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Perspectives of family caregivers and nurses on hospital discharge transitional care for Muslim older adults living with COPD: a qualitative study. | LitMetric

AI Article Synopsis

  • - The study investigates the challenges faced during hospital discharge for Muslim older adults with chronic obstructive pulmonary disease (COPD), highlighting barriers and facilitators from the perspectives of family caregivers and nurses.
  • - Five key barriers to effective transitional care were identified, including lack of knowledge about dyspnea management, inadequate discharge preparation, language barriers, discontinuity of care, and impacts from the COVID-19 pandemic.
  • - Conversely, three facilitators were found: caregivers' understanding of the Malayu language, having healthcare professionals of the same gender, and the involvement of Muslim healthcare providers; emphasizing the need for more supportive care for family caregivers.

Article Abstract

Background: The increased number of emergency department visits among older adults living with chronic obstructive pulmonary disease reflects the challenges of hospital discharge transition, especially in those from a cultural minority. The barriers and facilitators of this discharge from the perspective of formal and informal care providers, such as nurses and family caregivers, are important to identify to provide effective symptom management and quality of care. The purpose of this study was to describe the barriers and facilitators in caring for Muslim older adults with chronic obstructive pulmonary disease (COPD) during hospital discharge transitional care.

Methods: A descriptive qualitative study was conducted in a hospital of Thailand where Muslim people are a cultural minority. Thirteen family caregivers of Muslim older adults living with COPD and seven nurses were purposively recruited and participated in semi-structured interviews and focus group discussions. Content analysis was used to analyze the data.

Results: Five barriers and three facilitating factors of transitional care for Muslim older adults living with COPD were outlined. Barriers included: (1) lack of knowledge about the causes and management of dyspnea, (2) inadequate discharge preparation, (3) language barrier, (4) discontinuity of care, and (5) COVID-19 epidemic. Facilitators included: (1) the ability to understand Malayu language, (2) the presence of healthcare professionals of the same gender, and (3) the presence of Muslim healthcare providers.

Conclusion: Family caregivers require more supportive care to meet the care needs of Muslim older adults living with COPD. Alternative nurse-based transitional care programs for these older adult caregivers should be developed.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11044287PMC
http://dx.doi.org/10.1186/s12912-024-01943-8DOI Listing

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