Improving Communications With Patients and Families in Geriatric Care. The How, When, and What
There has been little published literature examining the unique communication challenges older adults pose for health care providers. Using an explanatory mixed-methods design, this study explored patients’ and their family/caregivers’ experiences communicating with health care providers on a Canadi...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
SAGE Publishing
2021-07-01
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| Series: | Journal of Patient Experience |
| Online Access: | https://doi.org/10.1177/23743735211034047 |
| _version_ | 1818655762653642752 |
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| author | Shirley Chien-Chieh Huang MD, MSc, MScHQ Alden Morgan BSc Vanessa Peck MA, MSW, RSW Lara Khoury MD |
| author_facet | Shirley Chien-Chieh Huang MD, MSc, MScHQ Alden Morgan BSc Vanessa Peck MA, MSW, RSW Lara Khoury MD |
| author_sort | Shirley Chien-Chieh Huang MD, MSc, MScHQ |
| collection | DOAJ |
| description | There has been little published literature examining the unique communication challenges older adults pose for health care providers. Using an explanatory mixed-methods design, this study explored patients’ and their family/caregivers’ experiences communicating with health care providers on a Canadian tertiary care, inpatient Geriatric unit between March and September 2018. In part 1, the modified patient–health care provider communication scale was used and responses scored using a 5-point scale. In part 2, one-on-one telephone interviews were conducted and responses transcribed, coded, and thematically analyzed. Thirteen patients and 7 family/caregivers completed part 1. Both groups scored items pertaining to adequacy of information sharing and involvement in decision-making in the lowest 25th percentile. Two patients and 4 family/caregivers participated in telephone interviews in part 2. Interview transcript analysis resulted in key themes that fit into the “How, When, and What” framework outlining the aspects of communication most important to the participants. Patients and family/caregivers identified strategic use of written information and predischarge family meetings as potentially valuable tools to improve communication and shared decision-making. |
| first_indexed | 2024-12-17T03:14:51Z |
| format | Article |
| id | doaj.art-3732713942b840499644490a6d668a0e |
| institution | Directory Open Access Journal |
| issn | 2374-3743 |
| language | English |
| last_indexed | 2024-12-17T03:14:51Z |
| publishDate | 2021-07-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Journal of Patient Experience |
| spelling | doaj.art-3732713942b840499644490a6d668a0e2022-12-21T22:05:43ZengSAGE PublishingJournal of Patient Experience2374-37432021-07-01810.1177/23743735211034047Improving Communications With Patients and Families in Geriatric Care. The How, When, and WhatShirley Chien-Chieh Huang MD, MSc, MScHQ0Alden Morgan BSc1Vanessa Peck MA, MSW, RSW2Lara Khoury MD3 Department of Medicine, Division of Geriatric Medicine, University of Ottawa, The Ottawa Hospital, and the Ottawa Hospital Research Institute, Ontario, Canada Faculty of Medicine, University of Ottawa and The Ottawa Hospital, Ontario, Canada The Ottawa Hospital, Ontario, Canada Department of Medicine, Division of Geriatric Medicine, University of Ottawa, The Ottawa Hospital, and the Ottawa Hospital Research Institute, Ontario, CanadaThere has been little published literature examining the unique communication challenges older adults pose for health care providers. Using an explanatory mixed-methods design, this study explored patients’ and their family/caregivers’ experiences communicating with health care providers on a Canadian tertiary care, inpatient Geriatric unit between March and September 2018. In part 1, the modified patient–health care provider communication scale was used and responses scored using a 5-point scale. In part 2, one-on-one telephone interviews were conducted and responses transcribed, coded, and thematically analyzed. Thirteen patients and 7 family/caregivers completed part 1. Both groups scored items pertaining to adequacy of information sharing and involvement in decision-making in the lowest 25th percentile. Two patients and 4 family/caregivers participated in telephone interviews in part 2. Interview transcript analysis resulted in key themes that fit into the “How, When, and What” framework outlining the aspects of communication most important to the participants. Patients and family/caregivers identified strategic use of written information and predischarge family meetings as potentially valuable tools to improve communication and shared decision-making.https://doi.org/10.1177/23743735211034047 |
| spellingShingle | Shirley Chien-Chieh Huang MD, MSc, MScHQ Alden Morgan BSc Vanessa Peck MA, MSW, RSW Lara Khoury MD Improving Communications With Patients and Families in Geriatric Care. The How, When, and What Journal of Patient Experience |
| title | Improving Communications With Patients and Families in Geriatric Care. The How, When, and What |
| title_full | Improving Communications With Patients and Families in Geriatric Care. The How, When, and What |
| title_fullStr | Improving Communications With Patients and Families in Geriatric Care. The How, When, and What |
| title_full_unstemmed | Improving Communications With Patients and Families in Geriatric Care. The How, When, and What |
| title_short | Improving Communications With Patients and Families in Geriatric Care. The How, When, and What |
| title_sort | improving communications with patients and families in geriatric care the how when and what |
| url | https://doi.org/10.1177/23743735211034047 |
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