User experience and care integration in transitional care for older people from hospital to home: a meta-synthesis

Allen, Jacqueline, Hutchinson, Alison M., Brown, Rhonda and Livingston, Patricia M. 2017, User experience and care integration in transitional care for older people from hospital to home: a meta-synthesis, Qualitative health research, vol. 27, no. 1, pp. 24-36, doi: 10.1177/1049732316658267.

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Title User experience and care integration in transitional care for older people from hospital to home: a meta-synthesis
Author(s) Allen, JacquelineORCID iD for Allen, Jacqueline orcid.org/0000-0002-3610-1335
Hutchinson, Alison M.ORCID iD for Hutchinson, Alison M. orcid.org/0000-0001-5065-2726
Brown, RhondaORCID iD for Brown, Rhonda orcid.org/0000-0002-5240-9831
Livingston, Patricia M.ORCID iD for Livingston, Patricia M. orcid.org/0000-0001-6616-3839
Journal name Qualitative health research
Volume number 27
Issue number 1
Start page 24
End page 36
Total pages 13
Publisher Sage
Place of publication Thousand Oaks, Calif.
Publication date 2017
ISSN 1049-7323
1552-7557
Keyword(s) user experience
patient experience
transitional care
patient discharge
aged care
meta-synthesis
qualitative review
Summary This meta-synthesis aimed to improve understanding of user experience of older people, carers, and health providers; and care integration in the care of older people transitioning from hospital to home. Following our systematic search, we identified and synthesized 20 studies, and constructed a comprehensive framework. We derived four themes: (1) 'Who is taking care of what? Trying to work together"; (2) 'Falling short of the mark'; (3) 'A proper discharge'; and (4) 'You adjust somehow.' The themes that emerged from the studies reflected users' experience of discharge and transitional care as a social process of 'negotiation and navigation of independence (older people/carers), or dependence (health providers).' Users engaged in negotiation and navigation through the interrogative strategies of questioning, discussion, information provision, information seeking, assessment, and translation. The derived themes reflected care integration that facilitated, or a lack of care integration that constrained, users' experiences of negotiation and navigation of independence/dependence.
Language eng
DOI 10.1177/1049732316658267
Field of Research 111099 Nursing not elsewhere classified
Socio Economic Objective 929999 Health not elsewhere classified
HERDC Research category C1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Copyright notice ©2016, The Authors
Persistent URL http://hdl.handle.net/10536/DRO/DU:30085280

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