Performance-Shaping Factors Affecting Older Adults' Hospital-to-Home Transition Success: A Systems Approach

The Gerontologist
Nicole WernerRichard J Holden

Abstract

Facilitating older adults' successful hospital-to-home transitions remains a persistent challenge. To address this challenge, we applied a systems lens to identify and understand the performance-shaping factors (PSFs) related older adults' hospital-to-home transition success. This study was a secondary analysis of semi-structured interviews from older adults (N = 31) recently discharged from a hospital and their informal caregivers (N = 13). We used a Human Factors Engineering approach to guide qualitative thematic analysis to develop four themes concerning the system conditions shaping hospital-to-home transition success. The four themes concerning PSFs were: (a) the hospital-to-home transition was a complex multiphase process-the process unfolded over several months and required substantial, persistent investment/effort; (b) there were unmet needs for specialized tools-information and resources provided at hospital discharge were not aligned with requirements for transition success; (c) alignment of self-care routines with transition needs-pre-hospitalization routines could be supportive/disruptive and could deteriorate/be re-established; and (d) changing levels of work demand and capacity during the transition-demand often e...Continue Reading

References

Feb 1, 1993·Annals of Internal Medicine·M C Creditor
Dec 3, 1999·Ergonomics·E HollnagelH C Lee
Feb 1, 2003·Annals of Internal Medicine·Alan J ForsterDavid W Bates
May 26, 2004·Public Health Reports·Gerard Anderson, Jane Horvath
Oct 7, 2004·Annals of Internal Medicine·Eric A Coleman, Robert A Berenson
Jun 8, 2006·Applied Ergonomics·Pascale Carayon
Oct 16, 2007·Journal of Hospital Medicine : an Official Publication of the Society of Hospital Medicine·Sunil KripalaniEric A Coleman
Feb 27, 2008·Archives of Internal Medicine·Helen M FernandezRosanne M Leipzig
Feb 5, 2009·Annals of Internal Medicine·Brian W JackLarry Culpepper
Apr 3, 2009·The New England Journal of Medicine·Stephen F JencksEric A Coleman
Dec 7, 2010·Journal of the American Medical Informatics Association : JAMIA·Calvin K L OrPatricia Flatley Brennan
May 28, 2011·Applied Ergonomics·Harshada PatelJohn R Wilson
Aug 23, 2012·Journal of Clinical Epidemiology·Nathan D ShippeeVictor M Montori
Mar 6, 2013·Annals of Internal Medicine·Stephanie RennkeSumant R Ranji
May 28, 2013·Applied Ergonomics·Ben-Tzion KarshRichard J Holden
Jan 2, 2015·The Neurohospitalist·Stephanie Rennke, Sumant R Ranji
Jul 7, 2015·Investigación Y Educación En Enfermería·Diana Marcela Achury SaldañaHerly Alvarado Romero
Mar 10, 2016·BMJ Quality & Safety·Leora I Horwitz
Jul 19, 2016·Journal for Healthcare Quality : Official Publication of the National Association for Healthcare Quality·Nicole E WernerAlicia I Arbaje
Aug 28, 2016·Quality of Life Research : an International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation·David T EtonRoger T Anderson
May 23, 2017·Journal of Biomedical Informatics·Jane ChungGeorge Demiris

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Citations

Oct 6, 2019·Western Journal of Nursing Research·Catherine CallisterChristine D Jones
Mar 7, 2020·Nursing Administration Quarterly·Lisa M Derrick, Kara Mangold
Oct 28, 2019·Applied Ergonomics·Richard J HoldenRupa S Valdez
Jun 20, 2021·Journal of the American Geriatrics Society·Daniel LiebzeitNicole E Werner

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