Use of participatory visual narrative methods to explore older adults’ experiences of managing multiple chronic conditions during care transitions View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2018-12

AUTHORS

Chantal Backman, Dawn Stacey, Michelle Crick, Danielle Cho-Young, Patricia B. Marck

ABSTRACT

BACKGROUND: Older adults with multiple chronic conditions typically have more complex care needs that require multiple transitions between healthcare settings. Poor care transitions often lead to fragmentation in care, decreased quality of care, and increased adverse events. Emerging research recommends the strong need to engage patients and families to improve the quality of their care. However, there are gaps in evidence on the most effective approaches for fully engaging patients/clients and families in their transitional care. The purpose of this study was to engage older adults with multiple chronic conditions and their family members in the detailed exploration of their experiences during transitions across health care settings and identify potential areas for future interventions. METHODS: This was a qualitative study using participatory visual narrative methods informed by a socio-ecological perspective. Narrated photo walkabouts were conducted with older adults and family members (n = 4 older adults alone, n = 3 family members alone, and n = 2 older adult/family member together) between February and September 2016. The data analysis of the transcripts consisted of an iterative process until consensus on the coding and analysis was reached. RESULTS: A common emerging theme was that older adults and their family members identified the importance of active involvement in managing their own care transitions. Other themes included positive experiences during care transitions; accessing community services and resources; as well as challenges with follow-up care. Participants also felt a lack of meaningful engagement during discharge planning, and they also identified the presence of systemic barriers in care transitions. CONCLUSION: The results contribute to our understanding that person- and family-centered care transitions should focus on the need for active involvement of older adults and their families in managing care transitions. Based on the results, three areas for improvement specific to older adults managing chronic conditions during care transitions emerged: strengthening support for person- and family-centered care, engaging older adults and families in their care transitions, and providing better support and resources. More... »

PAGES

482

Identifiers

URI

http://scigraph.springernature.com/pub.10.1186/s12913-018-3292-6

DOI

http://dx.doi.org/10.1186/s12913-018-3292-6

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1105016489

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/29925369


Indexing Status Check whether this publication has been indexed by Scopus and Web Of Science using the SN Indexing Status Tool
Incoming Citations Browse incoming citations for this publication using opencitations.net

JSON-LD is the canonical representation for SciGraph data.

TIP: You can open this SciGraph record using an external JSON-LD service: JSON-LD Playground Google SDTT

