Evidence map›Paper›PMID 34157478›Full record

ArticleApplied ergonomics2021

Disparate perspectives: Exploring healthcare professionals' misaligned mental models of older adults' transitions of care between the emergency department and skilled nursing facility.

Nicole E Werner, Rachel A Rutkowski, Sheryl Krause, Hanna J Barton, Kathryn Wust, Peter Hoonakker, Barbara King, Manish N Shah, Michael S Pulia, Maria Brenny-Fitzpatrick and 2 more

Open access · bronzeAbstract read
In one paragraph

Article in Applied ergonomics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.7field-weighted citation impact, top 16% of its field
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

5 citing papers in PubMed, 10 citations in OpenAlex.

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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

12 authors at 2 institutions in 1 country.

Nicole E WernerUniversity of Wisconsin-Madison Industrial and Systems, 1513 University Avenue WI Madison, Wisconsin 53706, United States. Electronic address: nwerner3@wisc.edu.
Rachel A RutkowskiUniversity of Wisconsin-Madison Industrial and Systems, 1513 University Avenue WI Madison, Wisconsin 53706, United States.
Sheryl KrauseUniversity of Wisconsin-Madison Industrial and Systems, 1513 University Avenue WI Madison, Wisconsin 53706, United States.
Hanna J BartonUniversity of Wisconsin-Madison Industrial and Systems, 1513 University Avenue WI Madison, Wisconsin 53706, United States.
Kathryn WustUniversity of Wisconsin-Madison Industrial and Systems, 1513 University Avenue WI Madison, Wisconsin 53706, United States.
Peter HoonakkerUniversity of Wisconsin-Madison Industrial and Systems, 1513 University Avenue WI Madison, Wisconsin 53706, United States.
Barbara KingUniversity of Wisconsin-Madison Industrial and Systems, 1513 University Avenue WI Madison, Wisconsin 53706, United States.
Manish N ShahUniversity of Wisconsin-Madison Industrial and Systems, 1513 University Avenue WI Madison, Wisconsin 53706, United States.
Michael S PuliaUniversity of Wisconsin-Madison Industrial and Systems, 1513 University Avenue WI Madison, Wisconsin 53706, United States.
Maria Brenny-FitzpatrickUniversity of Wisconsin-Madison Industrial and Systems, 1513 University Avenue WI Madison, Wisconsin 53706, United States.
Maureen SmithUniversity of Wisconsin-Madison Industrial and Systems, 1513 University Avenue WI Madison, Wisconsin 53706, United States.
Pascale CarayonUniversity of Wisconsin-Madison Industrial and Systems, 1513 University Avenue WI Madison, Wisconsin 53706, United States.
University of Wisconsin–Madison · USUniversity of Wisconsin System · US

Funding

University of Wisconsin Institute for Clinical and Translational ResearchUL1TR002373 · NCATS · UNIVERSITY OF WISCONSIN-MADISON · PI ELIZABETH S BURNSIDE, Allan R. Brasier · 2017 to 2026
$75.9M
Institutional Clinical and Translational Science AwardUL1TR000427 · NCATS · UNIVERSITY OF WISCONSIN-MADISON · PI DREZNER, MARC KENNETH · 2012 to 2016
$32.2M
Institutional Career Development CoreKL2TR002374 · NCATS · UNIVERSITY OF WISCONSIN-MADISON · PI Bo Liu, Marin Leigh Schweizer · 2017 to 2026
$9.7M
Engineering Safe Care Journeys for Vulnerable Older AdultsR18HS026624 · AHRQ · UNIVERSITY OF WISCONSIN-MADISON · PI SMITH, MAUREEN A, WERNER, NICOLE E · 2018 to 2021
$2.5M
Mentoring and Research in Patient-Oriented Geriatric Emergency CareK24AG054560 · NIA · UNIVERSITY OF WISCONSIN-MADISON · PI SHAH, MANISH N · 2017 to 2021
$955k
AHRQ HHS R18 HS026624NCATS NIH HHS KL2 TR002374NCATS NIH HHS UL1 TR000427NCATS NIH HHS UL1 TR002373NIA NIH HHS K24 AG054560
6 · The paper itself

Abstract

Care transitions that occur across healthcare system boundaries represent a unique challenge for maintaining high quality care and patient safety, as these systems are typically not aligned to perform the care transition process. We explored healthcare professionals' mental models of older adults' transitions between the emergency department (ED) and skilled nursing facility (SNF). We conducted a thematic analysis of interviews with ED and SNF healthcare professionals and identified three themes: 1) ED and SNF healthcare professionals had misaligned mental models regarding communication processes and tools used during care transitions, 2) ED and SNF healthcare professionals had misaligned mental models regarding healthcare system capability, and 3) Misalignments led to individual and organizational consequences. Overall, we found that SNF and ED healthcare professionals are part of the same process but have different perceptions of the process. Future work must take steps to redesign and realign these distinct work systems such that those involved conceptualize themselves as part of a joint process.

Indexed as

Patient TransferSkilled Nursing FacilitiesAgedDelivery of Health CareEmergency Service, HospitalHumansModels, PsychologicalCare transitionsEmergency departmentMacroergonomicsMental modelsOlder adultsSkilled nursing facility

Identifiers

PMID34157478
PMCPMC8320066
OpenAlexW3176341363

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.