J W M van Grootel, R J Collet, J M van Dongen, M van der Leeden, E Geleijn, R Ostelo, M van der Schaaf, M E Major, S Wiertsema
{"title":"医院到家庭过渡期间护理的连续性和协调性：医疗保健专业人员的观点。","authors":"J W M van Grootel, R J Collet, J M van Dongen, M van der Leeden, E Geleijn, R Ostelo, M van der Schaaf, M E Major, S Wiertsema","doi":"10.1111/jocn.17758","DOIUrl":null,"url":null,"abstract":"<p><strong>Aim: </strong>To gain insight into healthcare professionals' perceptions and needs regarding hospital-to-home transitions.</p><p><strong>Design: </strong>Qualitative phenomenological study.</p><p><strong>Methods: </strong>Hospital and primary care professionals participated in focus groups and interviews. Participants were recruited from a Dutch University hospital and from our networks between May and September 2023. Data were analysed using thematic analysis.</p><p><strong>Results: </strong>We conducted seven focus groups and twelve interviews. Three themes emerged: \"Collaboration and information exchange between professionals\", \"Coordination and continuity of care\", and \"Interaction between professionals, patients, and families\".</p><p><strong>Conclusion: </strong>This study suggests that professionals would benefit from clear guidelines and arrangements for communication with colleagues to support care coordination and continuity. Collaboration and information sharing are essential for providing integrated, patient-centred care. Additionally, involving patients and families in decision-making regarding hospital-to-home transitions, in a way that considers their needs, is important for effective care.</p><p><strong>Implications: </strong>This study highlights the importance of clear communication and collaboration between professionals to ensure continuity of care. It emphasises the need for integrated care, where patients and families are actively involved without being overwhelmed.</p><p><strong>Impact: </strong>Transitions from hospital-to-home are often hindered by fragmented, non-individualised care. Improved collaboration, clear coordination, and patient-family involvement can address this. This research can positively impact professionals across different settings, policymakers, and advocacy groups aiming to improve integrated patient-centred care.</p><p><strong>Patient or public contribution: </strong>The interview guide was developed with professionals who reviewed it and provided feedback. Professionals provided us with their lived experiences by participating in interviews and focus groups.</p><p><strong>Reporting method: </strong>This study adhered to the COREQ guidelines.</p><p><strong>Trial registration: </strong>N.A.</p>","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.2000,"publicationDate":"2025-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Continuity and Coordination of Care During Hospital-To-Home Transitions: Healthcare Professionals' Perspectives.\",\"authors\":\"J W M van Grootel, R J Collet, J M van Dongen, M van der Leeden, E Geleijn, R Ostelo, M van der Schaaf, M E Major, S Wiertsema\",\"doi\":\"10.1111/jocn.17758\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Aim: </strong>To gain insight into healthcare professionals' perceptions and needs regarding hospital-to-home transitions.</p><p><strong>Design: </strong>Qualitative phenomenological study.</p><p><strong>Methods: </strong>Hospital and primary care professionals participated in focus groups and interviews. Participants were recruited from a Dutch University hospital and from our networks between May and September 2023. Data were analysed using thematic analysis.</p><p><strong>Results: </strong>We conducted seven focus groups and twelve interviews. Three themes emerged: \\\"Collaboration and information exchange between professionals\\\", \\\"Coordination and continuity of care\\\", and \\\"Interaction between professionals, patients, and families\\\".</p><p><strong>Conclusion: </strong>This study suggests that professionals would benefit from clear guidelines and arrangements for communication with colleagues to support care coordination and continuity. Collaboration and information sharing are essential for providing integrated, patient-centred care. 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Continuity and Coordination of Care During Hospital-To-Home Transitions: Healthcare Professionals' Perspectives.
Aim: To gain insight into healthcare professionals' perceptions and needs regarding hospital-to-home transitions.
Design: Qualitative phenomenological study.
Methods: Hospital and primary care professionals participated in focus groups and interviews. Participants were recruited from a Dutch University hospital and from our networks between May and September 2023. Data were analysed using thematic analysis.
Results: We conducted seven focus groups and twelve interviews. Three themes emerged: "Collaboration and information exchange between professionals", "Coordination and continuity of care", and "Interaction between professionals, patients, and families".
Conclusion: This study suggests that professionals would benefit from clear guidelines and arrangements for communication with colleagues to support care coordination and continuity. Collaboration and information sharing are essential for providing integrated, patient-centred care. Additionally, involving patients and families in decision-making regarding hospital-to-home transitions, in a way that considers their needs, is important for effective care.
Implications: This study highlights the importance of clear communication and collaboration between professionals to ensure continuity of care. It emphasises the need for integrated care, where patients and families are actively involved without being overwhelmed.
Impact: Transitions from hospital-to-home are often hindered by fragmented, non-individualised care. Improved collaboration, clear coordination, and patient-family involvement can address this. This research can positively impact professionals across different settings, policymakers, and advocacy groups aiming to improve integrated patient-centred care.
Patient or public contribution: The interview guide was developed with professionals who reviewed it and provided feedback. Professionals provided us with their lived experiences by participating in interviews and focus groups.
Reporting method: This study adhered to the COREQ guidelines.
期刊介绍：
The Journal of Clinical Nursing (JCN) is an international, peer reviewed, scientific journal that seeks to promote the development and exchange of knowledge that is directly relevant to all spheres of nursing practice. The primary aim is to promote a high standard of clinically related scholarship which advances and supports the practice and discipline of nursing. The Journal also aims to promote the international exchange of ideas and experience that draws from the different cultures in which practice takes place. Further, JCN seeks to enrich insight into clinical need and the implications for nursing intervention and models of service delivery. Emphasis is placed on promoting critical debate on the art and science of nursing practice.
JCN is essential reading for anyone involved in nursing practice, whether clinicians, researchers, educators, managers, policy makers, or students. The development of clinical practice and the changing patterns of inter-professional working are also central to JCN''s scope of interest. Contributions are welcomed from other health professionals on issues that have a direct impact on nursing practice.
We publish high quality papers from across the methodological spectrum that make an important and novel contribution to the field of clinical nursing (regardless of where care is provided), and which demonstrate clinical application and international relevance.
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