ArticleJournal of clinical nursing2018
A qualitative study of older adults' and family caregivers' perspectives regarding their preoperative care transitions.
Article in Journal of clinical nursing, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
What it found
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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.
The trial behind it
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Who cites it
8 citing papers in PubMed.
- Detection of postoperative delirium by family and caregivers: Evaluation of the family confusion assessment method (FAM-CAM).Journal of clinical anesthesia · 2025Trial
- Prevalence and Characteristics of Prehabilitation Utilization Among Older Medicare Beneficiaries Undergoing Elective Inpatient Lower Extremity Joint Replacement.Archives of physical medicine and rehabilitation · 2026Article
- Mapping the evidence on support for family caregivers in total knee arthroplasty recovery: a scoping review.BMC nursing · 2026Article
- Perceptions of Hospital Care Quality According to People Living With Multiple Long-Term Conditions: A Scoping Review.Health expectations : an international journal of public participation in health care and health policy · 2025Article
- Experiences of hospital care for people with multiple long-term conditions: a scoping review of qualitative research.BMC medicine · 2024Article
- Appraisal and patient-reported outcomes following total hip arthroplasty: a longitudinal cohort study.Journal of patient-reported outcomes · 2022Article
- Geriatric Preoperative Optimization: A Review.The American journal of medicine · 2022Review
- Family Caregiver Strain and Challenges When Caring for Orthopedic Patients: A Systematic Review.Journal of clinical medicine · 2020Review
Corrections and comments
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Authors and funding
3 authors.
Funding
Abstract
AIMS AND
objectivesTo explore how older patients with multiple chronic conditions and their family caregivers perceive their engagement and overall care experience throughout the preoperative phase of elective orthopaedic hip or knee joint replacement.
backgroundPatient engagement is a critical component of care necessary for improving patient outcomes. Little is known about how older adults with multiple chronic conditions and their family caregivers engage in preoperative care transitions and the subsequent impact of this experience on postoperative health outcomes.
designProspective qualitative descriptive design was used.
methodsSemi-structured telephone interviews with a convenience sample of older adults coping with multiple chronic conditions and their family caregivers. Interviews were conducted prior to surgery and, again 21 days postsurgery, were audio-recorded and transcribed for qualitative content analysis. The Quality Health Outcomes Model was used to categorise study findings.
resultsEleven patients and five family caregivers participated. Guided by the Quality Health Outcomes Model, four major themes were identified. (i) Older adults perceive that joint replacement is about quality of life. (ii) Standardised interventions often fail to address the unique needs of complex older adults. (iii) Family caregivers perceive they are the primary care coordinators. (iv) Postoperative outcomes and resource utilisation vary widely in complex older adults.
conclusionFindings suggest that current preoperative care interventions are often not designed to effectively engage complex older patients and their family caregivers. Coordinated patient-centred preoperative care that reflects the needs and goals of complex older patients and their family caregivers may positively influence perioperative care transitions and outcomes beyond this episode of care. RELEVANCE TO CLINICAL PRACTICE: The current research documents the need for more in-depth knowledge about the relationship between older adults' and their family caregivers' engagement preoperatively and postoperative outcomes and resource utilisation.
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