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      Perspectives of family caregivers and nurses on hospital discharge transitional care for Muslim older adults living with COPD: a qualitative study

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          Abstract

          Background

          The increased number of emergency department visits among older adults living with chronic obstructive pulmonary disease reflects the challenges of hospital discharge transition, especially in those from a cultural minority. The barriers and facilitators of this discharge from the perspective of formal and informal care providers, such as nurses and family caregivers, are important to identify to provide effective symptom management and quality of care. The purpose of this study was to describe the barriers and facilitators in caring for Muslim older adults with chronic obstructive pulmonary disease (COPD) during hospital discharge transitional care.

          Methods

          A descriptive qualitative study was conducted in a hospital of Thailand where Muslim people are a cultural minority. Thirteen family caregivers of Muslim older adults living with COPD and seven nurses were purposively recruited and participated in semi-structured interviews and focus group discussions. Content analysis was used to analyze the data.

          Results

          Five barriers and three facilitating factors of transitional care for Muslim older adults living with COPD were outlined. Barriers included: (1) lack of knowledge about the causes and management of dyspnea, (2) inadequate discharge preparation, (3) language barrier, (4) discontinuity of care, and (5) COVID-19 epidemic. Facilitators included: (1) the ability to understand Malayu language, (2) the presence of healthcare professionals of the same gender, and (3) the presence of Muslim healthcare providers.

          Conclusion

          Family caregivers require more supportive care to meet the care needs of Muslim older adults living with COPD. Alternative nurse-based transitional care programs for these older adult caregivers should be developed.

          Supplementary Information

          The online version contains supplementary material available at 10.1186/s12912-024-01943-8.

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          Most cited references37

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          Naturalistic inquiry

          Yvonna Lincoln, Egon Guba, Joseph Pilotta (1985)
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            Characteristics of Qualitative Descriptive Studies: A Systematic Review.

            Hyejin Kim, Justine S Sefcik, Christine Bradway (2017)
            Qualitative description (QD) is a term that is widely used to describe qualitative studies of health care and nursing-related phenomena. However, limited discussions regarding QD are found in the existing literature. In this systematic review, we identified characteristics of methods and findings reported in research articles published in 2014 whose authors identified the work as QD. After searching and screening, data were extracted from the sample of 55 QD articles and examined to characterize research objectives, design justification, theoretical/philosophical frameworks, sampling and sample size, data collection and sources, data analysis, and presentation of findings. In this review, three primary findings were identified. First, although there were some inconsistencies, most articles included characteristics consistent with the limited available QD definitions and descriptions. Next, flexibility or variability of methods was common and effective for obtaining rich data and achieving understanding of a phenomenon. Finally, justification for how a QD approach was chosen and why it would be an appropriate fit for a particular study was limited in the sample and, therefore, in need of increased attention. Based on these findings, recommendations include encouragement to researchers to provide as many details as possible regarding the methods of their QD studies so that readers can determine whether the methods used were reasonable and effective in producing useful findings. © 2016 Wiley Periodicals, Inc.
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              Qualitative description – the poor cousin of health research?

              Mette Neergaard, Frede Olesen, Rikke Sand Andersen … (2009)
              Background The knowledge and use of qualitative description as a qualitative research approach in health services research is limited. The aim of this article is to discuss the potential benefits of a qualitative descriptive approach, to identify its strengths and weaknesses and to provide examples of use. Discussion Qualitative description is a useful qualitative method in much medical research if you keep the limitations of the approach in mind. It is especially relevant in mixed method research, in questionnaire development and in research projects aiming to gain firsthand knowledge of patients', relatives' or professionals' experiences with a particular topic. Another great advantage of the method is that it is suitable if time or resources are limited. Summary As a consequence of the growth in qualitative research in the health sciences, researchers sometimes feel obliged to designate their work as phenomenology, grounded theory, ethnography or a narrative study when in fact it is not. Qualitative description might be a useful alternative approach to consider.
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                Author and article information

                Contributors
                Praneed Songwathana:
                ORCID: http://orcid.org/0000-0003-1967-848X
                praneed.sw@gmail.com
                Journal
                Journal ID (nlm-ta): BMC Nurs
                Journal ID (iso-abbrev): BMC Nurs
                Title: BMC Nursing
                Publisher: BioMed Central (London )
                ISSN (Electronic): 1472-6955
                Publication date (Electronic): 24 April 2024
                Publication date PMC-release: 24 April 2024
                Publication date Collection: 2024
                Volume: 23
                Electronic Location Identifier: 273
                Affiliations
                [1 ]Faculty of Nursing, Prince of Narathiwas University, ( https://ror.org/03s336c88) Muang, Narathiwat, Thailand
                [2 ]Faculty of Nursing, Prince of Songkla University, ( https://ror.org/0575ycz84) Hatyai, Songkhla, Thailand
                [3 ]Faculty of Nursing, Université de Montréal, ( https://ror.org/0161xgx34) Montréal, Québec, Canada
                Author information
                http://orcid.org/0000-0002-7437-7121
                http://orcid.org/0000-0003-1967-848X
                http://orcid.org/0000-0002-5913-3305
                http://orcid.org/0000-0002-6823-4044
                Article
                Publisher ID: 1943
                DOI: 10.1186/s12912-024-01943-8
                PMC ID: 11044287
                PubMed ID: 38659051
                SO-VID: 26bbb1fe-f6b5-495f-989c-1daf765fe428
                Copyright © © The Author(s) 2024
                License:

                Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver ( http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.

                History
                Date received : 14 December 2023
                Date accepted : 15 April 2024
                Categories
                Subject: Research
                Custom metadata
                issue-copyright-statement © BioMed Central Ltd., part of Springer Nature 2024

                ScienceOpen disciplines: Nursing
                Keywords: barriers,facilitators,hospital discharge,muslim,older adults living with copd,transitional care
                Data availability:
                ScienceOpen disciplines: Nursing
                Keywords: barriers, facilitators, hospital discharge, muslim, older adults living with copd, transitional care

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