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User Experience and Care Integration in Transitional Care for Older People from Hospital to Home: A Meta-Synthesis
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posted on 2017-01-01, 00:00 authored by Jacqueline Allen, Alison HutchinsonAlison Hutchinson, Rhonda BrownRhonda Brown, Trish LivingstonTrish LivingstonThis 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.
History
Journal
Qualitative Health ResearchVolume
27Issue
1Pagination
24 - 36Publisher DOI
ISSN
1049-7323eISSN
1552-7557Publication classification
C Journal article; C1 Refereed article in a scholarly journalCopyright notice
2016, The AuthorsUsage metrics
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Keywords
Science & TechnologySocial SciencesLife Sciences & BiomedicineTechnologyPublic, Environmental & Occupational HealthInformation Science & Library ScienceSocial Sciences, InterdisciplinarySocial Sciences, BiomedicalSocial Sciences - Other TopicsBiomedical Social Sciencesuser experiencepatient experiencetransitional carepatient dischargeaged caremeta-synthesisqualitative reviewDISCHARGE PROCESSNursing not elsewhere classified
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