title: Differences in family caregiver outcomes by their level of involvement in discharge planning.
abstract: Family caregivers play vital roles in assisting elders after they are released from the hospital. Although health care professionals advocate involving family caregivers in discharge planning for elders, little is known about the extent to which this involvement benefits or jeopardizes the caregiver's health and their perceptions of the caregiving experience. The purpose of this study was to determine whether the level of family caregiver involvement in discharge planning for an elder made a difference in caregiver health, discharge planning satisfaction, perception of care continuity, preparedness to assist the elder, and acceptance of the caregiving role 2 weeks and 2 months postdischarge. The sample consisted of 130 family caregivers for elders hospitalized with heart failure. Telephone interviews were conducted 2 weeks and 2 months postdischarge. The findings indicated that family caregivers who reported more involvement in discharge planning had significantly higher scores on satisfaction, feelings of preparedness, and perception of care continuity 2 weeks following the elder's hospitalization than those who reported little or no involvement in planning. Caregivers who reported more involvement in planning also were more accepting of the caregiving role. At 2 months postdischarge, caregivers who reported more involvement in discharge planning reported better health and more acceptance of the caregiving role than those who had little or no involvement in planning.
authors.affiliation: University of Maryland School of Nursing, Baltimore 21201, USA. mjbull@hotmail.com
authors.forename: M J
authors.initials: MJ
authors.lastname: Bull
authors.forename: H E
authors.initials: HE
authors.lastname: Hansen
authors.forename: C R
authors.initials: CR
authors.lastname: Gross
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000704:Analysis of Variance; D017028:Caregivers; D005260:Female; D006701:Home Nursing; D006801:Humans; D008137:Longitudinal Studies; D008297:Male; D008875:Middle Aged; D015146:Midwestern United States; D010351:Patient Discharge; D011368:Professional-Family Relations; D011787:Quality of Health Care