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. 2024 Dec 1;27(4):446-461.
doi: 10.5770/cgj.27.734. eCollection 2024 Dec.

"How Can We Help You?" Older Adults' and Care Partners' Perspectives on Improving Care in Hospital: A Mixed Methods Study

Mercedes Lupo  1 , Eric Wong  2   3 , Christina Reppas-Rindlisbacher  2   4 , Justin Lee  1   5 , Christopher Gabor  6 , Christopher Patterson  1   5
Affiliations

"How Can We Help You?" Older Adults' and Care Partners' Perspectives on Improving Care in Hospital: A Mixed Methods Study

Mercedes Lupo et al. Can Geriatr J. .

Abstract

Background: Hospitalized older adults have unique physical, emotional, and psychosocial needs. We sought to understand older patients' and care partners' experiences with multicomponent interventions that support age-friendly care and identify areas for improvement.

Methods: We conducted a mixed methods study using surveys and interviews to explore older adult patients' (65 years or older) and their care partners' experiences with hospital-delivered multicomponent initiatives. We recruited participants from the Geriatric Rehabilitation (GRU) and Musculoskeletal (MSK) Rehabilitation units in a Canadian academic hospital from October 2021 to April 2022 until we reached data saturation and no new themes emerged.

Results: We recruited 18 participants, 10 patients (mean age 78 years, 80.0% female) and 8 care partners (mean age 61, 87.5% female). Surveys revealed overall positive experiences with multicomponent interventions. Interviews revealed five themes: 1) various forms of companionship for patients, 2) recreation and entertainment, 3) physical activity, 4) communication, and 5) pleasant physical environment. Having forms of companionship and proper communication with the care team were highlighted as areas of importance. Physical activity was highly valued, but participants expressed hesitation around safety of mobilizing without physiotherapists. Recreational activities helped distract from social isolation during a hospital stay and participants had diverse preferences for activities. Participants had strong memories of the physical environment, including the lack of natural light, institutionallike décor, and smells.

Conclusion: Companionship, recreation and entertainment, physical activity, communication, and the physical environment were important to hospitalized patients and their care partners. Hospital administrators and policy makers should consider these when targeting areas to improve care for the aging population.

Keywords: care partner experience; delirium; functional decline; hospitalized older adults; multicomponent interventions.

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Conflict of interest statement

CONFLICT OF INTEREST DISCLOSURES: We have read and understood the Canadian Geriatrics Journal’s policy on conflicts of interest disclosure and declare we have no conflicts of interest.

Figures

FIGURE 1
FIGURE 1
Outline of study participation
See this image and copyright information in PMC

References

    1. Wong K, Ryan D, Liu B. Senior friendly hospital care across Ontario: summary report and recommendations. Toronto: Ontario Local Health Integration Network; 2012. Available from: https://www.rgptoronto.ca/wp-content/uploads/2018/01/SFH_Provincial_Repo....
    1. Wong K, Ryan D, Liu B. A system-wide analysis using a senior-friendly hospital framework identifies current practices and opportunities for improvement in the care of hospitalized older adults. J Am Geriatr Soc. 2014 Nov;62(11):2163–70. doi: 10.1111/jgs.13097. https://doi.org/10.1111/jgs.13097 . - DOI - PubMed
    1. Government of Canada. Statistics Canada Population projections for Canada (2018 to 2068), provinces and territories (2018 to 2043) [Archived] Ottawa: Statistics Canada; 2019. Sep 17, Available from: https://www150.statcan.gc.ca/n1/en/pub/91-520-x/91-520-x2019001-eng.pdf?....
    1. Creditor M. Hazards of hospitalization in the elderly. Ann Intern Med. 1993 Feb;118(3):219–23. doi: 10.7326/0003-4819-118-3-199302010-00011. https://doi.org/10.7326/0003-4819-118-3-199302010-00011 . - DOI - PubMed
    1. Brown C, Foley K, Lowman J, MacLennan PA, Razjouyan J, Najafi B, et al. Comparison of posthospitalization function and community mobility in hospital mobility program and usual care patients: a randomized clinical trial. JAMA Intern Med. 2016;176(7):921–27. doi: 10.1001/jamainternmed.2016.1870. https://doi.org/10.1001/jamainternmed.2016.1870 . - DOI - PubMed

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