Discharge planning: ‘fooling ourselves?’– patient participation in conferences

Efraimsson, Eva Österlund; Sandman, Per‐Olof; Hydén, Lars–Christer; Rasmussén, Birgit H.

doi:10.1111/j.1365-2702.2004.00900.x

Cited by 61 publications

(84 citation statements)

References 19 publications

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“…Some of these showed positive results (Watkins et al 2012;Jangland et al 2012;Reed and Stanley 2003;Brooks 2002). Others had limited effects on participation (Efraimsson et al 2006(Efraimsson et al , 2004. Although good intentions existed from healthcare professionals to involve patients and improve the discharge process, not all efforts succeeded.…”

Section: Discussionmentioning

confidence: 99%

“…One reason seemed to be the lack of information about implementation and use of the tool (Jangland et al 2012;Efraimsson et al 2004;Griffith et al 2004). Otherwise discharge seemed to be too early for some patients (Clarke et al 2010).…”

Section: Discussionmentioning

confidence: 99%

“…Several of the studies in the review sample show a lack of information provided to patients, and professionals not explaining the meaning of participation to their patients (Benten and Spalding 2008;Swinkels and Mitchell 2008). When information was given, it was sometimes just to inform about decisions already taken by professionals (Efraimsson et al 2004). ''Real participation'' belongs to the third and highest step of the ladder and was sparsely found (Thompson 2007).…”

Section: Discussionmentioning

confidence: 99%

“…Results from patient surveys showed that satisfaction with input into discharge care planning was significantly greater for patients receiving the care plan compared with the control group. Two studies (Efraimsson et al 2004(Efraimsson et al , 2006 described the communication at the discharge planning conference (DPC). DPC is a meeting between professionals and patients aimed to co-ordinate resources and to enhance patient involvement in care.…”

Section: Discharge Care Plansmentioning

confidence: 99%

“…Five studies used a quantitative design and were carried out as an intervention (Bull et al 2000;Coleman et al 2004;Jangland et al 2012;Preen et al 2005;Watkins et al 2012). Eight studies had a qualitative approach, using semi-structured interviews (Brooks 2002;Clarke et al 2010;Efraimsson et al 2006;Moats 2007), a combination of semi-structured interviews and focus groups (Griffith et al 2004;Reed and Stanley 2003), observation (Grimmer et al 2006a) and in combination with video-recorded meetings and follow-up interviews (Efraimsson et al 2004). Two studies were performed using both a quantitative and a qualitative approach (Grimmer et al 2006b;Parry et al 2008).…”

Section: Tools To Support Elderly Patients' Participation In Transitimentioning

confidence: 99%

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A review of the literature on patient participation in transitions of the elderly

et al. 2014

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Patient participation is highlighted in healthcare policy documents as an important area to address in order to improve and secure healthcare quality. The literature on healthcare quality and safety furthermore reveals that transitional care carries a risk of adverse events. Elderly persons with co-morbidities are in need of treatment and healthcare from several care professionals and are transferred between different care levels. Patient-centered care, shared decision-making and user involvement are concepts of care that incorporate patient participation and the patients' experiences with care. Even though these care concepts are highlighted in healthcare policy documents, limited knowledge exists about their use in transitions, and therefore points to a need for a review of the existing literature. The purpose of the paper is to give an overview of studies including patient participation as applied in transitional care of the elderly. The methodology used is a literature review searching electronic databases. Results show that participation from elderly in discharge planning and decision-making was low, although patients wanted to participate. Some tools were successfully implemented, but several did not stimulate patient participation. The paper has documented that improvements in quality of transitional care of elderly is called for, but has not been well explored in the research literature and a need for future research is revealed. Clinical practice should take into consideration implementing tools to support patient participation to improve the quality of transitional care of the elderly.

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