"They're on the Fast Track": Older Blacks Describe Experiences of Nursing Care Quality During Hospitalization.
Older Black patients are at increased risk for experiencing a hospital readmission. This disparity may be related to a variety of factors, including care received during hospitalization. The purpose of this study was to elicit the perceptions of older Black patients at high risk for readmission, and explore their nursing care needs and preferences during and following hospitalization. A qualitative descriptive design was used, including individual interviews with 19 Black members of a Program of All-Inclusive Care for the Elderly facility located in a northeastern urban setting. Four themes were captured encompassing characteristics of nursing care quality, unmet care needs, nurse-patient communication, and observations of competing nursing demands. Efforts to improve care transitions and prevent readmissions must address the needs and preferences of high-risk older Black patients while also attending to system-level inefficiencies that decrease the ability for nurses to complete all aspects of care.
1 University of Pennsylvania, Philadelphia, PA, USA.
J Margo
JM
Brooks Carthon
1 University of Pennsylvania, Philadelphia, PA, USA.
Jessica
J
Rearden
1 University of Pennsylvania, Philadelphia, PA, USA.
Darcy
D
Pancir
1 University of Pennsylvania, Philadelphia, PA, USA.
Kerry
K
Gamble
1 University of Pennsylvania, Philadelphia, PA, USA.
Helyn
H
Rothwell
D000368:Aged; D044383:Black People / Q000523:psychology*; D005260:Female; D006760:Hospitalization; D006801:Humans; D008297:Male; D009723:Nurse-Patient Relations; D009732:Nursing Care / Q000592:standards*; D009741:Nursing Staff, Hospital / Q000600:supply & distribution; D010351:Patient Discharge / Q000592:standards; D010359:Patient Readmission; D036301:Qualitative Research; D011787:Quality of Health Care / Q000592:standards*; D013997:Time Factors; D014481:United States; D016526:Workload / Q000592:standards; D001741:Black or African American
acute care setting; clinical research areas; community-based care; disparities; health care settings; methods; minority perception of care; nursing interventions; qualitative; staffing; unmet care