[
  {
    "@context": "https://springernature.github.io/scigraph/jsonld/sgcontext.json", 
    "about": [
      {
        "id": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/1117", 
        "inDefinedTermSet": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/", 
        "name": "Public Health and Health Services", 
        "type": "DefinedTerm"
      }, 
      {
        "id": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/11", 
        "inDefinedTermSet": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/", 
        "name": "Medical and Health Sciences", 
        "type": "DefinedTerm"
      }
    ], 
    "author": [
      {
        "affiliation": {
          "alternateName": "Ottawa Hospital", 
          "id": "https://www.grid.ac/institutes/grid.412687.e", 
          "name": [
            "School of Nursing, Faculty of Health Sciences, University of Ottawa, 451, Smyth Rd, RGN 3239, K1H 8M5, Ottawa, ON, Canada", 
            "Ottawa Hospital Research Institute, 451, Smyth Road, K1H 8M5, Ottawa, ON, Canada"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Backman", 
        "givenName": "Chantal", 
        "id": "sg:person.01326411174.58", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01326411174.58"
        ], 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "Ottawa Hospital", 
          "id": "https://www.grid.ac/institutes/grid.412687.e", 
          "name": [
            "School of Nursing, Faculty of Health Sciences, University of Ottawa, 451, Smyth Rd, RGN 3239, K1H 8M5, Ottawa, ON, Canada", 
            "Ottawa Hospital Research Institute, 451, Smyth Road, K1H 8M5, Ottawa, ON, Canada"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Stacey", 
        "givenName": "Dawn", 
        "id": "sg:person.01213267166.57", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01213267166.57"
        ], 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "University of Ottawa", 
          "id": "https://www.grid.ac/institutes/grid.28046.38", 
          "name": [
            "School of Nursing, Faculty of Health Sciences, University of Ottawa, 451, Smyth Rd, RGN 3239, K1H 8M5, Ottawa, ON, Canada"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Crick", 
        "givenName": "Michelle", 
        "id": "sg:person.013742233474.55", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.013742233474.55"
        ], 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "University of Ottawa", 
          "id": "https://www.grid.ac/institutes/grid.28046.38", 
          "name": [
            "School of Nursing, Faculty of Health Sciences, University of Ottawa, 451, Smyth Rd, RGN 3239, K1H 8M5, Ottawa, ON, Canada"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Cho-Young", 
        "givenName": "Danielle", 
        "id": "sg:person.014537614074.56", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.014537614074.56"
        ], 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "University of Victoria", 
          "id": "https://www.grid.ac/institutes/grid.143640.4", 
          "name": [
            "Faculty of Human and Social Development, University of Victoria, STN CSC, PO Box 1700, V8W 2Y2, Victoria, BC, Canada"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Marck", 
        "givenName": "Patricia B.", 
        "id": "sg:person.01257060643.36", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01257060643.36"
        ], 
        "type": "Person"
      }
    ], 
    "citation": [
      {
        "id": "sg:pub.10.1186/1472-6963-13-227", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1005656253", 
          "https://doi.org/10.1186/1472-6963-13-227"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1191/1478088706qp063oa", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1006039333"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1111/j.1532-5415.2004.52504.x", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1009294018"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/jac.0b013e318249e0fd", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1011137328"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/jac.0b013e318249e0fd", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1011137328"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/00000446-200608000-00020", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1014783532"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/00000446-200608000-00020", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1014783532"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1377/hlthaff.2009.0888", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1016369892"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1136/bmjqs-2012-001207", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1016441070"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1136/bmjqs-2012-001207", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1016441070"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "sg:pub.10.1007/s11606-015-3185-x", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1017264146", 
          "https://doi.org/10.1007/s11606-015-3185-x"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1377/hlthaff.28.1.75", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1018060284"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1080/14725860220137345", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1018630474"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/jac.0b013e31824a579b", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1018920212"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/jac.0b013e31824a579b", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1018920212"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1002/msj.21332", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1020335090"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1377/hlthaff.2012.1133", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1020911978"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1002/14651858.cd000011.pub4", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1021608774"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/j.ajic.2007.08.007", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1021692346"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/j.soncn.2013.02.008", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1026840656"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1136/qshc.2005.015453", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1027977833"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1136/qshc.2005.015453", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1027977833"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1503/cmaj.140289", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1028544572"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1046/j.1532-5415.2003.51185.x", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1029722456"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/j.ajic.2010.07.017", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1031743544"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1093/intqhc/mzm042", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1032997221"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/j.arr.2011.03.003", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1034699297"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "sg:pub.10.1186/s12913-015-1193-5", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1034984404", 
          "https://doi.org/10.1186/s12913-015-1193-5"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1136/qshc.2005.016527", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1035910669"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1136/qshc.2005.016527", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1035910669"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "sg:pub.10.1046/j.1525-1497.2002.10209.x", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1037506539", 
