Faculty of Health Science, Bartin University, Bartın, Turkey.
Division of Geriatrics, Gulhane Faculty of Medicine & Gulhane Training and Research Hospital, University of Health Sciences, Ankara, Turkey.
Scand J Caring Sci. 2021 Sep;35(3):871-880. doi: 10.1111/scs.12904. Epub 2020 Aug 27.
Transitional care is a key area of care provision to older people with chronic and complex health conditions and is associated with the quality of care delivered in the healthcare system.
This study aimed to explore the perspectives of healthcare providers, including nurses and physicians, regarding transitional care from hospital to home in an urban area of Turkey.
A qualitative study using a thematic analysis method was carried out. In-depth semi-structured interviews were held with eight clinical nurses and five general physicians involved in the provision of healthcare services to older patients in the transitional care process from hospital to home.
The thematic analysis of in-depth semi-structured interviews with 13 healthcare professionals led to the development of the following themes: 'uninterrupted chain of care transfer', 'commitment to meet patient's needs' and 'support and removing ambiguities'.
Key factors impacting on the quality and safety of transitional care and continuity of healthcare are communication and collaboration between healthcare staff and settings, and older patients' as well as family caregivers' awareness and their feelings of responsibility towards the continuity of care at home.
过渡护理是为患有慢性和复杂健康状况的老年人提供护理的关键领域，与医疗保健系统提供的护理质量有关。
本研究旨在探讨土耳其城市地区医疗保健提供者（包括护士和医生）对从医院到家庭的过渡护理的看法。
采用主题分析方法进行定性研究。对 8 名参与为从医院到家庭的过渡护理过程中的老年患者提供医疗服务的临床护士和 5 名普通医生进行了深入的半结构式访谈。
对 13 名医疗保健专业人员的深入半结构式访谈的主题分析产生了以下主题：“护理转移的不间断链条”、“承诺满足患者的需求”和“支持和消除歧义”。
影响过渡护理质量和安全性以及医疗保健连续性的关键因素是医疗保健人员和环境之间的沟通与协作，以及老年患者及其家属对家庭护理连续性的认识和责任感。
