Mockford, Carole (2015) A review of family carers' experiences of hospital discharge for people with dementia and the rationale for involving service users in health research. Journal of Healthcare Leadership, Volume 7 . pp. 21-28. doi:10.2147/JHL.S70020 ISSN 1179-3201.

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Abstract

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.

Methods:
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.

Results:
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.

Discussion:
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.
Conclusion: 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.

Item Type:	Journal Article
Subjects:	R Medicine > RA Public aspects of medicine R Medicine > RT Nursing
Divisions:	Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences > Warwick Research in Nursing > Royal College of Nursing Research Institute (RCN) (- July 2017) Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School
Library of Congress Subject Headings (LCSH):	Senile dementia, Hospitals -- Admission and discharge, Hospitals -- After care, Older people -- Care
Journal or Publication Title:	Journal of Healthcare Leadership
Publisher:	Dove Medical Press
ISSN:	1179-3201
Official Date:	22 June 2015
Dates:	Date Event 22 June 2015 Published 14 April 2015 Accepted 18 March 2015 Submitted
Volume:	Volume 7
Number of Pages:	8
Page Range:	pp. 21-28
DOI:	10.2147/JHL.S70020
Status:	Peer Reviewed
Publication Status:	Published
Access rights to Published version:	Open Access (Creative Commons)
Date of first compliant deposit:	28 July 2016
Date of first compliant Open Access:	28 July 2016

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