          "https://doi.org/10.1046/j.1525-1497.2002.10209.x"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/hcm.0000000000000106", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1040382067"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/hcm.0000000000000106", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1040382067"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/hcm.0000000000000106", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1040382067"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1377/hlthaff.2011.0923", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1042912447"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1377/hlthaff.2009.0520", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1043212898"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1111/j.1365-2524.2011.01032.x", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1044735554"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1136/bmj.39246.581169.80", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1045096033"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1056/nejmp1109283", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1045984962"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1111/j.1365-2702.2008.02685.x", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1046929493"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1111/j.1365-2702.2008.02685.x", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1046929493"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1001/jama.297.8.831", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1047530282"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1046/j.1532-5415.2003.51186.x", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1047751514"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1111/j.1748-3743.2012.00314.x", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1053215606"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1177/1077558712465774", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1053945744"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1177/1077558712465774", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1053945744"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1177/1077558713496318", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1054008362"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1177/1077558713496318", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1054008362"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1177/1460458212467547", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1064003519"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1177/1460458212467547", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1064003519"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.12927/hcq..18926", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1064754131"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.7326/0003-4819-138-3-200302040-00007", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1073706064"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://app.dimensions.ai/details/publication/pub.1076836666", 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://app.dimensions.ai/details/publication/pub.1077825933", 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.3233/wor-2012-0544-2915", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1078514684"
        ], 
        "type": "CreativeWork"
      }
    ], 
    "datePublished": "2018-12", 
    "datePublishedReg": "2018-12-01", 
    "description": "BACKGROUND: Older adults with multiple chronic conditions typically have more complex care needs that require multiple transitions between healthcare settings. Poor care transitions often lead to fragmentation in care, decreased quality of care, and increased adverse events. Emerging research recommends the strong need to engage patients and families to improve the quality of their care. However, there are gaps in evidence on the most effective approaches for fully engaging patients/clients and families in their transitional care. The purpose of this study was to engage older adults with multiple chronic conditions and their family members in the detailed exploration of their experiences during transitions across health care settings and identify potential areas for future interventions.\nMETHODS: This was a qualitative study using participatory visual narrative methods informed by a socio-ecological perspective. Narrated photo walkabouts were conducted with older adults and family members (n\u2009=\u20094 older adults alone, n\u2009=\u20093 family members alone, and n\u2009=\u20092 older adult/family member together) between February and September 2016. The data analysis of the transcripts consisted of an iterative process until consensus on the coding and analysis was reached.\nRESULTS: A common emerging theme was that older adults and their family members identified the importance of active involvement in managing their own care transitions. Other themes included positive experiences during care transitions; accessing community services and resources; as well as challenges with follow-up care. Participants also felt a lack of meaningful engagement during discharge planning, and they also identified the presence of systemic barriers in care transitions.\nCONCLUSION: The results contribute to our understanding that person- and family-centered care transitions should focus on the need for active involvement of older adults and their families in managing care transitions. Based on the results, three areas for improvement specific to older adults managing chronic conditions during care transitions emerged: strengthening support for person- and family-centered care, engaging older adults and families in their care transitions, and providing better support and resources.", 
    "genre": "research_article", 
    "id": "sg:pub.10.1186/s12913-018-3292-6", 
    "inLanguage": [
      "en"
    ], 
    "isAccessibleForFree": true, 
    "isPartOf": [
      {
        "id": "sg:journal.1327417", 
        "issn": [
          "1472-6963"
        ], 
        "name": "BMC Health Services Research", 
        "type": "Periodical"
      }, 
      {
        "issueNumber": "1", 
        "type": "PublicationIssue"
      }, 
      {
        "type": "PublicationVolume", 
        "volumeNumber": "18"
      }
    ], 
    "name": "Use of participatory visual narrative methods to explore older adults\u2019 experiences of managing multiple chronic conditions during care transitions", 
    "pagination": "482", 
    "productId": [
      {
        "name": "readcube_id", 
        "type": "PropertyValue", 
        "value": [
          "e291fca7b49d956ea3d3eb095f5a556afdc8f3163029d92156454eaf64381d1c"
        ]
      }, 
      {
        "name": "pubmed_id", 
        "type": "PropertyValue", 
        "value": [
          "29925369"
        ]
      }, 
      {
        "name": "nlm_unique_id", 
        "type": "PropertyValue", 
        "value": [
          "101088677"
        ]
      }, 
      {
        "name": "doi", 
        "type": "PropertyValue", 
        "value": [
          "10.1186/s12913-018-3292-6"
        ]
      }, 
      {
        "name": "dimensions_id", 
        "type": "PropertyValue", 
        "value": [
          "pub.1105016489"
        ]
      }
    ], 
    "sameAs": [
      "https://doi.org/10.1186/s12913-018-3292-6", 
      "https://app.dimensions.ai/details/publication/pub.1105016489"
    ], 
    "sdDataset": "articles", 
    "sdDatePublished": "2019-04-10T14:24", 
    "sdLicense": "https://scigraph.springernature.com/explorer/license/", 
    "sdPublisher": {
      "name": "Springer Nature - SN SciGraph project", 
      "type": "Organization"
    }, 
    "sdSource": "s3://com-uberresearch-data-dimensions-target-20181106-alternative/cleanup/v134/2549eaecd7973599484d7c17b260dba0a4ecb94b/merge/v9/a6c9fde33151104705d4d7ff012ea9563521a3ce/jats-lookup/v90/0000000001_0000000264/records_8660_00000604.jsonl", 
    "type": "ScholarlyArticle", 
    "url": "https://link.springer.com/10.1186%2Fs12913-018-3292-6"
  }
]
 

