Have a personal or library account? Click to login
Care transitions for frail, older people from acute hospital wards within an integrated healthcare system in England: a qualitative case study Cover

Care transitions for frail, older people from acute hospital wards within an integrated healthcare system in England: a qualitative case study

Open Access
|Mar 2014

References

  1. 1 Department of Health Our health, our care, our say: a new direction for community services 2006 London The Stationery Office
  2. 2 Department of Health High quality care for all: NHS next stage review final report 2008 London The Stationery Office
  3. 3 Department of Health Transforming community services: enabling new patterns of provision 2009 London The Stationery Office
  4. 4 Department of Health Equity and excellence: liberating the NHS 2010 London Department of Health
  5. 5 Shaw S Rosen R Rumbold B What is integrated care? 2011 London Nuffield Trust
  6. 6 Lewis RQ Rosen R Goodwin N Dixon J Where next for integrated care organisations in the English NHS? 2010 London The Nuffield Trust
  7. 7 Ham C Imison C Goodwin N Dixon A South P Where next for the NHS reforms? The case for integrated care 2011 London King's Fund
  8. 8 Naylor M Transitional care of older adults. Annual review of nursing research 2002 New York Springer Publishing Co
  9. 9 Hanratty B Holmes L Lowson E Grande G Addington-Hall J Payne S Older adults’ experiences of transitions between care settings at the end of life in England: a qualitative interview study Journal of Pain and Symptom Management 2012 44 1 74 83
  10. 10 Williams S Nolan M Keady J Relational practice as the key to ensuring quality care for frail older people: discharge planning as a case example Quality in Ageing 2009 10 3 44 55
  11. 11 Ellins J Glasby J Tanner D McIver S Davidson D Littlechild R Snelling I Understanding and improving transitions of older people: a user and carer centred approach. Final report 2012 NIHR Service Delivery and Organisation programme [Cited 2013 Dec 17]. Available from: http://www.birmingham.ac.uk/Documents/news/SDOTransitions-Report.pdf
  12. 12 Aaltonen M Rissanen P Forma L Raitanen J Jylhä M The impact of dementia on care transitions during the last two years of life Age and Ageing 2012 41 52 7
  13. 13 Manthorpe J Commentary on Bauer M, Fitzgerald L, Haesler E, Manfrin M. Hospital discharge planning for frail older people and their family. Are we delivering best practice? A review of the evidence Journal of Clinical Nursing 2009 18 2539 46 [Journal of Clinical Nursing 2008; 18: 2676–7]
  14. 14 Pickard S Frail bodies: geriatric medicine and the constitution of the fourth age Sociology of Health & Illness 2013 1 15 10.111/1467-9566.12084
  15. 15 Bauer M Response to commentary by Manthorpe J Commentary on Bauer M, Fitzgerald L, Haesler E & Manfrin M Hospital discharge planning for frail older people and their family. Are we delivering best practice? A review of the evidence Journal Clinical Nursing 2009 18 2539 46 [Journal of Clinical Nursing 2010; 19:1173–4]
  16. 16 Clegg A Young M The frailty syndrome Clinical Medicine 2011 11 1 72 5
  17. 17 Royal College of Physicians Hospitals on the edge? The time for action A report by the Royal College of Physicians 2012 [Cited 2013 Dec 17]. Available from: http://www.rcplondon.ac.uk/sites/default/files/documents/hospitals-on-the-edge-report.pdf
  18. 18 Clegg A Young J Iliffe S Frailty in elderly people The Lancet 2013 381 9868 752 62
  19. 19 Care Quality Commission The state of health care and adult social care in England in 2011/12 2012 CQC [Cited 2013 Dec 17]. Available from: http://www.cqc.org.uk/sites/default/files/media/documents/cqc__soc_201112_final_tag.pdf
