Publication Date
5-4-2024
Document Type
Article
Publication Title
International Journal of Nursing Studies Advances
Volume
6
DOI
10.1016/j.ijnsa.2024.100203
Abstract
Background: System level demands and interpersonal barriers can disrupt nurse delivery of high-quality information at discharge, which can contribute to a lack of caregiver preparedness to manage care of the patient and ultimately affect patient health.
Objective: To synthesize evidence on effective nurse communication with informal caregivers during hospital discharge of adult patients with cognitive decline or Alzheimer's disease and related dementia.
Design: A scoping review of inpatient nurse communication with informal caregivers.
Methods: Collected research (published between 2011 and 2023) from three databases (MEDLINE, PsycINFO, and CINAHL), along with a separate search for gray literature (N = 18), to extract and synthesize recommended communication practices evidenced to improve the nurse care experience and support caregiver activation and preparedness.
Results: Extraction synthesis of strategies resulted in two themes with corresponding sub-themes: Support (Information exchange, Space and time to determine preparedness, and Positive reinforcement of caregiver efforts) and Structure (Setting shared expectations, Informational resources, and Standardization).
Conclusions: We offer practical recommendations for both interpersonal and policy level facilitation of nurse delivery of high-quality information at discharge to caregivers of patients with serious illness.
Creative Commons License
This work is licensed under a Creative Commons Attribution-Noncommercial-No Derivative Works 4.0 License.
Department
Communication Studies
Recommended Citation
Marie Haverfield, Gisselle De Leon, Angelica Johnson, Victoria L. Jackson, Geetali Basu, and Jane Dodge. "Transforming the discharge conversation through support and structure: A scoping review" International Journal of Nursing Studies Advances (2024). https://doi.org/10.1016/j.ijnsa.2024.100203