Download the RDF metadata as:  json-ld nt turtle xml License info

HOW TO GET THIS DATA PROGRAMMATICALLY:

JSON-LD is a popular format for linked data which is fully compatible with JSON.

curl -H 'Accept: application/ld+json' 'https://scigraph.springernature.com/pub.10.1186/s12913-018-3292-6'

N-Triples is a line-based linked data format ideal for batch operations.

curl -H 'Accept: application/n-triples' 'https://scigraph.springernature.com/pub.10.1186/s12913-018-3292-6'

Turtle is a human-readable linked data format.

curl -H 'Accept: text/turtle' 'https://scigraph.springernature.com/pub.10.1186/s12913-018-3292-6'

RDF/XML is a standard XML format for linked data.

curl -H 'Accept: application/rdf+xml' 'https://scigraph.springernature.com/pub.10.1186/s12913-018-3292-6'


 

This table displays all metadata directly associated to this object as RDF triples.

234 TRIPLES      21 PREDICATES      72 URIs      21 LITERALS      9 BLANK NODES

Subject Predicate Object
1 sg:pub.10.1186/s12913-018-3292-6 schema:about anzsrc-for:11
2 anzsrc-for:1117
3 schema:author Ncf270b36ee674a2395eaea8b5e259feb
4 schema:citation sg:pub.10.1007/s11606-015-3185-x
5 sg:pub.10.1046/j.1525-1497.2002.10209.x
6 sg:pub.10.1186/1472-6963-13-227
7 sg:pub.10.1186/s12913-015-1193-5
8 https://app.dimensions.ai/details/publication/pub.1076836666
9 https://app.dimensions.ai/details/publication/pub.1077825933
10 https://doi.org/10.1001/jama.297.8.831
11 https://doi.org/10.1002/14651858.cd000011.pub4
12 https://doi.org/10.1002/msj.21332
13 https://doi.org/10.1016/j.ajic.2007.08.007
14 https://doi.org/10.1016/j.ajic.2010.07.017
15 https://doi.org/10.1016/j.arr.2011.03.003
16 https://doi.org/10.1016/j.soncn.2013.02.008
17 https://doi.org/10.1046/j.1532-5415.2003.51185.x
18 https://doi.org/10.1046/j.1532-5415.2003.51186.x
19 https://doi.org/10.1056/nejmp1109283
20 https://doi.org/10.1080/14725860220137345
21 https://doi.org/10.1093/intqhc/mzm042
22 https://doi.org/10.1097/00000446-200608000-00020
23 https://doi.org/10.1097/hcm.0000000000000106
24 https://doi.org/10.1097/jac.0b013e318249e0fd
25 https://doi.org/10.1097/jac.0b013e31824a579b
26 https://doi.org/10.1111/j.1365-2524.2011.01032.x
27 https://doi.org/10.1111/j.1365-2702.2008.02685.x
28 https://doi.org/10.1111/j.1532-5415.2004.52504.x
29 https://doi.org/10.1111/j.1748-3743.2012.00314.x
30 https://doi.org/10.1136/bmj.39246.581169.80
31 https://doi.org/10.1136/bmjqs-2012-001207
32 https://doi.org/10.1136/qshc.2005.015453
33 https://doi.org/10.1136/qshc.2005.016527
34 https://doi.org/10.1177/1077558712465774
35 https://doi.org/10.1177/1077558713496318
36 https://doi.org/10.1177/1460458212467547
37 https://doi.org/10.1191/1478088706qp063oa
38 https://doi.org/10.12927/hcq..18926
39 https://doi.org/10.1377/hlthaff.2009.0520
40 https://doi.org/10.1377/hlthaff.2009.0888
41 https://doi.org/10.1377/hlthaff.2011.0923
42 https://doi.org/10.1377/hlthaff.2012.1133
43 https://doi.org/10.1377/hlthaff.28.1.75
44 https://doi.org/10.1503/cmaj.140289
45 https://doi.org/10.3233/wor-2012-0544-2915
46 https://doi.org/10.7326/0003-4819-138-3-200302040-00007
47 schema:datePublished 2018-12
48 schema:datePublishedReg 2018-12-01
