Kokorelias Kristina M, Singh Hardeep, Posa Stephanie, Hitzig Sander L
St John's Rehab Research Program, 142153Sunnybrook Health Sciences Centre, Toronto, ON, Canada.
574553Sunnybrook Research Institute, Toronto, ON, Canada.
J Appl Gerontol. 2023 May;42(5):862-870. doi: 10.1177/07334648221144999. Epub 2022 Dec 11.
Patient navigation models of care are being used to support hospital-to-home transitions. The present paper aimed to explore the goals important to older adults, their caregivers, and care providers as they transition from hospital-to-home and how, if at all, patient navigation can enable goals of care. Data were comprised of 94 interviews with 16 older adults, 5 family caregivers and 48 healthcare providers. Data were analyzed thematically and similarities and differences in goals were identified. Shared goals included having someone to count on and easy access to services. Older adults expressed the goal of independence, whereas family caregivers and healthcare providers noted safety. Caregivers noted goals of developing skills. While patient navigation was viewed as meeting goals of care by participants, future research is required to determine how patient navigation can support goal setting as a standard clinical practice and the long-term patient outcomes of meeting goals.
患者护理导航模式正被用于支持从医院到家庭的过渡。本文旨在探讨对老年人、他们的护理人员以及护理提供者而言，在从医院过渡到家庭的过程中哪些目标是重要的，以及患者导航如何（如果确实有作用的话）促成护理目标的实现。数据包括对16名老年人、5名家庭护理人员和48名医疗保健提供者进行的94次访谈。对数据进行了主题分析，并确定了目标方面的异同。共同目标包括有可以依靠的人以及方便获得服务。老年人表达了独立的目标，而家庭护理人员和医疗保健提供者则强调安全。护理人员提到了培养技能的目标。虽然参与者认为患者导航有助于实现护理目标，但仍需要未来的研究来确定患者导航如何能够作为一种标准临床实践来支持目标设定以及实现目标后的长期患者预后情况。
