Implementing the information system for older adult patients post-discharge self-management: a qualitative study.
Background Discharging older adult patients from the hospital poses risks due to their vulnerable conditions, complex instructions and limited health literacy. Insufficient information about medication side effects adds to patient concerns. To address this, a post-discharge information summary syste...
| Published in: | Age & Ageing Vol. 53; no. 7; pp. 1 - 14 |
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| Main Authors: | , , , , , |
| Format: | Article |
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Oxford University Press / USA
Jul2024
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| Subjects: | |
| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=178718750&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 178718750 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 00020729 AGA jtl: Age & Ageing issn: 00020729 maglogo: N pubinfo: dt: Jul2024 vid: 53 iid: 7 pid: 622 pub: Oxford University Press / USA artinfo: ui: 178718750 10.1093/ageing/afae136 ppf: 1 ppct: 13 formats: tig: atl: Implementing the information system for older adult patients post-discharge self-management: a qualitative study. aug: au: Wang, Dorothy Yingxuan Wong, Eliza Lai-Yi Cheung, Annie Wai-Ling Tam, Zoe Pui-Yee Tang, Kam-Shing Yeoh, Eng-Kiong affil: JC School of Public Health and Primary Care, Faculty of Medicine, The Chinese University of Hong Kong , Hong Kong SAR , China Centre for Health Systems and Policy Research, JC School of Public Health and Primary Care, Faculty of Medicine, The Chinese University of Hong Kong , Hong Kong SAR , China Kwong Wah Hospital, Hospital Authority , Hong Kong SAR , China su: Nurses Intellect Self-management (Psychology) Human services programs Occupational roles Interprofessional relations Interviewing Content analysis Social factors Decision making Goal (Psychology) Professional identity Sound recordings Motivation (Psychology) Telephones Ability Memory Physicians Training Public hospitals Job involvement Research funding Thematic analysis Attitudes of medical personnel Research methodology Health information systems sug: subj: Nurses Intellect Self-management (Psychology) Human services programs Occupational roles Interprofessional relations Interviewing Content analysis Social factors Decision making Goal (Psychology) Professional identity Sound recordings Motivation (Psychology) Telephones Ability Memory Physicians Training Offices of physicians Offices of Physicians (except Mental Health Specialists) General Medical and Surgical Hospitals Record Production Sound recording merchant wholesalers Integrated Record Production/Distribution Electronic components, navigational and communications equipment and supplies merchant wholesalers Public hospitals Job involvement Research funding Thematic analysis Attitudes of medical personnel Research methodology Health information systems keyword: discharge information implementation science medication side effects older people post-discharge self-management qualitative research Theoretical Domains Framework discharge information implementation science medication side effects older people post-discharge self-management qualitative research Theoretical Domains Framework ab: Background Discharging older adult patients from the hospital poses risks due to their vulnerable conditions, complex instructions and limited health literacy. Insufficient information about medication side effects adds to patient concerns. To address this, a post-discharge information summary system was developed. While it has shown positive impacts, concerns exist regarding implementation fidelity. Objective This study employed a theory-driven approach to understand health providers' perspectives on effective implementation. Method Individual semi-structured interviews were conducted via telephone with nurses, doctors and pharmacists from local public hospitals. All interviews were audio-recorded and transcribed verbatim. Theoretical Domains Framework (TDF) was applied for direct content analysis. Belief statements were generated by thematic synthesis under each of the TDF domains. Results A total of 98 participants were interviewed. Out of the 49 belief statements covering eight TDF domains, 19 were determined to be highly relevant to the implementation of the post-discharge information summary system. These TDF domains include knowledge, skills, social/professional role and identity, beliefs about consequences, intentions, memory, attention and decision processes, environmental context and resources and social influences. Conclusion Our study contributes to the understanding of determinants in implementing discharge interventions for older adult patients' self-care. Our findings can inform tailored strategies for frontline staff, including aligning programme rationale with stakeholders, promoting staff engagement through co-creation, reinforcing positive programme outcomes and creating default settings. Future research should employ rigorous quantitative designs to examine the actual impact and relationships among these determinants. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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