Engaging patients and families in communication across transitions of care: An integrative review
Open accessAbstract
Objective To determine the current evidence about patient and family engagement in communication with health professionals during transitions of care to, within and from acute care settings. Methods An integrative review using seven international databases was conducted for 2003-2017. Forty eligible studies were analysed and synthesised using framework synthesis. Results Four themes: 1) Partnering in care: patients and families should be partners in decision-making and care; 2) Augmenting communication during transitions: intrinsic and extrinsic factors supported transition communication between patients, families and health professionals; 3) Impeding information exchange: the difficulties faced by patients and families taking an active role in transition; and 4) Outcomes of communication during transitions: reported experiences for patients, families and health professionals. Conclusion While attitudes towards engaging patients and family in transition communication in acute settings are generally positive, current practices are variable. Structural supports for practice are not always present. Practice implications Organisational strategies to improve communication must incorporate an understanding of patient needs. A structured approach which considers timing, privacy, location and appropriateness for patients and families is needed. Communication training is required for patients, families and health professionals. Health professionals must respect a patient's right to be…
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Communication and information transfer across care settings are critical for promoting continuity of care.
“Research highlights that communication and information transfer across care settings are critical for promoting continuity of care [37].”
From Experiences of family caregivers of patients with end-of-life cancer during the transition from hospital to home palliative care: a qualitative study (2024) · cites this paper as [37]
Cites
Hibbard, J. H., & Greene, J. (2013) · Health Affairs · doi:10.1377/hlthaff.2012.1061 · Cited by 1,787 · see citing works
Pluye, P., Gagnon, M.-P., Griffiths, F., & Johnson-Lafleur, J. (2009) · International Journal of Nursing Studies · doi:10.1016/j.ijnurstu.2009.01.009 · Cited by 1,119 · see citing works
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Xu, Y., Liu, Y., Kang, Y., Wang, D., Zhou, Y., Wu, L., & Yuan, L. (2024) · BMC Palliative Care · doi:10.1186/s12904-024-01559-4 · Cited by 41 · see citing works
“Research highlights that communication and information transfer across care settings are critical for promoting continuity of care [37].”
BackgroundGuo, P., Pinto, C., Edwards, B., Pask, S., Firth, A., O’Brien, S., & Murtagh, F. E. (2022) · Palliative Medicine · doi:10.1177/02692163211043371 · Cited by 37 · see citing works
- Authors
- Bucknall, T. K., Hutchinson, A. M., Botti, M., McTier, L., Rawson, H., Hitch, D., Hewitt, N., Digby, R., Fossum, M., McMurray, A., Marshall, A. P., Gillespie, B. M., & Chaboyer, W.
- Affiliations
- Deakin University (AU)
- Corresponding author
- Bucknall, Tracey K.
- ORCID
- Venue
- Patient Education and Counseling
- Publisher
- Elsevier BV
- Published
- 2020-06
- Volume
- 103
- Issue
- 6
- Pages
- 1104-1117
- ISSN
- 0738-3991 (ISSN-L)
- OpenAlex
- W3003675482
- Cited by
- 54
- References
- 2
- Citations by year
- 2026: 8 · 2025: 17 · 2024: 9 · 2023: 8 · 2022: 5 · 2021: 7
- FWCI
- 1.37
- Type
- journal article
- Language
- en
- Open access
- green
- figshare.com
- Locations
- Patient Education and Counseling (publishedVersion)
- PubMed (publishedVersion)
- Figshare (submittedVersion, cc-by)
- Griffith Research Online (submittedVersion, other-oa)
- Funders
- Australian Commission on Safety and Quality in Health Care
- Topics
- Health Sciences › Health Professions › Radiological and Ultrasound Technology › Family and Patient Care in Intensive Care Units
- Health Sciences › Medicine › Emergency Medicine › Hospital Admissions and Outcomes
- Health Sciences › Health Professions › General Health Professions › Patient-Provider Communication in Healthcare
- Keywords
- patient engagement, family involvement, care transitions, patient-provider communication, shared decision-making, patient and family involvement, communication barriers, communication training, patient information rights, acute care settings
- MeSH terms
- Communication, Decision Making, Family, Health Personnel, Humans, Interpersonal Relations, Patient Participation, Patient-Centered Care
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