What are they talking about? Content of the communication exchanges between nurses, patients and relatives in a department of medicine for older people—An ethnographic study

Johnsson, Anette; Wagman, Petra; Boman, Åse; Pennbrant, Sandra

doi:10.1111/jocn.14315

Cited by 16 publications

(12 citation statements)

References 24 publications

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“…In this regard, Johnsson et al. (2018) pointed out that information exchanged among nurses, older adults, and family caregivers had to do primarily with the patient's health, test results, and medication. As it happens, hospitalized older adults are likely to present various comorbidities that can seriously complicate the care provided them (Marti, 2018).…”

Section: Discussionmentioning

confidence: 99%

Integration of family caregivers in delirium prevention care for hospitalized older adults: A case study analysis

Cohen

Pereira

Kampel

et al. 2020

Journal of Advanced Nursing

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Aim To understand how family caregivers of older adults hospitalized for orthopaedic surgery are integrated by nurses in delirium prevention care. Design Multiple case study. Methods The sample consisted of eight cases. Each case comprised an older adult, a family caregiver, and a nurse. Data were collected from September 2017 ‐ April 2018 through various instruments, including semi‐structured interviews and family caregiver logs. Within‐ and across‐case analyses were conducted, based on the model of The Care Partner Engagement developed by Hill, Yevchak, Gilmore‐Bykovskyi, & Kolanowski (Geriatric Nursing, 35, 2014, 272). Results Two themes emerged: (a) family caregivers were engaged in caring for the older adults during their hospital stay, though they had differences in terms of views and needs; and (b) family caregivers communicated with nurses but nurses did not recognize their role and did not integrate them much in care. Conclusion The presence and availability of family caregivers, their sense of responsibility towards the hospitalized older adults, and their positive effects on them suggest that family caregivers could be integrated more systematically in a care partnership with nurses. Poor integration of family caregivers in delirium prevention care shows that nurse delirium prevention competencies and their relational skills for communicating effectively with family caregivers need to be developed further. Impact Integrating family caregivers in delirium prevention care for older adults is a challenge for nurses. Family caregivers are engaged during the hospitalization of older adults, though differences and problems exist between the two groups. While there is communication between patients, family caregivers, and nurses, nurses do not recognize the role of family caregivers and hardly integrated them in the delirium prevention care of hospitalized older adults. Nurses must adopt a patient‐ and family‐centred approach. Care and training facilities must make resources available to implement this approach in nursing practice.

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Section: Discussionmentioning

confidence: 99%

Integration of family caregivers in delirium prevention care for hospitalized older adults: A case study analysis

Cohen

Pereira

Kampel

et al. 2020

Journal of Advanced Nursing

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“…The patients in our study reported a lack of information, lack of understanding or problems remembering oral and written information about nutrition. Johnsson, Wagman, Boman and Pennbrant [44] found that the information nurses most commonly provided to older patients was related to their routine work, such as disease symptoms, test responses and drug changes. The authors emphasised the importance of the communication content and the value of asking didactic questions to improve the patients' and relatives' understanding of the information and to increase patient safety.…”

Section: Discussionmentioning

confidence: 99%

Older patients’ and their family caregivers’ perceptions of food, meals and nutritional care in the transition between hospital and home care: a qualitative study

et al. 2020

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Background: Older people have varying degrees of unmet nutritional needs following discharge from hospital. Inadequate involvement of the older person and his or her family caregivers in care and care planning, and inadequate support of self-management in the discharge process and follow-up care at home, negatively affects the quality of care. Research on older patients' and their family caregivers' experiences with nutritional care in hospital and home care and in the transition between these settings is limited. Thus, the aim of this study was to explore older patients' and their family caregivers' perceptions regarding the food, meals and nutritional care provided in the transition between hospital and home care services, focusing on the first 30 days at home. The overall aim of this study is to produce knowledge that can inform policy and clinical practice about how to optimise the care provided to older persons that are malnourished or at risk of malnutrition. Methods: Using a qualitative interpretive descriptive design, we carried out face-to-face semi-structured interviews with 15 older patients, with documented risk of malnutrition or malnourishment (Mini Nutritional Assessment [MNA]), two and five weeks after hospital discharge. In addition, we interviewed nine family caregivers once during this five week period. The questions focused on perceptions of food, meals and nutritional care in hospital and home care and in the transition between these settings. We analysed the data thematically. Results: Four overarching themes emerged from the material: 1) the need for a comprehensive approach to nutritional care, 2) non-individualised nutritional care at home, 3) lack of mutual comprehension and shared decision making and 4) the role of family caregivers. Conclusion: The organisation of nutritional care and food provision to older people, depending on care, lack consideration for the individual's values, needs and preferences. Older patients' and their family caregivers' needs and preferences should guide how nutritional care is provided.

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“…The first element of the ICN Code of Ethics for nurses––nurses and people––emphasized PCC in nursing care [ 13 ]. It focuses on nurses' interactions with people who access care in the healthcare setting and requires that nurses promote a conducive environment in which the human rights, values, customs, and spiritual beliefs of individuals, families, and communities are respected [ 13 , 29 , 30 ].…”

Section: Main Textmentioning

confidence: 99%

Universal healthcare coverage, patients' rights, and nurse-patient communication: a critical review of the evidence

Kwame

Petrucka

2022

BMC Nurs

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The Sustainable Development Goals adopted by world leaders on September 25, 2015, aimed to end poverty and hunger, promote gender equity, empower women and girls, and ensure human dignity and equality by all human beings in a healthy environment. These development goals were premised on international human rights norms and institutions, thereby acknowledging the relevance of human rights in achieving each goal. Particularly, sustainable development goal 3, whose objective is to achieve universal health coverage, enhance healthy lives, and promote well-being for all, implicitly recognizes the right to health as crucial. Our focus in this paper is to discuss how promoting patients’ rights and enhancing effective nurse-patient communication in the healthcare setting is a significant and necessary way to achieve universal health coverage. Through a critical review of the empirical research evidence, we demonstrated that enhancing patients’ rights and effect nurse-patient communication will promote people-centered care, improve patients’ satisfaction of care outcomes, increase utilization of care services, and empower individuals and families to self-advocate for their health. These steps directly impact primary healthcare strategies and the social determinants of health as core components to achieving universal health coverage. We argue that without paying attention to the human rights dimensions or employing human rights strategies, implementing the other efforts will be inadequate and unsustainable in protecting the poorest and most vulnerable populations in the achievement of goal 3.

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What are they talking about? Content of the communication exchanges between nurses, patients and relatives in a department of medicine for older people—An ethnographic study

Abstract: Nurses can use the communication content to create conditions enabling them to obtain a holistic view of the patient's life history and to develop an appropriate person-centred care plan.

Cited by 16 publications

References 24 publications

Integration of family caregivers in delirium prevention care for hospitalized older adults: A case study analysis

Integration of family caregivers in delirium prevention care for hospitalized older adults: A case study analysis

Older patients’ and their family caregivers’ perceptions of food, meals and nutritional care in the transition between hospital and home care: a qualitative study

Universal healthcare coverage, patients' rights, and nurse-patient communication: a critical review of the evidence

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