49 schema:description BACKGROUND: Older adults with multiple chronic conditions typically have more complex care needs that require multiple transitions between healthcare settings. Poor care transitions often lead to fragmentation in care, decreased quality of care, and increased adverse events. Emerging research recommends the strong need to engage patients and families to improve the quality of their care. However, there are gaps in evidence on the most effective approaches for fully engaging patients/clients and families in their transitional care. The purpose of this study was to engage older adults with multiple chronic conditions and their family members in the detailed exploration of their experiences during transitions across health care settings and identify potential areas for future interventions. METHODS: This was a qualitative study using participatory visual narrative methods informed by a socio-ecological perspective. Narrated photo walkabouts were conducted with older adults and family members (n = 4 older adults alone, n = 3 family members alone, and n = 2 older adult/family member together) between February and September 2016. The data analysis of the transcripts consisted of an iterative process until consensus on the coding and analysis was reached. RESULTS: A common emerging theme was that older adults and their family members identified the importance of active involvement in managing their own care transitions. Other themes included positive experiences during care transitions; accessing community services and resources; as well as challenges with follow-up care. Participants also felt a lack of meaningful engagement during discharge planning, and they also identified the presence of systemic barriers in care transitions. CONCLUSION: The results contribute to our understanding that person- and family-centered care transitions should focus on the need for active involvement of older adults and their families in managing care transitions. Based on the results, three areas for improvement specific to older adults managing chronic conditions during care transitions emerged: strengthening support for person- and family-centered care, engaging older adults and families in their care transitions, and providing better support and resources.
50 schema:genre research_article
51 schema:inLanguage en
52 schema:isAccessibleForFree true
53 schema:isPartOf N3808b1750fe14023a6bf30b663cd469a
54 N3e31706b6394449b89cda5942c72a0e4
55 sg:journal.1327417
56 schema:name Use of participatory visual narrative methods to explore older adults’ experiences of managing multiple chronic conditions during care transitions
57 schema:pagination 482
58 schema:productId N2fdf2f377d3648e1af9bb931b49649aa
59 N53e461b4b3344e29969da3ab3973571c
60 N5dc0a371de934d2c9094e01ab7d01c40
61 Na8bf1a713af04f838a2338ea69acc0db
62 Nb149e846c02c46289202896cae61bec5
63 schema:sameAs https://app.dimensions.ai/details/publication/pub.1105016489
64 https://doi.org/10.1186/s12913-018-3292-6
65 schema:sdDatePublished 2019-04-10T14:24
66 schema:sdLicense https://scigraph.springernature.com/explorer/license/
67 schema:sdPublisher Neb79fd43faf042eb90fa03443d705ff7
68 schema:url https://link.springer.com/10.1186%2Fs12913-018-3292-6
69 sgo:license sg:explorer/license/
70 sgo:sdDataset articles
71 rdf:type schema:ScholarlyArticle
72 N12978f8366734dfa8252aa85868a87bb rdf:first sg:person.01213267166.57
73 rdf:rest N8aec0abfbd1347608a1a0912083e349d
74 N263f55224f254e7a95739c79a058b50c rdf:first sg:person.01257060643.36
75 rdf:rest rdf:nil
76 N2fdf2f377d3648e1af9bb931b49649aa schema:name pubmed_id
77 schema:value 29925369
78 rdf:type schema:PropertyValue
79 N3808b1750fe14023a6bf30b663cd469a schema:volumeNumber 18
80 rdf:type schema:PublicationVolume