  20. 20 Fuji KT Abbott AA Norris JF Exploring care transitions from patient, caregiver, and health-care provider perspectives Clinical Nursing Research 2012 22 3 258 74
  21. 21 Meleis AI Sawyer LM Im EO Hilfinger Messias DAK Schumacher K Experiencing transitions: an emerging middle-range theory Advances in Nursing Science 2000 23 1 12
  22. 22 Coleman EA Boult CE Improving the quality of transitional care for persons with complex care needs Journal of the American Geriatrics Society 2003 51 556 7
  23. 23 Naylor MD Keating SA Transitional care American Journal of Nursing 2008 108 9 58 63
  24. 24 Davis MM Devoe M Kansagara D Nicolaidis C Englander H “Did I Do as Best as the System Would Let Me?” Healthcare professional views on hospital to home care transitions Journal of General Internal Medicine 2012 27 1649 56
  25. 25 Foust JB Vuckovic N Henriquez E Hospital to home healthcare transition: patient, caregiver, and clinician perspectives Western Journal of Nursing Research 2012 34 194 212
  26. 26 Bauer M Fitzgerald L Haesler E Manfrin M Hospital discharge planning for frail older people and their family. Are we delivering best practice? A review of the evidence Journal of Clinical Nursing 2009 18 2539 46
  27. 27 Bryan K Policies for reducing delayed discharge from hospital British Medical Bulletin 2010 95 33 46
  28. 28 Jasinarachchi KH Ibrahim IR Keegan BC Mathialagan R McGourty JC Phillips J Delayed transfer of care from NHS secondary care to primary care in England: its determinants, effect on hospital bed days, prevalence of acute medical conditions and deaths during delay, in older adults aged 65 years and over BMC Geriatrics 2009 9 4 10.1186/1471-2318-9-4
  29. 29 Vetter N Inappropriately delayed discharge from hospital: what do we know? British Journal of Medicine 2003 326 927 8
  30. 30 Department of Health Services for older people- 2002–3 data definitions 2002 London Department of Health
  31. 31 Glasby J Littlechild R Pryce K Show me the way to go home: delayed hospital discharges and older people final report 2004 Health Services Management Centre and Institute of Applied Social Studies, University of Birmingham [Cited 2013 December 17]. Available from: http://www.bhamlive.bham.ac.uk/Documents/college-social-sciences/social-policy/HSMC/research/delayed-hospital-discharges.pdf
  32. 32 Guerin M Grimmer K Kumar S Community services' involvement in the discharge of older adults from hospital into the community International Journal of Integrated Care 2013 13 URN:NBN:NL:UI:10-1-114740
  33. 33 Sims-Gould J Byrne K Hicks E Khan K Stolee P Examining “success” in post-hip fracture care transitions: a strengths-based approach Journal of Interprofessional Care 2012 26 205 11
  34. 34 Kripalani S LeFevre F Phillips CO Williams MV Basaviah P Baker DW Deficits in communication and information transfer between hospital based and primary care physicians: implications for patient safety and continuity of care Journal of the American Medical Association 2007 297 831 41
  35. 35 Johnson JK Farnan JM Barach P Hesselink G Wollersheim H Pijnenborg L Searching for the missing pieces between hospital and primary care: mapping the patient process during care transitions BMJ Quality & Safety 2012 21 1 i97 105
  36. 36 Graham CL Neuhauser L Ivey SL From hospital to home: assessing the transitional care needs of vulnerable seniors The Gerontologist 2009 49 1 23 33
  37. 37 Schoenborn NL Arbaje AI Eubank KJ Maynor K Carrese JA Clinician roles and responsibilities during care transitions of older adults Journal of the American Geriatrics Society 2013 61 2 231 6
  38. 38 Dossa A Bokhour B Hoenig H Care transitions from the hospital to home for patients with mobility impairments: patient and family caregiver experiences Rehabilitation Nursing 2012 37 6 277 85
