A qualitative formative evaluation of a patient facing intervention to improve care transitions for older people moving from hospital to home
Journal article
Shannon, R., Baxter, R., Hardicre, N., Mills, T., Murray, J., Lawton, R. and O'Hara, J. (2022). A qualitative formative evaluation of a patient facing intervention to improve care transitions for older people moving from hospital to home. Health Expectations. https://doi.org/10.1111/hex.13560
| Authors | Shannon, R., Baxter, R., Hardicre, N., Mills, T., Murray, J., Lawton, R. and O'Hara, J. |
|---|---|
| Abstract | Background The Partners at Care Transitions (PACTs) intervention was developed to support older people's involvement in hospital to improve outcomes at home. A booklet, question card, record sheet, induction leaflet, and patient‐friendly discharge letter support patients to be more involved in their health and wellbeing, medications, activities of daily living and post‐discharge care. We aimed to assess intervention acceptability, identify implementation tools, and further develop the intervention. Methods This was a qualitative formative evaluation involving three wards from one hospital. We recruited 25 patients aged 75 years and older. Ward staff supported intervention delivery. Data were collected in wards and patients' homes, through semi‐structured interviews, observation, and documentary analysis. Data were analysed inductively and iteratively with findings sorted according to the research aims. Results Patients and staff felt there was a need for, and understood the purpose of, the PACT intervention. Most patients read the booklet but other components were variably used. Implementation challenges included time, awareness, and balancing intervention benefits against risks. Changes to the intervention and implementation included clarifying the booklet's messages, simplifying the discharge letter to reduce staff burden, and using prompts and handouts to promote awareness. Conclusion Patients and staff felt there was a need for, and understood the purpose of, the PACT intervention. Most patients read the booklet but other components were variably used. Implementation challenges included time, awareness, and balancing intervention benefits against risks. Changes to the intervention and implementation included clarifying the booklet's messages, simplifying the discharge letter to reduce staff burden, and using prompts and handouts to promote awareness. |
| Keywords | elderly care, evaluation, hospital discharge, patient involvement, patient safety, resilience engineering, transitional care |
| Year | 2022 |
| Journal | Health Expectations |
| Publisher | Wiley |
| ISSN | 1369-7625 |
| Digital Object Identifier (DOI) | https://doi.org/10.1111/hex.13560 |
| Publication dates | |
| 03 Sep 2022 | |
| Publication process dates | |
| Accepted | 14 Jun 2022 |
| Deposited | 21 Nov 2022 |
| Accepted author manuscript | License File Access Level Open |
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| License: CC BY 4.0 | ||
| File access level: Open | ||
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