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首页> 外文期刊>International Journal of Integrated Care >“Just another fish in the pond”: the transitional care experience of a hip fracture patient
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“Just another fish in the pond”: the transitional care experience of a hip fracture patient

机译：“池塘里只有一条鱼”：髋部骨折患者的过渡护理经验

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摘要

Introduction: Miscommunication and lack of coordination can compromise care quality and patient safety during transitions in care, especially for medically complex older adults. Little research has been done to investigate care transitions from the perspective of those receiving and providing care. Methods: This study explored multiple care transitions for an elderly hip fracture patient, post-surgery. Interviews and observations were conducted with the patient, their family caregivers, and health care providers, at each point of transition between four different care settings. Results: Four key themes were identified over the patients care trajectory: ‘Missing Crucial Coversations’—Patient and family caregivers did not feel involved or informed about decisions in care; ‘Who’s Who’—Confusion about the role of health care providers; ‘Ready or Not’—Not knowing what to expect or what is expected; and, ‘Playing by the Rules’—Health system policies and procedures hinder individualized care. Conclusion: Study findings point to the need for the health care system to engage patients and family caregivers more fully and consistently in the process of care transitions as well as the importance of understanding these processes from multiple perspectives. Recommendations for system integration are proposed with a focus on transitional care.
机译：简介：沟通不畅和缺乏协调会在护理过渡期间损害护理质量和患者安全，特别是对于医疗复杂的老年人。从接受和提供护理的人的角度来看，很少有研究来调查护理过渡。方法：本研究探讨了老年髋部骨折患者术后的多种护理过渡。在四个不同护理环境之间的每个过渡点，对患者，其家庭护理人员和医疗保健提供者进行了访谈和观察。结果：在患者护理轨迹上确定了四个关键主题：“遗失关键护理”-患者和家庭护理人员没有感到参与或不了解护理决定; “谁是谁”-对医疗服务提供者的角色感到困惑; “是否准备就绪”-不知道会发生什么或会发生什么;并且，“按规则行事” —卫生系统的政策和程序阻碍了个性化护理。结论：研究结果表明，卫生保健系统需要在护理过渡过程中更充分，更一致地让患者和家庭护理人员参与，以及从多个角度了解这些过程的重要性。提出了有关系统集成的建议，重点是过渡护理。

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