Category: Geriatric Rehabilitation; Health Services Research
Objective(s) : To explore what is known in the literature about the experiences of patients with hip fracture and their caregivers during care transitions.
Data Sources : The following keywords were used to search electronic databases and grey literature for articles published between January 2000 and July 2018: hip fracture, care continuum, transitional care, patient transfer, care transitions. The following databases were searched: Psych INFO, Embase, CINAHL, Medline, Allied and Complementary Medicine Database, Applied Social Sciences Index and Abstracts, and Cochrane Database for Systematic Reviews.
Study Selection : Articles were included if they met the following criteria: (1) included patients with hip fracture; (2) described patient and caregiver experiences with care transitions. The initial search yielded 1107 unique articles. Two independent reviewers screened the articles for inclusion, and disagreements were resolved by consensus.
Data Extraction : The reviewers independently extracted the following data from the included articles: study design, sample characteristics, description of the patients’ care journey, intervention characteristics and study outcomes.
Data Synthesis : This review identified three challenges commonly encountered by patients and caregivers during care transitions: lack of information sharing; role confusion; and disorganized discharge planning. The most commonly reported suggestions in the literature to improve care transitions were: increasing written communication; offering a patient representative role; using technology for knowledge dissemination; and increasing geriatrician involvement.
Conclusions : This scoping review identified that the experiences of caregivers and patients with hip fracture during care transitions have not been widely studied. This analysis highlights the need for future research to guide the development of strategies designed to promote safe and effective care transitions.
Maliha Asif– Research Assistant, University of Toronto, Toronto, Ontario
Lauren Cadel– Student, University of Toronto, Toronto, Ontario
Kerry Kuluski– Scientist and Assistant Professor, Lunenfeld-Tanenbaum Research Institute, Sinai Health System, Toronto, Ontario
Amanda Everall– Research Officer, Leslie Dan Faculty of Pharmacy, University of Toronto, Toronto, Ontario
Sara Guilcher– Assistant Professor, University of Toronto, Toronto, Ontario