Evidence map›Paper›PMID 35549738›Full record

ArticleHuman factors2024

Older Adult Patients and Care Partners as Knowledge Brokers in Fragmented Health Care.

Kathryn L Wust, Pascale Carayon, Nicole E Werner, Peter L T Hoonakker, Megan E Salwei, Rachel Rutkowski, Hanna J Barton, Paula V W Dail, Barbara King, Brian W Patterson and 3 more

Abstract read
In one paragraph

Article in Human factors, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 2 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

8 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Marginal Dispositions and Shared Decision-Making Among Older Adults in the ED: A Prospective Cohort Study.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2026
    Article
  4. Article
  5. Article
  6. Article
  7. Care Partner's Experience with Care Received in the Emergency Department.Convergence : breaking down barriers between disciplines : proceedings of the International Conference on Healthcare Systems Ergonomics and Patient Safety, HEPS2022. HEPS (Conference) (7th : 2022 : Delft, Netherlands) · 2024
    Article
  8. Review
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

13 authors.

Kathryn L WustUniversity of Wisconsin-Madison, USA.ORCID 0000-0002-3775-1321
Pascale CarayonUniversity of Wisconsin-Madison, USA.
Nicole E WernerUniversity of Wisconsin-Madison, USA.
Peter L T HoonakkerUniversity of Wisconsin-Madison, USA.
Megan E SalweiVanderbilt University Medical Center, Nashville, Tennessee, USA.
Rachel RutkowskiUniversity of Wisconsin-Madison, USA.
Hanna J BartonUniversity of Wisconsin-Madison, USA.
Paula V W DailUniversity of Wisconsin-Madison, USA.
Barbara KingUniversity of Wisconsin-Madison, USA.
Brian W PattersonUniversity of Wisconsin-Madison, USA.
Michael S PuliaUniversity of Wisconsin-Madison, USA.
Manish N ShahUniversity of Wisconsin-Madison, USA.
Maureen SmithUniversity of Wisconsin-Madison, USA.

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
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 UL1 TR002373NIA NIH HHS K24 AG054560
6 · The paper itself

Abstract

objectiveTo describe older adult patients' and care partners' knowledge broker roles during emergency department (ED) visits.

backgroundOlder adult patients are vulnerable to communication and coordination challenges during an ED visit, which can be exacerbated by the time and resource constrained ED environment. Yet, as a constant throughout the patient journey, patients and care partners can act as an information conduit, or knowledge broker, between fragmented care systems to attain high-quality, safe care.

methodsParticipants included 14 older adult patients (

resultsWe found that patients and care partners act as knowledge brokers by providing information about diagnostic testing, medications, the patient's health history, and care accommodations at the disposition location. Patients and care partners filled the role of knowledge broker proactively (i.e. offer information) and reactively (i.e. are asked to provide information by clinicians or staff), within-ED work system and across work systems (e.g., between the ED and hospital), and in anticipation of future knowledge brokering.

conclusionPatients and care partners, acting as knowledge brokers, often fill gaps in communication and participate in care coordination that assists in mitigating health care fragmentation.

Indexed as

CaregiversEmergency Service, HospitalAgedCommunicationDelivery of Health CareHumanscare fragmentationcare transitions and handoffsemergency medicinepatient engagement and self-carepatient-provider communicationpatient safetywork system

Identifiers

PMID35549738
PMCPMC10402098

What OpenQuestion holds

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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.