Engagement: A Priority Need in Care Transitions Experienced by Older Adults and Caregivers
2024

Engagement Challenges in Care Transitions for Older Adults

Sample size: 480 publication Evidence: moderate

Author Information

Author(s): Regan Claire, Hirschman Karen, Harding Rachel, McHugh Molly, Osokpo Onome, McCauley Kathleen, Shaid Elizabeth, Naylor Mary

Primary Institution: University of Pennsylvania

Hypothesis

What are the barriers to patient and caregiver engagement during care transitions for older adults?

Conclusion

The study found that lack of engagement from patients and caregivers is a significant barrier to effective transitional care.

Supporting Evidence

  • The lack of patient and/or informal caregiver engagement was the most common documented challenge.
  • 48.1% of the documented challenges were related to lack of engagement.
  • Engagement issues were often identified as patient issues.

Takeaway

When older adults leave the hospital, it's really important for them and their caregivers to be involved in their care, but many times they don't participate as needed.

Methodology

Content analysis of APRN intervention documentation in a large-scale RCT.

Limitations

The study primarily focused on documented challenges and may not capture all barriers to engagement.

Participant Demographics

Older adults transitioning from hospital to home, with a focus on their caregivers.

Digital Object Identifier (DOI)

10.1093/geroni/igae098.3771

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