|Laugaland, Kristin A
|Dyrstad, Dagrunn Nåden
|Aase, K. et al. (3013) Quality and safety in transitional care of the elderly: the study protocol of a case study research design (phase 1). BMJ Open 2013(3)
|This is an article originally published in BMJ Open; and distributed under Creative Commons Attribution Non Commercial (CC BY-NC 3.0). See doi: 10.1136/bmjopen-2013-003506.
Although international studies have
documented that patients
transitions between care
providers are associated with the risk of adverse events
and uncoordinated care, research directed towards the
quality and safety of transitional care between primary
and secondary health and care services, especially for
the elderly receiving care from multiple healthcare
providers due to complex health problems, is lacking.
This study investigates how different aspects of
transitional care can explain the quality and safety of
elderly healthcare services in Norway. The overall aim
of the study was to explore different aspects of
transitional care of the elderly, in different contexts and
how they might explain the quality and safety of care.
Methods and analysis: The study applies a case
study design. Two cases are chosen: one city-based
hospital and one rural hospital with associated nursing
homes and home-based nursing services. Admission
and discharge to/from hospital to/from nursing homes
or home-based nursing services constitute the main
focal areas of the study, including the patient, next-ofkin
and the professional perspective. The qualitative
methods employed include participant observation,
individual interviews and document analysis. To ensure
trustworthiness in the data analysis, we will apply
analyst triangulation and member checks. A total
impression of the data material will first be created in a
systematic text condensation approach. Second, the
qualitative data analysis will involve in-depth analyses
of two specific themes: the risk perspective and the
patient perspective in transitional care.
Ethics and dissemination: The study is approved by
the Norwegian Regional Committees for Medical and
Health Research Ethics. The study is based on informed
written consent, and informants can withdraw from the
study at any point in time. Interview and observation
data material will be managed confidentially.
Results: It will be disseminated at research conferences,
in peer-reviewed journals and through public
presentations to people outside the academic community.
|Navngivelse-Ikkekommersiell 3.0 Norge
|Quality and safety in transitional care of the elderly: The study protocol of a case study research design (Phase 1)
|VDP::Medical disciplines: 700::Health sciences: 800