81 N3e31706b6394449b89cda5942c72a0e4 schema:issueNumber 1
82 rdf:type schema:PublicationIssue
83 N53e461b4b3344e29969da3ab3973571c schema:name doi
84 schema:value 10.1186/s12913-018-3292-6
85 rdf:type schema:PropertyValue
86 N5dc0a371de934d2c9094e01ab7d01c40 schema:name nlm_unique_id
87 schema:value 101088677
88 rdf:type schema:PropertyValue
89 N6b53773db0f24ee7a19aa83a44321fe7 rdf:first sg:person.014537614074.56
90 rdf:rest N263f55224f254e7a95739c79a058b50c
91 N8aec0abfbd1347608a1a0912083e349d rdf:first sg:person.013742233474.55
92 rdf:rest N6b53773db0f24ee7a19aa83a44321fe7
93 Na8bf1a713af04f838a2338ea69acc0db schema:name readcube_id
94 schema:value e291fca7b49d956ea3d3eb095f5a556afdc8f3163029d92156454eaf64381d1c
95 rdf:type schema:PropertyValue
96 Nb149e846c02c46289202896cae61bec5 schema:name dimensions_id
97 schema:value pub.1105016489
98 rdf:type schema:PropertyValue
99 Ncf270b36ee674a2395eaea8b5e259feb rdf:first sg:person.01326411174.58
100 rdf:rest N12978f8366734dfa8252aa85868a87bb
101 Neb79fd43faf042eb90fa03443d705ff7 schema:name Springer Nature - SN SciGraph project
102 rdf:type schema:Organization
103 anzsrc-for:11 schema:inDefinedTermSet anzsrc-for:
104 schema:name Medical and Health Sciences
105 rdf:type schema:DefinedTerm
106 anzsrc-for:1117 schema:inDefinedTermSet anzsrc-for:
107 schema:name Public Health and Health Services
108 rdf:type schema:DefinedTerm
109 sg:journal.1327417 schema:issn 1472-6963
110 schema:name BMC Health Services Research
111 rdf:type schema:Periodical
112 sg:person.01213267166.57 schema:affiliation https://www.grid.ac/institutes/grid.412687.e
113 schema:familyName Stacey
114 schema:givenName Dawn
115 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01213267166.57
116 rdf:type schema:Person
117 sg:person.01257060643.36 schema:affiliation https://www.grid.ac/institutes/grid.143640.4
118 schema:familyName Marck
119 schema:givenName Patricia B.
120 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01257060643.36
121 rdf:type schema:Person
122 sg:person.01326411174.58 schema:affiliation https://www.grid.ac/institutes/grid.412687.e
123 schema:familyName Backman
124 schema:givenName Chantal
125 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01326411174.58
126 rdf:type schema:Person
127 sg:person.013742233474.55 schema:affiliation https://www.grid.ac/institutes/grid.28046.38
128 schema:familyName Crick
129 schema:givenName Michelle
130 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.013742233474.55
131 rdf:type schema:Person
132 sg:person.014537614074.56 schema:affiliation https://www.grid.ac/institutes/grid.28046.38
133 schema:familyName Cho-Young
134 schema:givenName Danielle
135 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.014537614074.56
136 rdf:type schema:Person
137 sg:pub.10.1007/s11606-015-3185-x schema:sameAs https://app.dimensions.ai/details/publication/pub.1017264146
138 https://doi.org/10.1007/s11606-015-3185-x
139 rdf:type schema:CreativeWork
140 sg:pub.10.1046/j.1525-1497.2002.10209.x schema:sameAs https://app.dimensions.ai/details/publication/pub.1037506539
141 https://doi.org/10.1046/j.1525-1497.2002.10209.x
142 rdf:type schema:CreativeWork
143 sg:pub.10.1186/1472-6963-13-227 schema:sameAs https://app.dimensions.ai/details/publication/pub.1005656253
144 https://doi.org/10.1186/1472-6963-13-227
145 rdf:type schema:CreativeWork
146 sg:pub.10.1186/s12913-015-1193-5 schema:sameAs https://app.dimensions.ai/details/publication/pub.1034984404