  39. 39 Toles MP Abbott KM Hirschman KP Naylor MD Transitions in care among older adults receiving long-term services and supports Journal of Gerontological Nursing 2012 38 11 40 7
  40. 40 Yin RK Case study research: design and methods 2009 4th ed Thousand Oaks Sage Publications
  41. 41 Stake RE The art of case study research 1995 Thousand Oaks Sage publications
  42. 42 Kitzinger J The methodology of focus groups: the importance of interaction between research participants Sociology of Health and Illness 1994 16 1 103 21
  43. 43 Great Britain Mental capacity act 2005 [Cited 2013 Oct 17]. Available from: http://www.legislation.gov.uk/ukpga/2005/9/section/22
  44. 44 Ritchie J Spencer L Bryman A Burgess RG Qualitative data analysis for applied policy research Analyzing qualitative data 1994 London Routledge 173 94
  45. 45 Lincoln YS Guba EG Naturalistic enquiry 1985 Thousand Oaks, CA Sage Publications
  46. 46 Baumann M Evans S Perkins M Curtis L Netten A Fernandez JL Organisation and features of hospital, intermediate care and social services in English sites with low rates of delayed discharge Health & Social Care in the Community 2007 15 4 295 305
  47. 47 Department of Health People will see health and social care fully joined-up by 2018 Press release. [Cited 2013 Dec 17]. Available from: https://www.gov.uk/government/news/people-will-see-health-and-social-care-fully-joined-up-by-2018
  48. 48 Howarth M Holland K Grant MJ Education needs for integrated care: a literature review Journal of Advanced Nursing 2006 56 2 144 56
  49. 49 Ramsey A Fulop N Edwards N The evidence base for vertical integration in health care Journal of Integrated Care 2009 17 2 3 12
  50. 50 Coleman EA Berenson RA Lost in translation: challenges and opportunities for improving the quality of transitional care Annals of Internal Medicine 2004 140 533 6
  51. 51 RAND Europe, Ernst & Young LLP National Evaluation of the Department of Health's Integrated Care Pilots 2012 Santa Monica RAND Corporation [Cited 2013 Dec 17]. Available from: http://www.rand.org/content/dam/rand/pubs/technical_reports/2012/RAND_TR1164.pdf
  52. 52 Billings JR What do we mean by integrated care? A European Interpretation Journal of Integrated Care 2005 13 5 13 20
  53. 53 Fabbre VD Buffington AS Altfeld SJ Shier GE Golden RL Social work and transitions of care: observations from an intervention for older adults Journal of Gerontological Social Work 2011 54 6 615 26
  54. 54 Cornwell J Levenson R Sonola L Poteliakhoff E Continuity of care for older hospital patients: a call for action 2012 London King's Fund
  55. 55 Goodrich J Cornwall J Seeing the person in the patient: the point of care review paper 2008 London The King's Fund
  56. 56 Kydd A The patient experience of being a delayed discharge Journal of Nursing Management 2008 16 121 6
  57. 57 Bauer M Fitzgerald L Koch S Hospital discharge as experienced by family carers of people with dementia: a case for quality improvement Journal for Healthcare Quality: Promoting Excellence in Healthcare 2011 33 6 9 16
  58. 58 Johnson A Gaughwin B Moore N Crane R Long-stay views from the hospital bed: patient perspectives of organisation of care and impact of hospitalisation Australian Health Review 2005 29 2 235 40
DOI: https://doi.org/10.5334/ijic.1175 | Journal eISSN: 1568-4156
Language: English
Submitted on: Jun 3, 2013
Accepted on: Feb 7, 2014
Published on: Mar 27, 2014
Published by: Igitur publishing
In partnership with: Paradigm Publishing Services
Publication frequency: 4 issues per year

© 2014 Lesley Baillie, Andrew Gallini, Rachael Corser, Gina Elworthy, Ann Scotcher, Annabelle Barrand, published by Igitur publishing
This work is licensed under the Creative Commons Attribution 4.0 License.