunde

doi:10.1016/j.gerinurse.2021.04.002

Cited by 13 publications

(15 citation statements)

References 25 publications

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“…These measures were used in six studies: HLQ, 66 78 PAM 66 70 71 78 79 and PS. 55 Patient engagement was the primary aim and outcome of one study, 55 patient involvement was the primary aim of three studies, 62 74 84 and self-management, or patient activation, in two studies. 66 78 We classified the following eight measures in category 2 (Supporting self-management): Bangor Goal Setting Interview; Goal Attainment Scale; General Self-efficacy Scale (GSE), Perceived Competence Scale (PCS); Rosenberg's Self-Esteem Scale; Treatment Self-Regulation Questionnaire (TSRQ); Brief Cope (assessing effective and ineffective ways to cope with a stressful life event) and Carers Assessment of DIfficulties (CADI).…”

Section: Resultsmentioning

confidence: 99%

“…The electronic search identified 3767 records of which 164 full-text studies were screened for eligibility and 43 studies were included in this rapid review47–89 (see flowchart, figure 2).…”

Section: Resultsmentioning

confidence: 99%

“…We classified the following three measures in category 1 (Patient engagement) the Health Literacy Questionnaire (HLQ); Patient Activation Measure (PAM); and the Participation Subscale (PS) (developed for the LUP-survey) assessing patient involvement in healthcare. These measures were used in six studies: HLQ,66 78 PAM66 70 71 78 79 and PS 55. Patient engagement was the primary aim and outcome of one study,55 patient involvement was the primary aim of three studies,62 74 84 and self-management, or patient activation, in two studies 66 78…”

Section: Resultsmentioning

confidence: 99%

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Measures used to assess interventions for increasing patient involvement in Danish healthcare setting: a rapid review

et al. 2022

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ObjectiveTo identify measures used within Denmark evaluating any type of intervention designed to facilitate patient involvement in healthcare.DesignEnvironmental scan employing rapid review methods.Data sourcesMEDLINE, PsycInfo and CINAHL were searched from 6–9 April 2021 from database inception up to the date of the search.Eligibility criteriaQuantitative, observational and mixed methods studies with empirical data on outcomes used to assess any type of intervention aiming to increase patient involvement with their healthcare. Language limitations were Danish and English.Data extraction and synthesisTwo independent reviewers extracted data from 10% of the included studies and, due to their agreement, the data from the rest were extracted by first author. Data were analysed with reference to existing categories of measuring person-centred care; findings were synthesised using narrative summaries. Adapted Preferred Reporting Items for Systematic Reviews and Meta-Analyses 2020 guidelines were used to guide reporting.ResultsAmong 3767 records, 43 studies met the inclusion criteria, including 74 different measures used to evaluate interventions aimed at increasing patient involvement within healthcare in Danish hospital and community settings. Generic measures assessed: patient engagement (n=3); supporting self-management (n=8); supporting shared decision-making (n=9); patient satisfaction and experiences of care (n=11); health-related patient-reported outcome (n=20).ConclusionsAcross Denmark, complex interventions designed to improve patient involvement with healthcare vary in their goals and content. Some targeting healthcare professionals, some patient health literacy and some service infrastructure. A plethora of measures assess the impact of these interventions on patient, professional and service delivery outcomes. Few measures assessed patient involvement directly, and it is unclear which proxy measures capture indicators of perceived involvement. Lack of conceptual clarity between intervention goals, the components of change and measures makes it difficult to see what types of intervention can best support change in services to ensure patients are more effectively involved in their healthcare.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Measures used to assess interventions for increasing patient involvement in Danish healthcare setting: a rapid review

et al. 2022

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“…Hospital care processes, including patient admission, patient assessment, health team decisions, and patient discharge, are recognized as complex, multiple‐step processes that require integrated communication and coordination among the patient, their caregivers, and the hospital team (Erlang et al, 2021; Salehi, Hanson, et al, 2021). Older adults are at a significant risk during the discharge process from hospital (Li et al, 2014).…”

Section: Introductionmentioning

confidence: 99%

“…The issues regarding the discharge planning processes can arise from patient characteristics, health care system characteristics, and the interactions between patients and the health care system (Dhalla et al, 2012). The discharge process of older adults is complex, and health care systems focus mainly on organizational tasks (Erlang et al, 2021). Time variations are usually ignored in the discharge planning processes, whereas they are necessary in scheduling tasks and the entire discharge process.…”

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confidence: 99%

Critical path planning for discharging older adults using a functional perspective

Salehi

Veitch

Smith

2023

Hum Ftrs & Erg Mfg Svc

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This study aims to introduce an innovative method to schedule and analyze the discharge planning processes under uncertain individual activity completing times. Hospital care processes ending in discharging older adults represent a major challenge, as a number of interrelated tasks or activities are involved in the processes. The functional resonance analysis method (FRAM) is used to identify activities that constitute a descriptive model of the discharge planning processes and to assign the completion time to each task or activity. Then the critical path planning technique is utilized to identify the critical path of the discharge process. To this end, the Program Evaluation and Review Technique (PERT) is employed. Published data regarding six older patients are used to examine the potential utility of the introduced method to improve the discharge process of older adults. The results show that the integration of the FRAM and PERT is able to identify the critical activities that constitute the critical path of the discharge process. It also helps analyze the completion time assigned to each task/activity and calculate the completion time of the discharge process. The probability of completing the discharge process within a target completion time is also discussed. The results add further evidence showing the applicability of the FRAM and PERT to scheduling systems for the discharge planning processes. Health care professionals could use the findings of this study in designing a scheduling system to complete the discharge process of older adults in a reasonable time.

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Impact of involvement of relatives in early home visits by a hospital-led geriatric team

et al. 2022

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An observational study of older patients' experiences of involvement in discharge planning

Cited by 13 publications

References 25 publications

Measures used to assess interventions for increasing patient involvement in Danish healthcare setting: a rapid review

Measures used to assess interventions for increasing patient involvement in Danish healthcare setting: a rapid review

Critical path planning for discharging older adults using a functional perspective

Impact of involvement of relatives in early home visits by a hospital-led geriatric team

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