Evidence map›Paper›PMID 36866630›Full record

ArticleInternational journal of qualitative studies on health and well-being2023

Reducing risks in complex care transitions in rural areas: a grounded theory.

Idun Winqvist, Ulla Näppä, Helén Rönning, Marie Häggström

Abstract read
In one paragraph

Article in International journal of qualitative studies on health and well-being, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

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

  1. Pooled it
  2. Article
  3. 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.

Idun WinqvistDepartment of Health Sciences, Mid Sweden University, Östersund and Sundsvall, Sweden.ORCID 0000-0002-3184-7883
Ulla NäppäDepartment of Health Sciences, Mid Sweden University, Östersund and Sundsvall, Sweden.ORCID 0000-0003-3075-0833
Helén RönningDepartment of Health Sciences, Mid Sweden University, Östersund and Sundsvall, Sweden.ORCID 0000-0001-8945-6458
Marie HäggströmDepartment of Health Sciences, Mid Sweden University, Östersund and Sundsvall, Sweden.ORCID 0000-0002-9936-8395

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeAlthough previous research indicates that care transitions differ between rural and urban areas, the knowledge of challenges related to care transitions in rural areas appears limited. This study aimed to provide a deeper understanding of what registered nurses' perceive as the main concerns in care transitions from hospital care to home healthcare in rural areas, and how they handle these during the care transition process.

methodsA Constructivist Grounded Theory method based on individual interviews with 21 registered nurses.

resultsThe main concern in the transition process was "Care coordination in a complex context". The complexity stemmed from several environmental and organizational factors, creating a messy and fragmented context for registered nurses to navigate. The core category "Actively communicating to reduce patient safety risks" was explained by the three categories- "Collaborating on expected care needs", "Anticipating obstacles" and "Timing the departure".

conclusionsThe study shows a very complex and stressed process that includes several organizations and actors. Reducing risks during the transition process can be facilitated by clear guidelines, tools for communication across organizations and sufficient staffing.

Indexed as

Home Care ServicesPatient TransferCommunicationGrounded TheoryHumansKnowledgeCare transitionsdischargegrounded theoryhome healthcarehospital careinter-organizational cooperationnursingrural health services

Identifiers

PMID36866630
PMCPMC9987724

What OpenQuestion holds

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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.