147 https://doi.org/10.1186/s12913-015-1193-5
148 rdf:type schema:CreativeWork
149 https://app.dimensions.ai/details/publication/pub.1076836666 schema:CreativeWork
150 https://app.dimensions.ai/details/publication/pub.1077825933 schema:CreativeWork
151 https://doi.org/10.1001/jama.297.8.831 schema:sameAs https://app.dimensions.ai/details/publication/pub.1047530282
152 rdf:type schema:CreativeWork
153 https://doi.org/10.1002/14651858.cd000011.pub4 schema:sameAs https://app.dimensions.ai/details/publication/pub.1021608774
154 rdf:type schema:CreativeWork
155 https://doi.org/10.1002/msj.21332 schema:sameAs https://app.dimensions.ai/details/publication/pub.1020335090
156 rdf:type schema:CreativeWork
157 https://doi.org/10.1016/j.ajic.2007.08.007 schema:sameAs https://app.dimensions.ai/details/publication/pub.1021692346
158 rdf:type schema:CreativeWork
159 https://doi.org/10.1016/j.ajic.2010.07.017 schema:sameAs https://app.dimensions.ai/details/publication/pub.1031743544
160 rdf:type schema:CreativeWork
161 https://doi.org/10.1016/j.arr.2011.03.003 schema:sameAs https://app.dimensions.ai/details/publication/pub.1034699297
162 rdf:type schema:CreativeWork
163 https://doi.org/10.1016/j.soncn.2013.02.008 schema:sameAs https://app.dimensions.ai/details/publication/pub.1026840656
164 rdf:type schema:CreativeWork
165 https://doi.org/10.1046/j.1532-5415.2003.51185.x schema:sameAs https://app.dimensions.ai/details/publication/pub.1029722456
166 rdf:type schema:CreativeWork
167 https://doi.org/10.1046/j.1532-5415.2003.51186.x schema:sameAs https://app.dimensions.ai/details/publication/pub.1047751514
168 rdf:type schema:CreativeWork
169 https://doi.org/10.1056/nejmp1109283 schema:sameAs https://app.dimensions.ai/details/publication/pub.1045984962
170 rdf:type schema:CreativeWork
171 https://doi.org/10.1080/14725860220137345 schema:sameAs https://app.dimensions.ai/details/publication/pub.1018630474
172 rdf:type schema:CreativeWork
173 https://doi.org/10.1093/intqhc/mzm042 schema:sameAs https://app.dimensions.ai/details/publication/pub.1032997221
174 rdf:type schema:CreativeWork
175 https://doi.org/10.1097/00000446-200608000-00020 schema:sameAs https://app.dimensions.ai/details/publication/pub.1014783532
176 rdf:type schema:CreativeWork
177 https://doi.org/10.1097/hcm.0000000000000106 schema:sameAs https://app.dimensions.ai/details/publication/pub.1040382067
178 rdf:type schema:CreativeWork
179 https://doi.org/10.1097/jac.0b013e318249e0fd schema:sameAs https://app.dimensions.ai/details/publication/pub.1011137328
180 rdf:type schema:CreativeWork
181 https://doi.org/10.1097/jac.0b013e31824a579b schema:sameAs https://app.dimensions.ai/details/publication/pub.1018920212
182 rdf:type schema:CreativeWork
183 https://doi.org/10.1111/j.1365-2524.2011.01032.x schema:sameAs https://app.dimensions.ai/details/publication/pub.1044735554
184 rdf:type schema:CreativeWork
185 https://doi.org/10.1111/j.1365-2702.2008.02685.x schema:sameAs https://app.dimensions.ai/details/publication/pub.1046929493
186 rdf:type schema:CreativeWork
187 https://doi.org/10.1111/j.1532-5415.2004.52504.x schema:sameAs https://app.dimensions.ai/details/publication/pub.1009294018
188 rdf:type schema:CreativeWork
189 https://doi.org/10.1111/j.1748-3743.2012.00314.x schema:sameAs https://app.dimensions.ai/details/publication/pub.1053215606
190 rdf:type schema:CreativeWork
191 https://doi.org/10.1136/bmj.39246.581169.80 schema:sameAs https://app.dimensions.ai/details/publication/pub.1045096033
