Idso Darrick, Johnson Amanda, Hudson Emily, Nicholson Hannele, Garrett Sarah, Brown Rebecca, Talley Kristine, Ratner Edward, Mosher Hilary, Fink Howard A, Gustavson Allison M
University of Minnesota, School of Nursing, Minneapolis, MN 55455, USA.
Veterans Affairs Health Services Research and Development Center for Care Delivery and Outcomes Research, Minneapolis Veterans Affairs Health Care System, Minneapolis, MN 55417, USA.
Geriatr Nurs. 2025 Mar-Apr;62(Pt A):89-95. doi: 10.1016/j.gerinurse.2025.01.012. Epub 2025 Jan 30.
Informal caregivers hold an important role in ensuring a smooth transition from hospital to home for persons with dementia. In this quality improvement project we evaluated the feasibility and acceptability of a caregiver-focused, nurse-led post discharge call to caregivers of Veterans with dementia recently discharged from a single medical center. The call focused on assessing caregiver preparedness and identifying unmet needs. Thirty caregivers met inclusion criteria and 19 caregivers participated. Results suggested most caregivers of recently hospitalized Veterans with dementia can be identified, contacted, and interviewed to assess caregiving needs. However, sustainability was challenged by the significant time and resources required to screen and identify caregivers. Future iterations may focus on deployment of an electronic health record tool to improve the efficiency at which caregiver information is located, documented, and used to inform clinical decisions and allow for conduct of caregiver-focused interventions.
非正式照护者在确保痴呆症患者顺利从医院过渡到家庭方面发挥着重要作用。在这个质量改进项目中，我们评估了以照护者为中心、由护士主导的出院后致电最近从单一医疗中心出院的痴呆症退伍军人照护者的可行性和可接受性。该电话旨在评估照护者的准备情况并识别未满足的需求。30名照护者符合纳入标准，19名照护者参与其中。结果表明，大多数最近住院的痴呆症退伍军人的照护者可以被识别、联系并接受访谈以评估照护需求。然而，筛选和识别照护者所需的大量时间和资源对可持续性构成了挑战。未来的迭代可能侧重于部署电子健康记录工具，以提高查找、记录照护者信息并将其用于为临床决策提供信息以及开展以照护者为中心的干预措施的效率。
