CoChat
Sign Up
Cited by 35Dementia and Cognitive Impairment ResearchPalliative Care and End-of-Life IssuesNursing care and research

Hospital discharge: recommendations for performance improvement for family carers of people with dementia

Fitzgerald, Leslie R., Bauer, Michael, Koch, Susan H., King, Susan J.·2011·Australian Health Review
DOI 10.1071/ah09811
Open this paper in CoChat — free account

Abstract

Background.: It is acknowledge that discharge planning benefits both consumers and hospitals. What is not widely understood is the experience that the family carer of a person with a dementia has and whether the hospitals meet their in-hospital and post-hospital needs. Objective.: To explore whether metropolitan and rural hospital discharge practices meet the needs of the family carer of a person with dementia. Results.: Although this and other research indicates that a continuum of care model is beneficial to family caregivers, no evidence has been identified that family carers currently experience this type of quality planning. Family carers were often unaware of the existence of a hospital discharge plan and were rarely engaged in communication about the care of their family member with a dementia or prepared for discharge. Conclusion and recommendations.: Discharge planning processes for family carers of people with dementia could be substantially improved. It is recommended that hospitals develop policy, process and procedures that take into account the family carer’s needs, develop key performance indicators and adopt best practice standards that direct discharge planning activities and early engagement of the family carer in healthcare decisions. It is recommended that health professionals be educated on communication, consultation and needs of family carers. What is known about the topic?: The literature shows discharge planning can increase in patient and caregiver satisfaction, reduce post-discharge anxiety, reduce unplanned readmissions and reduce post-discharge complications and mortality. To be effective, discharge planning requires interdisciplinary collaboration; yet for people with a dementia there are insufficient system processes to support discharge planning, routine breakdowns in communication between patient, family caregivers and health professionals and inadequate admission and aftercare plans. There is little known about the discharge planning as it effects the family carer’s of people with dementia. What does this paper add?: This research provides evidence of the family carer’s experience of metropolitan and rural hospital discharge as it relates to planning, preparation and support. It investigates how well the discharge planning process met the needs of the family carer and what improvements are required if hospital discharge planning is to be more effective. The research identifies a range of initiatives that hospital and health professionals can implement to improve current discharge practices for family carers of people with dementia. What are the implications for practitioners?: This report makes recommendations for changes to hospital health systems and the discharge practices of health professionals. Hospitals need to develop policy, process and procedure that take into account family carer’s needs, develop key performance indicators that measure discharge planning practices, and adopt best practice activities that include such items as early engagement of the primary carer’s, the identification of a liaison health professional and implementation of a policy that requires family carers to be involved in and notified of an impending discharge. It is recommended that health professionals be educated on the needs of family carers as it relates to communication and consultation. The primary carer is involved in discussions and decisions about in-hospital and post-hospital treatment regimes and is in agreement with, and competent in, post-discharge treatments, therapies and support services.

Integrity signals

Registry

Crossref · 10.1071/ah09811

Cites

28 of 28 references verified0 citation errors · 0 not checkable

Statistics

Recomputing p-values needs the paper’s full text.

Claims the paper makes

This paper’s full text isn’t openly available, so its claims and self-check weren’t run. The registry and citation checks still apply.

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

Cites

Flagged first, then by citations

Cited by

Sorted by citations

Related

Authors
Fitzgerald, L. R., Bauer, M., Koch, S. H., & King, S. J.
Affiliations
  • ALa Trobe University, PO Box 199 Bendigo, VIC 3550, Australia.
  • La Trobe University (AU)
  • CRoyal District Nursing Service, 31 Alma Road, St Kilda, VIC 3182, Australia. Email: skoch@rdns.com.au
ORCID
Bauer, Michael
Venue
Australian Health Review
Publisher
CSIRO Publishing
Published
2011-08-25
Volume
35
Issue
3
Pages
364-370
ISSN
  • 0156-5788 (ISSN-L)
  • 1449-8944
DOI
10.1071/ah09811
OpenAlex
W2144940255
Cited by
35
References
28
Citations by year
2025: 1 · 2024: 3 · 2021: 5 · 2020: 5 · 2019: 4 · 2018: 2 · 2017: 3 · 2016: 1 · 2015: 4 · 2014: 6 · 2013: 1
FWCI
1.53
Type
journal article
Language
en
Open access
closed
Licence
doi.org/10.1071/journalslicense (vor, 5121 d)
Locations
  • Australian Health Review (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Palliative Care and End-of-Life Issues
  • Health Sciences › Health Professions › Pharmacy › Nursing care and research
Keywords
discharge planning, family caregivers, dementia, continuity of care, caregiver involvement, performance indicators, caregiver communication, follow-up care
MeSH terms
Continuity of Patient Care, Dementia, Female, Hospitals, Municipal, Hospitals, Rural, Humans, Male, Patient Discharge, Caregivers

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review