Evidence map›Paper›PMID 23362507›Full record

ArticleBMJ quality & safety2013

Home-care nurses' perceptions of unmet information needs and communication difficulties of older patients in the immediate post-hospital discharge period.

Katrina M Romagnoli, Steven M Handler, Frank M Ligons, Harry Hochheiser

Abstract read
In one paragraph

Article in BMJ quality & safety, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

26 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Applying the Brief Interview for Mental Status in a Diverse Home Health Patient Population.Journal of the American Medical Directors Association · 2026
    Article
  4. Understanding the Role of Patients and Carers in a Virtual Hospital Through Journey Mapping: Multi-Method Triangulation Analysis.Health expectations : an international journal of public participation in health care and health policy · 2026
    Article
  5. Article
  6. Patient Portal Use during Home Health Care at an Academic Health System.Journal of the American Medical Directors Association · 2024
    Article
  7. Critical care nurses' experiences of communication-vulnerable patients in the intensive care unit and the influence on rendering compassionate care.The Southern African journal of critical care : the official journal of the Critical Care Society · 2024
    Article
  8. Article
  9. Article
  10. Article
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  14. Article
  15. Article
  16. Article
  17. Article
  18. A Patient Safety Toolkit for Family Practices.Journal of patient safety · 2020
    Article
  19. Incorporating home healthcare nurses' admission information needs to inform data standards.Journal of the American Medical Informatics Association : JAMIA · 2020
    Observational
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Katrina M RomagnoliDepartment of Biomedical Informatics, School of Medicine, University of Pittsburgh, 5607 Baum Boulevard, BAUM 417D, Pittsburgh, PA 15206-3701, USA. kak59@pitt.edu
Steven M Handler
Frank M Ligons
Harry Hochheiser

Funding

VARIABILITY, STABILITY & SMOOTHNESS OF WALKINGP30AG024827 · NIA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI JENNIFER S BRACH · 2004 to 2026
$28.6M
The internship in Biomedical Research, Informatics, and Computer Science (iBRIC): Biomedical Informatics and Data Science research experiences for students from Minority Serving InstitutionsT15LM007059 · NLM · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI HARRY S HOCHHEISER · 1987 to 2026
$23.9M
Pitt Integrated Clinical and Geroscience Research Training ProgramT32AG021885 · NIA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI Aditi U Gurkar · 2003 to 2026
$6.7M
Enhancing the Detection and Management of Adverse Drug Events in the Nursing HomeR01HS018721 · AHRQ · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI HANDLER, STEVEN MARK · 2010 to 2013
$2.0M
Longitudinal Impact of CNS Polypharmacy on Geriatric SyndromesR01AG027017 · NIA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI HANLON, JOSEPH T · 2006 to 2012
$801k
UPITT Program for Pharmaceutical Outcomes Research in AgingK07AG033174 · NIA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI HANLON, JOSEPH T · 2009 to 2013
$461k
AHRQ HHS R01 HS018721AHRQ HHS R01HS018721NIA NIH HHS 5-T32-AG021885NIA NIH HHS K07 AG033174NIA NIH HHS K07AG033174-01A1NIA NIH HHS P30 AG024827NIA NIH HHS P30AG024827NIA NIH HHS R01 AG027017NLM NIH HHS 5 T15 LM007059-26NLM NIH HHS T15 LM007059
6 · The paper itself

Abstract

objectiveTo understand home-care nurses' perceptions of the post-hospitalisation information needs and communication problems of older patients, and how these factors might contribute to undesirable outcomes including poor patient reintegration into prior living environments and unplanned hospital readmissions.

designA ranked list of information needs experienced by patients was developed by two Nominal Group Technique (NGT) sessions from the perspective of home-care nurses. The list was combined with results from previously published work to develop a web-based survey administered to home-care nurses to elicit perceptions of patients' post-hospitalisation information needs.

resultsSeventeen nurses participated in the NGT sessions, producing a list of 28 challenges grouped into five themes: medications, disease/condition, non-medication care/treatment/safety, functional limitations and communication problems. The survey was sent to 220 home-care nurses, with a 54.1% (119/220) response rate. Respondents identified several frequent, high-impact information and communication needs that have received little attention in readmission literature, including information about medication regimens; the severity of their condition; the hospital discharge management process; non-medication care regimens such as wound care, use of durable medical equipment and home safety; the extent of care needed; and which providers are best suited to provide that care. Responses also identified several communication difficulties that may play a role in readmissions.

conclusionsInformation needs and communication problems identified by home-care nurses expanded upon and reinforced results from prior studies. These results might be used to develop interventions that may improve information sharing among clinicians, patients and caregivers during care transitions to ensure patient reintegration into prior living environments, potentially preventing unplanned hospital readmissions.

Indexed as

CommunicationHealth Services Needs and DemandPerceptionAdultAgedFemaleHome Care ServicesHumansMaleMiddle AgedNurses, Community HealthPatient CompliancePatient DischargeSelf CareYoung Adult

Identifiers

PMID23362507
PMCPMC3694324

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.