Elliott Jacobi, Forbes Dorothy, Chesworth Bert M, Ceci Christine, Stolee Paul
School of Public Health and Health Systems, University of Waterloo, Waterloo, Canada.
Faculty of Nursing, University of Alberta, Edmonton, Canada.
Int J Integr Care. 2014 Jun 16;14:e018. doi: 10.5334/ijic.1195. eCollection 2014 Apr.
Following hip fracture surgery, patients often experience multiple transitions through different care settings, with resultant challenges to the quality and continuity of patient care. Family caregivers can play a key role in these transitions, but are often poorly engaged in the process. We aimed to: (1) examine the characteristics of the family caregivers' experience of communication and information sharing and (2) identify facilitators and barriers of effective information sharing among patients, family caregivers and health care providers.
Using an ethnographic approach, we followed 11 post-surgical hip fracture patients through subsequent care transitions in rural Ontario; in-depth interviews were conducted with patients, family caregivers (n = 8) and health care providers (n = 24).
Priority areas for improved information sharing relate to trust and respect, involvement, and information needs and expectations; facilitators and barriers included prior health care experience, trusting relationships and the rural setting.
As with knowledge translation, effective strategies to improve information sharing and care continuity for older patients with chronic illness may be those that involve active facilitation of an on-going partnership that respects the knowledge of all those involved.
髋部骨折手术后，患者常常要在不同的护理环境中经历多次转变，这给患者护理的质量和连续性带来了挑战。家庭护理人员在这些转变中可以发挥关键作用，但他们在这个过程中的参与度往往很低。我们旨在：（1）研究家庭护理人员在沟通和信息共享方面的经历特点，以及（2）确定患者、家庭护理人员和医疗服务提供者之间有效信息共享的促进因素和障碍。
我们采用人种志研究方法，跟踪了安大略省农村地区11名髋部骨折手术后的患者在后续护理转变过程中的情况；对患者、家庭护理人员（n = 8）和医疗服务提供者（n = 24）进行了深入访谈。
改善信息共享的优先领域涉及信任与尊重、参与度以及信息需求和期望；促进因素和障碍包括先前的医疗保健经历、信任关系和农村环境。
与知识转化一样，改善老年慢性病患者信息共享和护理连续性的有效策略可能是那些积极促进持续伙伴关系的策略，这种伙伴关系尊重所有相关人员的知识。
