Effectiveness of person‐ and family‐centred care transition interventions on patient‐ oriented outcomes: A systematic review

Backman, Chantal; Chartrand, Julie; Crick, Michelle; Burry, Robin Devey; Dingwall, Orvie; Shea, Beverley

doi:10.1002/nop2.677

Cited by 17 publications

(13 citation statements)

References 56 publications

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“…13 Despite the promise of PFCC, a recent review on care transitions reported a mixed effect of the impact of PFCC on patient-oriented outcomes leading the authors to reflect on the core components of the approach, and conclude that PFCC interventions must incorporate several core components to successfully improve transition outcomes. 14 Shared decision-making (SDM) is often viewed as one of the core components of PFCC. 15 SDM is a collaborative approach to decision-making, whereby health professionals and patients consider options and evidence together before making joint decisions.…”

Section: Open Accessmentioning

confidence: 99%

Stakeholder involvement in care transition planning for older adults and the factors guiding their decision-making: a scoping review

et al. 2022

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ObjectiveTo synthesise the existing literature on care transition planning from the perspectives of older adults, caregivers and health professionals and to identify the factors that may influence these stakeholders’ transition decision-making processes.DesignA scoping review guided by Arksey and O’Malley’s six-step framework. A comprehensive search strategy was conducted on 7 January 2021 to identify articles in five databases (MEDLINE, Embase, CINAHL Plus, PsycINFO and AgeLine). Records were included when they described care transition planning in an institutional setting from the perspectives of the care triad (older adults, caregivers and health professionals). No date or study design restrictions were imposed.SettingThis review explored care transitions involving older adults from an institutional care setting to any other institutional or non-institutional care setting. Institutional care settings include communal facilities where individuals dwell for short or extended periods of time and have access to healthcare services.ParticipantsOlder adults (aged 65 or older), caregivers and health professionals.Results39 records were included. Stakeholder involvement in transition planning varied across the studies. Transition decisions were largely made by health professionals, with limited or unclear involvement from older adults and caregivers. Seven factors appeared to guide transition planning across the stakeholder groups: (a) institutional priorities and requirements; (b) resources; (c) knowledge; (d) risk; (e) group structure and dynamic; (f) health and support needs; and (g) personality preferences and beliefs. Factors were described at microlevels, mesolevels and macrolevels.ConclusionsThis review explored stakeholder involvement in transition planning and identified seven factors that appear to influence transition decision-making. These factors may be useful in advancing the delivery of person and family-centred care by determining how individual-level, group-level and system-level values guide decision-making. Further research is needed to understand how various stakeholder groups balance these factors during transition planning in different health contexts.

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Section: Open Accessmentioning

confidence: 99%

Stakeholder involvement in care transition planning for older adults and the factors guiding their decision-making: a scoping review

et al. 2022

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“…While many interventions aim to help address poor post-discharge outcomes stemming from poor communication such as self-care behaviors or emergency department visits and readmissions [1][2][3], few have evaluated the impact on patient experience [24][25][26][27]. Our paper is one of the first to use Canadian patient experience measures to evaluate its association with the widespread implementation of a novel discharge communication tool.…”

Section: Discussionmentioning

confidence: 99%

Raising the bar for patient experience during care transitions in Canada: A repeated cross-sectional survey evaluating a patient-oriented discharge summary at Ontario hospitals

Okrainec

Chaput

Rac

et al. 2022

Preprint

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Background: Patient experience when transitioning home from hospital is an important quality metric linked to improved patient outcomes. We evaluated the impact of a hospital-based care transition intervention, patient-oriented discharge summary (PODS), on patient experience across Ontario acute care hospitals. Methods: We used a repeated cross-sectional study design to compare yearly positive responses to four questions centered on discharge communication from the Canadian Patient Experience Survey (2016-2020) among three hospital cohorts with various levels of PODS implementation. Logistic regression using a binomial likelihood accounting for site level clustering was used to assess continuous linear time trends among cohorts and cohort differences during the post-implementation period. This research had oversight from a public advisory group of patient and caregiver partners from across the province. Results: 512,288 responses were included with mean age 69 ± 14 years (females) and 61 ± 20 years (males). Compared to non-implementation hospitals, hospitals with full implementation (>50% discharges) reported higher odds for having discussed the help needed when leaving hospital (OR=1.18, 95% CI=1.02-1.37) and having received information in writing about what symptoms to look out for (OR=1.44, 95%=1.17-1.78) post-implementation. The linear time trend was also significant when comparing hospitals with full versus no implementation for having received information in writing about what symptoms to look out for (OR=1.05, 95% CI=1.01-1.09). Interpretation: PODS implementation was associated with higher odds of positive patient experience, particularly for discharge planning. Further efforts should center on discharge management, specifically: understanding of medications and what to do if worried once home.

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“…While many interventions aim to help address poor post-discharge outcomes stemming from poor communication such as self-care behaviors or emergency department visits and readmissions [ 1 – 3 ], few have evaluated the impact on patient experience [ 25 – 28 ]. Our paper is one of the first to use Canadian patient experience measures to evaluate its association with the widespread implementation of a novel discharge communication tool.…”

Section: Discussionmentioning

confidence: 99%

Raising the bar for patient experience during care transitions in Canada: A repeated cross-sectional survey evaluating a patient-oriented discharge summary at Ontario hospitals

et al. 2022

View full text Add to dashboard Cite

Background Patient experience when transitioning home from hospital is an important quality metric linked to improved patient outcomes. We evaluated the impact of a hospital-based care transition intervention, patient-oriented discharge summary (PODS), on patient experience across Ontario acute care hospitals. Methods We used a repeated cross-sectional study design to compare yearly positive (top-box) responses to four questions centered on discharge communication from the Canadian Patient Experience Survey (2016–2020) among three hospital cohorts with various levels of PODS implementation. Generalized Estimating Equations using a binomial likelihood accounting for site level clustering was used to assess continuous linear time trends among cohorts and cohort differences during the post-implementation period. This research had oversight from a public advisory group of patient and caregiver partners from across the province. Results 512,288 individual responses were included. Compared to non-implementation hospitals, hospitals with full implementation (>50% discharges) reported higher odds for having discussed the help needed when leaving hospital (OR = 1.18, 95% CI = 1.02–1.37) and having received information in writing about what symptoms to look out for (OR = 1.44, 95% = 1.17–1.78) post-implementation. The linear time trend was also significant when comparing hospitals with full versus no implementation for having received information in writing about what symptoms to look out for (OR = 1.05, 95% CI = 1.01–1.09). Interpretation PODS implementation was associated with higher odds of positive patient experience, particularly for questions focused on discharge planning. Further efforts should center on discharge management, specifically: understanding of medications and what to do if worried once home.

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Effectiveness of person‐ and family‐centred care transition interventions on patient‐ oriented outcomes: A systematic review

Cited by 17 publications

References 56 publications

Stakeholder involvement in care transition planning for older adults and the factors guiding their decision-making: a scoping review

Stakeholder involvement in care transition planning for older adults and the factors guiding their decision-making: a scoping review

Raising the bar for patient experience during care transitions in Canada: A repeated cross-sectional survey evaluating a patient-oriented discharge summary at Ontario hospitals

Raising the bar for patient experience during care transitions in Canada: A repeated cross-sectional survey evaluating a patient-oriented discharge summary at Ontario hospitals

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