Integrating family caregivers in older adults’ hospital stays: A needed cultural shift Journal Article


Authors: Muntefering, C.; Kastrinos, A.; McAndrew, N. S.; Ahrens, M.; Applebaum, A. J.; Bangerter, L.; Fields, B.
Article Title: Integrating family caregivers in older adults’ hospital stays: A needed cultural shift
Abstract: Objectives: This study aimed to examine perceived barriers and facilitators to caregiver inclusion in the hospital care of older adult family members or friends through the perspectives of (1) hospitalized older adults, (2) caregivers of a hospitalized older adult, (3) healthcare clinicians, and (4) policymakers. Methods: This qualitative descriptive exploratory study utilized semi-structured interviews with N = 24 participants and was analyzed using a framework method. Results: Eight codes arose that were categorized into four domains guided by the Social Ecological Model. Individual-level factors were determined both for the caregiver and for the clinician. Relationship-level factors were revealed pertaining to communication style and method. Hospital-level factors included hospital environment and resources. Societal-level factors included healthcare climate and policies. Discussion: Findings indicated that hospital workflows and policies inadequately support family caregivers. This study highlights potential solutions to caregivers’ integration into hospital workflows. © 2024 Informa UK Limited, trading as Taylor & Francis Group.
Keywords: caregiving; qualitative methods; care act; healthcare policy; policy implementation
Journal Title: Hospital Practice
Volume: 52
Issue: 4-5
ISSN: 2154-8331
Publisher: Taylor & Francis Group  
Date Published: 2024-01-01
Start Page: 151
End Page: 163
Language: English
DOI: 10.1080/21548331.2024.2357510
PROVIDER: scopus
PMCID: PMC11579244
PUBMED: 38767120
DOI/URL:
Notes: The MSK Cancer Center Support Grant (P30 CA008748) is acknowledged in the PDF -- Source: Scopus
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  1. Allison Joyce Applebaum
    191 Applebaum