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A review of family carers' experiences of hospital discharge for people with dementia, and the rationale for involving service users in health research

Overview of attention for article published in Journal of Healthcare Leadership, June 2015
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Title
A review of family carers' experiences of hospital discharge for people with dementia, and the rationale for involving service users in health research
Published in
Journal of Healthcare Leadership, June 2015
DOI 10.2147/jhl.s70020
Pubmed ID
Authors

Carole Mockford

Abstract

In the UK, service user involvement is an important factor in health policy, and obtaining research funding. It may be helpful in expanding our knowledge in areas where research evidence is poor such as experiences of hospital discharge planning for the family carers of people with dementia. A rapid review. All study designs published in the English language were eligible for inclusion. Databases included: Medline, Embase, CINAHL, PsycInfo, Cochrane library and Web of Knowledge. A qualitative analysis was undertaken. Four themes were identified: preparation for hospital discharge - dissatisfaction with being kept informed, discharge arrangements and management of conditions; little time to prepare. Communication between staff and families at discharge - insufficient communication regarding services, not being listened to and being undervalued as a resource could compromise post-discharge care. Support services post discharge - carers need help negotiating, and working with, services with regard to timing, and meeting requirements. Coping post hospital discharge - inadequate understanding about ability to cope, and patient's impairment, and family conflict over care may lead to unnecessary re-admission to hospital, or long term care. Evidence of specialist dementia models at discharge is described. Carers are not always involved in hospital discharge planning as well as they might be. Issues are complex and depend on a number of factors. Poor communication can be overcome and carers can be better supported to cope post discharge as illustrated in the dementia models. The evidence base is weak but the absence of evidence does not indicate an absence of good practice. Carers who may feel their world is far removed from the academic world may not ordinarily participate in research studies. Service users, as co-researchers, may be able to improve trust and rapport between research and communities, collect fresh insights and gain deeper and more insightful data from participants.

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Mendeley readers

The data shown below were compiled from readership statistics for 43 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 43 100%

Demographic breakdown

Readers by professional status Count As %
Student > Master 11 26%
Researcher 6 14%
Student > Ph. D. Student 5 12%
Student > Bachelor 4 9%
Librarian 3 7%
Other 6 14%
Unknown 8 19%
Readers by discipline Count As %
Nursing and Health Professions 12 28%
Medicine and Dentistry 10 23%
Social Sciences 6 14%
Psychology 3 7%
Sports and Recreations 2 5%
Other 2 5%
Unknown 8 19%