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Transitional Care from Hospital to Cardiac Rehabilitation During COVID-19: The Perspectives of Older Adults and Their Healthcare Providers

Transitional care to cardiac rehabilitation during the pandemic was a complex process for older adults, with additional challenges for decision-making and participation. This study aimed to explore the perspectives of older adults and health providers on transitional care from the hospital to cardia...

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Autores principales: Flores-Sandoval, Cecilia, Orange, Joseph B., Ryan, Bridget L., Adams, Tracey L., Suskin, Neville, McKelvie, Robert, Elliott, Jacobi, Sibbald, Shannon L.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10644752/
https://www.ncbi.nlm.nih.gov/pubmed/38026069
http://dx.doi.org/10.1177/23743735231213757
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author Flores-Sandoval, Cecilia
Orange, Joseph B.
Ryan, Bridget L.
Adams, Tracey L.
Suskin, Neville
McKelvie, Robert
Elliott, Jacobi
Sibbald, Shannon L.
author_facet Flores-Sandoval, Cecilia
Orange, Joseph B.
Ryan, Bridget L.
Adams, Tracey L.
Suskin, Neville
McKelvie, Robert
Elliott, Jacobi
Sibbald, Shannon L.
author_sort Flores-Sandoval, Cecilia
collection PubMed
description Transitional care to cardiac rehabilitation during the pandemic was a complex process for older adults, with additional challenges for decision-making and participation. This study aimed to explore the perspectives of older adults and health providers on transitional care from the hospital to cardiac rehabilitation, focusing on patient participation in decision-making. A qualitative exploratory design was used. Semi-structured interviews were conducted with 15 older adults and 6 healthcare providers. Document analysis and reflexive journaling were used to support triangulation of findings. Six themes emerged from the data, related to insufficient follow-up from providers, the importance of patients’ emotional and psychological health and the support provided by family members, the need for information tailored to patients’ needs and spaces for participation in decision-making, as well as challenges during COVID-19, including delayed medical procedures, rushed discharge and isolating hospital stays. The findings of this study indicated a number of potential gaps in the provision of transitional care services as reported by older adults who had a cardiovascular event, often during the first few weeks post hospital discharge.
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spelling pubmed-106447522023-11-13 Transitional Care from Hospital to Cardiac Rehabilitation During COVID-19: The Perspectives of Older Adults and Their Healthcare Providers Flores-Sandoval, Cecilia Orange, Joseph B. Ryan, Bridget L. Adams, Tracey L. Suskin, Neville McKelvie, Robert Elliott, Jacobi Sibbald, Shannon L. J Patient Exp COVID-19: Patient and Clinician Experiences Transitional care to cardiac rehabilitation during the pandemic was a complex process for older adults, with additional challenges for decision-making and participation. This study aimed to explore the perspectives of older adults and health providers on transitional care from the hospital to cardiac rehabilitation, focusing on patient participation in decision-making. A qualitative exploratory design was used. Semi-structured interviews were conducted with 15 older adults and 6 healthcare providers. Document analysis and reflexive journaling were used to support triangulation of findings. Six themes emerged from the data, related to insufficient follow-up from providers, the importance of patients’ emotional and psychological health and the support provided by family members, the need for information tailored to patients’ needs and spaces for participation in decision-making, as well as challenges during COVID-19, including delayed medical procedures, rushed discharge and isolating hospital stays. The findings of this study indicated a number of potential gaps in the provision of transitional care services as reported by older adults who had a cardiovascular event, often during the first few weeks post hospital discharge. SAGE Publications 2023-11-13 /pmc/articles/PMC10644752/ /pubmed/38026069 http://dx.doi.org/10.1177/23743735231213757 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/This article is distributed under the terms of the Creative Commons Attribution 4.0 License (https://creativecommons.org/licenses/by/4.0/) which permits any use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access page (https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle COVID-19: Patient and Clinician Experiences
Flores-Sandoval, Cecilia
Orange, Joseph B.
Ryan, Bridget L.
Adams, Tracey L.
Suskin, Neville
McKelvie, Robert
Elliott, Jacobi
Sibbald, Shannon L.
Transitional Care from Hospital to Cardiac Rehabilitation During COVID-19: The Perspectives of Older Adults and Their Healthcare Providers
title Transitional Care from Hospital to Cardiac Rehabilitation During COVID-19: The Perspectives of Older Adults and Their Healthcare Providers
title_full Transitional Care from Hospital to Cardiac Rehabilitation During COVID-19: The Perspectives of Older Adults and Their Healthcare Providers
title_fullStr Transitional Care from Hospital to Cardiac Rehabilitation During COVID-19: The Perspectives of Older Adults and Their Healthcare Providers
title_full_unstemmed Transitional Care from Hospital to Cardiac Rehabilitation During COVID-19: The Perspectives of Older Adults and Their Healthcare Providers
title_short Transitional Care from Hospital to Cardiac Rehabilitation During COVID-19: The Perspectives of Older Adults and Their Healthcare Providers
title_sort transitional care from hospital to cardiac rehabilitation during covid-19: the perspectives of older adults and their healthcare providers
topic COVID-19: Patient and Clinician Experiences
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10644752/
https://www.ncbi.nlm.nih.gov/pubmed/38026069
http://dx.doi.org/10.1177/23743735231213757
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