1. Engaging patients and families in communication across transitions of care: An integrative review.
- Author
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Bucknall TK, Hutchinson AM, Botti M, McTier L, Rawson H, Hitch D, Hewitt N, Digby R, Fossum M, McMurray A, Marshall AP, Gillespie BM, and Chaboyer W
- Subjects
- Decision Making, Family, Humans, Interpersonal Relations, Patient-Centered Care, Communication, Health Personnel, Patient Participation
- Abstract
Objective: To determine the current evidence about patient and family engagement in communication with health professionals during transitions of care to, within and from acute care settings., Methods: An integrative review using seven international databases was conducted for 2003-2017. Forty eligible studies were analysed and synthesised using framework synthesis., Results: Four themes: 1) Partnering in care: patients and families should be partners in decision-making and care; 2) Augmenting communication during transitions: intrinsic and extrinsic factors supported transition communication between patients, families and health professionals; 3) Impeding information exchange: the difficulties faced by patients and families taking an active role in transition; and 4) Outcomes of communication during transitions: reported experiences for patients, families and health professionals., Conclusion: While attitudes towards engaging patients and family in transition communication in acute settings are generally positive, current practices are variable. Structural supports for practice are not always present., Practice Implications: Organisational strategies to improve communication must incorporate an understanding of patient needs. A structured approach which considers timing, privacy, location and appropriateness for patients and families is needed. Communication training is required for patients, families and health professionals. Health professionals must respect a patient's right to be informed by regularly communicating., (Copyright © 2020 Elsevier B.V. All rights reserved.)
- Published
- 2020
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