TY - JOUR
T1 - Caregiver Experiences of Care Coordination for Recently Discharged Patients
T2 - A Qualitative Metasynthesis
AU - Callister, Catherine
AU - Jones, Jacqueline
AU - Schroeder, Shara
AU - Breathett, Khadijah
AU - Dollar, Blythe
AU - Sanghvi, Urvi Jhaveri
AU - Harnke, Ben
AU - Lum, Hillary D.
AU - Jones, Christine D.
N1 - Funding Information:
The author(s) disclosed receipt of the following financial support for the research, authorship and/or publication of this article: This work was supported by grant 2015212 from the Doris Duke Charitable Foundation and University of Colorado School of Medicine. Dr Christine Jones is supported by grant K08HS024569 from the Agency for Healthcare Research and Quality (AHRQ). Dr. Breathett received support from National Heart, Lung, and Blood Institute K01HL142848; University of Arizona Health Sciences, Strategic Priorities Faculty Initiative Grant; and University of Arizona, Sarver Heart Center, Women of Color Heart Health Education Committee. Dr. Lum received support from National Institute on Aging K76AG054782. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health, AHRQ, or the Department of Veterans Affairs.
Funding Information:
https://orcid.org/0000-0002-2638-7464 Callister Catherine 1 Jones Jacqueline 2 Schroeder Shara 3 Breathett Khadijah 4 Dollar Blythe 5 Sanghvi Urvi Jhaveri 2 Harnke Ben 6 Lum Hillary D. 5 7 Jones Christine D. 1 8 1 Division of Hospital Medicine, Department of Medicine, University of Colorado Anschutz Medical Campus, Aurora, CO, USA 2 College of Nursing, University of Colorado Anschutz Medical Campus, Aurora, CO, USA 3 College of Liberal Arts and Sciences, Department of Sociology, University of Colorado, Denver, CO, USA 4 Division of Cardiovascular Medicine, University of Arizona, Sarver Heart Center, Tucson, AZ, USA 5 Division of Geriatric Medicine, Department of Medicine, University of Colorado Anschutz Medical Campus, Aurora, CO, USA 6 Health Sciences Library University of Colorado Anschutz Medical Campus, Aurora, CO, USA 7 VA Eastern Colorado Geriatric Research Education and Clinical Center, Aurora, CO, USA 8 Veterans Affairs Medical Center, Aurora, Colorado, USA Catherine Callister, Division of Hospital Medicine, Department of Medicine, University of Colorado Anschutz Medical Campus, 12401 E. 17th Avenue, Mail stop: F782, Aurora, CO 80045-2581, USA. Email: catherine.callister@ucdenver.edu 10 2019 0193945919880183 © The Author(s) 2019 2019 SAGE Publications Caregivers of patients often provide key support for patients after hospitalization. This qualitative metasynthesis describes caregiver perspectives about care coordination for patients discharged from the hospital. A literature search of Ovid Medline and CINAHL completed on May 23, 2018, identified 1,546 studies. Twelve articles were included in the final metasynthesis. Caregiver perspectives about care coordination were compiled into overall themes. A subanalysis of studies in which patients were discharged with home health services was completed. Five main themes emerged related to caregiver perspectives on care coordination after hospitalization: (a) Suboptimal access to clinicians after discharge, (b) Feeling disregarded by clinicians, (c) Need for information and training at discharge, (d) Overwhelming responsibilities to manage appointments and medications, and (e) Need for emotional support. Findings from this metasynthesis suggest the need for clinicians to engage with caregivers to provide support, training, and communication after hospital discharge. home health caregiver care transitions qualitative Disclosures: Dr. Breathett received grant support from National Heart, Lung, and Blood Institute K01HL142848, University of Arizona Health Sciences, Strategic Priorities Faculty Initiative Grant, and University of Arizona, Sarver Heart Center, Women of Color Heart Health Education Committee. edited-state corrected-proof Declaration of Conflicting Interests The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article. Funding The author(s) disclosed receipt of the following financial support for the research, authorship and/or publication of this article: This work was supported by grant 2015212 from the Doris Duke Charitable Foundation and University of Colorado School of Medicine. Dr Christine Jones is supported by grant K08HS024569 from the Agency for Healthcare Research and Quality (AHRQ). Dr. Breathett received support from National Heart, Lung, and Blood Institute K01HL142848; University of Arizona Health Sciences, Strategic Priorities Faculty Initiative Grant; and University of Arizona, Sarver Heart Center, Women of Color Heart Health Education Committee. Dr. Lum received support from National Institute on Aging K76AG054782. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health, AHRQ, or the Department of Veterans Affairs. ORCID iD Catherine Callister https://orcid.org/0000-0002-2638-7464 Supplemental Material Supplemental material for this article is available online.
Publisher Copyright:
© The Author(s) 2019.
PY - 2020/8/1
Y1 - 2020/8/1
N2 - Caregivers of patients often provide key support for patients after hospitalization. This qualitative metasynthesis describes caregiver perspectives about care coordination for patients discharged from the hospital. A literature search of Ovid Medline and CINAHL completed on May 23, 2018, identified 1,546 studies. Twelve articles were included in the final metasynthesis. Caregiver perspectives about care coordination were compiled into overall themes. A subanalysis of studies in which patients were discharged with home health services was completed. Five main themes emerged related to caregiver perspectives on care coordination after hospitalization: (a) Suboptimal access to clinicians after discharge, (b) Feeling disregarded by clinicians, (c) Need for information and training at discharge, (d) Overwhelming responsibilities to manage appointments and medications, and (e) Need for emotional support. Findings from this metasynthesis suggest the need for clinicians to engage with caregivers to provide support, training, and communication after hospital discharge.
AB - Caregivers of patients often provide key support for patients after hospitalization. This qualitative metasynthesis describes caregiver perspectives about care coordination for patients discharged from the hospital. A literature search of Ovid Medline and CINAHL completed on May 23, 2018, identified 1,546 studies. Twelve articles were included in the final metasynthesis. Caregiver perspectives about care coordination were compiled into overall themes. A subanalysis of studies in which patients were discharged with home health services was completed. Five main themes emerged related to caregiver perspectives on care coordination after hospitalization: (a) Suboptimal access to clinicians after discharge, (b) Feeling disregarded by clinicians, (c) Need for information and training at discharge, (d) Overwhelming responsibilities to manage appointments and medications, and (e) Need for emotional support. Findings from this metasynthesis suggest the need for clinicians to engage with caregivers to provide support, training, and communication after hospital discharge.
KW - care transitions
KW - caregiver
KW - home health
KW - qualitative
UR - http://www.scopus.com/inward/record.url?scp=85074017628&partnerID=8YFLogxK
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U2 - 10.1177/0193945919880183
DO - 10.1177/0193945919880183
M3 - Review article
C2 - 31585516
AN - SCOPUS:85074017628
VL - 42
SP - 649
EP - 659
JO - Western Journal of Nursing Research
JF - Western Journal of Nursing Research
SN - 0193-9459
IS - 8
ER -