Factors affecting in-hospital informal caregiving as decided by families: findings from a longitudinal study conducted in acute medical units

Elisa Ambrosi, Catia Biavati, Annamaria Guarnier, Paolo Barelli, Paola Zambiasi, Elisabetta Allegrini, Letizia Bazoli, Paola Casson, Meri Marin, Marisa Padovan, Michele Picogna, Patrizia Taddia, Daniele Salmaso, Paolo Chiari, Tiziana Frison, Oliva Marognolli, Carla Benaglio, Federica Canzan, Luisa Saiani, Alvisa Palese

Research output: Contribution to journalArticlepeer-review

Abstract

BACKGROUND:
Informal caregiving offered by family members has been widely studied in the community setting, but little attention to date has been dedicated to that offered at the hospital level.
AIMS:
To describe the proportion of patients admitted to acute medical units receiving care from informal caregivers as decided by the family and to identify the factors affecting the numbers of care shifts performed by informal caregivers.
DESIGN AND METHODS:
A longitudinal study was performed involving 12 acute medical units located in 12 northern Italian hospitals.
RESULTS:
All patients (N = 1464) admitted to medical units were included, and 77.1% of them received at least one shift of informal care during their in-hospital stay, especially during the mornings and afternoons. At the patient level, those at higher risk of prolonged hospitalisation and difficult discharge at admission, and those reporting higher occurrence of adverse events, such as pressure sores, confusion events and use of physical restraints during hospitalisation, were more likely receiving informal care. At the nursing care level, a higher amount of missed nursing care was associated with an increased number of care shifts offered by informal caregivers during patient hospitalisation, whereas the amount of care offered by staff was a protective factor.
CONCLUSIONS:
Families play a care role in the care of older patients admitted to acute medical units. They contribute substantially to the care of patients, especially during morning and afternoon shifts.
Original languageEnglish
Pages (from-to)85-95
Number of pages11
JournalScandinavian Journal of Caring Sciences
Volume31
Issue number1
DOIs
Publication statusPublished - Mar 2017

Keywords

  • elderly
  • family
  • hospitalisation
  • informal caregiving
  • medical units
  • patient outcomes

Fingerprint Dive into the research topics of 'Factors affecting in-hospital informal caregiving as decided by families: findings from a longitudinal study conducted in acute medical units'. Together they form a unique fingerprint.

Cite this