192 rdf:type schema:CreativeWork
193 https://doi.org/10.1136/bmjqs-2012-001207 schema:sameAs https://app.dimensions.ai/details/publication/pub.1016441070
194 rdf:type schema:CreativeWork
195 https://doi.org/10.1136/qshc.2005.015453 schema:sameAs https://app.dimensions.ai/details/publication/pub.1027977833
196 rdf:type schema:CreativeWork
197 https://doi.org/10.1136/qshc.2005.016527 schema:sameAs https://app.dimensions.ai/details/publication/pub.1035910669
198 rdf:type schema:CreativeWork
199 https://doi.org/10.1177/1077558712465774 schema:sameAs https://app.dimensions.ai/details/publication/pub.1053945744
200 rdf:type schema:CreativeWork
201 https://doi.org/10.1177/1077558713496318 schema:sameAs https://app.dimensions.ai/details/publication/pub.1054008362
202 rdf:type schema:CreativeWork
203 https://doi.org/10.1177/1460458212467547 schema:sameAs https://app.dimensions.ai/details/publication/pub.1064003519
204 rdf:type schema:CreativeWork
205 https://doi.org/10.1191/1478088706qp063oa schema:sameAs https://app.dimensions.ai/details/publication/pub.1006039333
206 rdf:type schema:CreativeWork
207 https://doi.org/10.12927/hcq..18926 schema:sameAs https://app.dimensions.ai/details/publication/pub.1064754131
208 rdf:type schema:CreativeWork
209 https://doi.org/10.1377/hlthaff.2009.0520 schema:sameAs https://app.dimensions.ai/details/publication/pub.1043212898
210 rdf:type schema:CreativeWork
211 https://doi.org/10.1377/hlthaff.2009.0888 schema:sameAs https://app.dimensions.ai/details/publication/pub.1016369892
212 rdf:type schema:CreativeWork
213 https://doi.org/10.1377/hlthaff.2011.0923 schema:sameAs https://app.dimensions.ai/details/publication/pub.1042912447
214 rdf:type schema:CreativeWork
215 https://doi.org/10.1377/hlthaff.2012.1133 schema:sameAs https://app.dimensions.ai/details/publication/pub.1020911978
216 rdf:type schema:CreativeWork
217 https://doi.org/10.1377/hlthaff.28.1.75 schema:sameAs https://app.dimensions.ai/details/publication/pub.1018060284
218 rdf:type schema:CreativeWork
219 https://doi.org/10.1503/cmaj.140289 schema:sameAs https://app.dimensions.ai/details/publication/pub.1028544572
220 rdf:type schema:CreativeWork
221 https://doi.org/10.3233/wor-2012-0544-2915 schema:sameAs https://app.dimensions.ai/details/publication/pub.1078514684
222 rdf:type schema:CreativeWork
223 https://doi.org/10.7326/0003-4819-138-3-200302040-00007 schema:sameAs https://app.dimensions.ai/details/publication/pub.1073706064
224 rdf:type schema:CreativeWork
225 https://www.grid.ac/institutes/grid.143640.4 schema:alternateName University of Victoria
226 schema:name Faculty of Human and Social Development, University of Victoria, STN CSC, PO Box 1700, V8W 2Y2, Victoria, BC, Canada
227 rdf:type schema:Organization
228 https://www.grid.ac/institutes/grid.28046.38 schema:alternateName University of Ottawa
229 schema:name School of Nursing, Faculty of Health Sciences, University of Ottawa, 451, Smyth Rd, RGN 3239, K1H 8M5, Ottawa, ON, Canada
230 rdf:type schema:Organization
231 https://www.grid.ac/institutes/grid.412687.e schema:alternateName Ottawa Hospital
232 schema:name Ottawa Hospital Research Institute, 451, Smyth Road, K1H 8M5, Ottawa, ON, Canada
233 School of Nursing, Faculty of Health Sciences, University of Ottawa, 451, Smyth Rd, RGN 3239, K1H 8M5, Ottawa, ON, Canada
234 rdf:type schema:Organization
 




Preview window. Press ESC to close (or click here)


...