Carer engagement in the hospital care of older people: an integrative literature review

Morrow, Elizabeth; Nicholson, Caroline

doi:10.1111/opn.12117

Cited by 25 publications

(30 citation statements)

References 111 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Caregivers also assessed readmission more preventable when patients did not feel ready for discharge. Literature shows that caregiver engagement can improve continuity of care by providing a consistent relationship for patients during their journey through the multiple and complex transitions in care 39. Caregivers play an important role in the transfer and additional care at home, which could potentially prevent readmission.…”

Section: Discussionmentioning

confidence: 99%

Patients’ and providers’ perceptions of the preventability of hospital readmission: a prospective, observational study in four European countries

Galen

Brabrand

Cooksley³

et al. 2017

BMJ Qual Saf

View full text Add to dashboard Cite

There is no consensus between readmitted patients, their carers and treating professionals about predictability and preventability of readmissions, nor associated risk factors. A readmitted patient reporting not feeling ready for discharge at index admission was strongly associated with preventability/predictability. Therefore, healthcare workers should question patients' readiness to go home timely before discharge.

show abstract

Section: Discussionmentioning

confidence: 99%

Patients’ and providers’ perceptions of the preventability of hospital readmission: a prospective, observational study in four European countries

Galen

Brabrand

Cooksley³

et al. 2017

BMJ Qual Saf

View full text Add to dashboard Cite

show abstract

“…The search outputs were then scanned across title, author and abstracts to determine suitability to inform the review. From this, full papers deemed relevant to (i) the keywords focus and (ii) informative for those new to the points under discussion were also scrutinised for their references, adding to the papers for final inclusion (akin to purposive sampling) (Morrow & Nicholson, ). In addition, the literature reviewed relied on mining articles’ reference lists (i.e., snowball sampling) for relevant publications (Morrow & Nicholson, ).…”

Section: Methodsmentioning

confidence: 99%

The built environment and older adults: A literature review and an applied approach to engaging older adults in built environment improvements for health

Tuckett

Banchoff

Winter

et al. 2017

Int J Older People Nursing

View full text Add to dashboard Cite

show abstract

“…Similarly, a more recent study in the United Kingdom showed that family caregivers of hospitalised older people felt relegated to 'outsider' status, excluded and unrecognised for their caregiving role and expertise, and experienced frustration and anger (Lowson et al, 2013). From a more practical perspective, an integrative review (Morrow and Nicholson, 2016) and a recent Australian study (Slatyer et al, 2013) have both drawn attention to FECH and caregiver impacts 2 the limited opportunity for the hospital staff to liaise with family caregivers regarding discharge in the scarce time available.…”

Section: Caregivers Of Older People In Hospitalmentioning

confidence: 99%

Outcomes for family carers of a nurse-delivered hospital discharge intervention for older people (the Further Enabling Care at Home Program): Single blind randomised controlled trial

Toye

Parsons

Slatyer

et al. 2016

International Journal of Nursing Studies

View full text Add to dashboard Cite

Background:Hospital discharge of older people receiving care at home offers a salient opportunity to identify and address their family caregivers' self-identified support needs. Objectives:This study tested the hypothesis that the extent to which family caregivers of older people discharged home from hospital felt prepared to provide care at home would be positively influenced by their inclusion in the new Further Enabling Care at Home program. Design:This single-blind randomised controlled trial compared outcomes from usual care alone with those from usual care plus the new program. The program, delivered by a specially trained nurse over the telephone, included: support to facilitate understanding of the patient's discharge letter; caregiver support needs assessment; caregiver prioritisation of urgent needs; and collaborative guidance, from the nurse, regarding accessing supports. Setting and participants:Dyads were recruited from the medical assessment unit of a Western Australian metropolitan public hospital. Each dyad comprised a patient aged 70 years or older plus an English speaking family caregiver. Methods:The primary outcome was the caregiver's self-reported preparedness to provide care for the patient. Data collection time points were designated as: Time 1, within four days of discharge; Time 2, 15 to 21 days after discharge; Time 3, six weeks after discharge. Other measures included caregivers' ratings of: their health, patients' symptoms and independence, caregiver strain, family well-being, caregiver stress, and positive appraisals of caregiving. Data were collected by telephone. FECH and caregiver impacts 2Results:Complete data sets were obtained from 62 intervention group caregivers and 79 controls. Groups were equivalent at baseline. Needs prioritised most often by caregivers were: to know whom to contact and what to expect in the future and to access practical help at home. Support guidance included how to: access help, information, and resources; develop crisis plans; obtain referrals and services; and organise legal requirements.Compared to controls, preparedness to care improved in the intervention group from Time 1 to Time 2 (effect size=0.52; p=0.006) and from Time 1 to Time 3 (effect size=0.43; p=0.019). These improvements corresponded to a change of approximately 2 points on the Preparedness for Caregiving instrument. Small but significant positive impacts were also observed in other outcomes, including caregiver strain. Conclusions:These unequivocal findings provide a basis for considering the Furthering Enabling Care at Home program's implementation in this and other similar settings. Further testing is required to determine the generalisability of results. KeywordsAged, community health care, family caregivers, hospitals, patient discharge. FECH and caregiver impacts

show abstract

Carer engagement in the hospital care of older people: an integrative literature review

Cited by 25 publications

References 111 publications

Patients’ and providers’ perceptions of the preventability of hospital readmission: a prospective, observational study in four European countries

Patients’ and providers’ perceptions of the preventability of hospital readmission: a prospective, observational study in four European countries

The built environment and older adults: A literature review and an applied approach to engaging older adults in built environment improvements for health

Outcomes for family carers of a nurse-delivered hospital discharge intervention for older people (the Further Enabling Care at Home Program): Single blind randomised controlled trial

Contact Info

Product

Resources

About