Transitions of care from our inception to COVID-19: What have we learned?

Resnick, Barbara

doi:10.1016/j.gerinurse.2020.06.009

Cited by 2 publications

(2 citation statements)

References 18 publications

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“…Team transformation included the use of telehealth, increased trust and collaboration within teams; and teams feeling empowered to drive change at a local level [ 39 ]. Given the paucity of evidence concerning hospital-based versus RACF-based treatment of older RACF residents with COVID-19 [ 40 ], the current study provides further evidence of a health team transforming in response to a pandemic.…”

Section: Discussionmentioning

confidence: 88%

Factors impacting hospital avoidance program utilisation in the care of acutely unwell residential aged care facility residents

Testa

Ryder

Braithwaite

et al. 2021

BMC Health Serv Res

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Background An existing hospital avoidance program, the Aged Care Rapid Response Team (ARRT), rapidly delivers geriatric outreach services to acutely unwell or older people with declining health at risk of hospitalisation. The aim of the current study was to explore health professionals’ perspectives on the factors impacting ARRT utilisation in the care of acutely unwell residential aged care facility residents. Methods Semi-structured interviews were conducted with two Geriatricians, two ARRT Clinical Nurse Consultants, an ED-based Clinical Nurse Specialist, and an Extended Care Paramedic. Interview questions elicited views on key factors regarding care decisions and care transitions for acutely unwell residential aged care facility residents. Thematic analysis was undertaken to identify themes and sub-themes from interviews. Results Analysis of interviews identified five overarching themes affecting ARRT utilisation in the care of acutely unwell residents: (1) resident care needs; (2) family factors; (3) enabling factors; (4) barriers; and (5) adaptability and responsiveness to the COVID-19 pandemic. Conclusion Various factors impact on hospital avoidance program utilisation in the care of acutely unwell older aged care facility residents. This information provides additional context to existing quantitative evaluations of hospital avoidance programs, as well as informing the design of future hospital avoidance programs.

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Section: Discussionmentioning

confidence: 88%

Factors impacting hospital avoidance program utilisation in the care of acutely unwell residential aged care facility residents

Testa

Ryder

Braithwaite

et al. 2021

BMC Health Serv Res

View full text Add to dashboard Cite

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“…Some believe that the COVID-19 pandemic may catalyze changes within the health systems [3,[33][34][35]. In particular, this pandemic may be an opportunistic time to rethink transitional care processes [36]. The rapid adoption of technology may be used to address some of the pre-pandemic barriers to transitions, including poor communication and incomplete information transfers [37,38].…”

Section: Introductionmentioning

confidence: 99%

A qualitative study of hospital and community providers’ experiences with digitalization to facilitate hospital-to-home transitions during the COVID-19 pandemic

et al. 2022

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Background The COVID-19 pandemic has triggered substantial changes to the healthcare context, including the rapid adoption of digital health to facilitate hospital-to-home transitions. This study aimed to: i) explore the experiences of hospital and community providers with delivering transitional care during the COVID-19 pandemic; ii) understand how rapid digitalization in healthcare has helped or hindered hospital-to-home transitions during the COVID-19 pandemic; and, iii) explore expectations of which elements of technology use may be sustained post-pandemic. Methods Using a pragmatic qualitative descriptive approach, remote interviews with healthcare providers involved in hospital-to-home transitions in Ontario, Canada, were conducted. Interviews were analyzed using a team-based rapid qualitative analysis approach to generate timely results. Visual summary maps displaying key concepts/ideas were created for each interview and revised based on input from multiple team members. Maps that displayed similar concepts were then combined to create a final map, forming the themes and subthemes. Results Sixteen healthcare providers participated, of which 11 worked in a hospital, and five worked in a community setting. COVID-19 was reported to have profoundly impacted healthcare providers, patients, and their caregivers and influenced the communication processes. There were several noted opportunities for technology to support transitions. Interpretation Several challenges with technology use were highlighted, which could impact post-pandemic sustainability. However, the perceived opportunities for technology in supporting transitions indicate the need to investigate the optimal role of technology in the transition workflow.

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Transitions of care from our inception to COVID-19: What have we learned?

Cited by 2 publications

References 18 publications

Factors impacting hospital avoidance program utilisation in the care of acutely unwell residential aged care facility residents

Factors impacting hospital avoidance program utilisation in the care of acutely unwell residential aged care facility residents

A qualitative study of hospital and community providers’ experiences with digitalization to facilitate hospital-to-home transitions during the COVID-19 pandemic

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