Care coproduction strategies based on the experience of patients hospitalized for COVID-19: a multicenter qualitative study.
Jhonata de Souza Joaquim, Diovane Ghignatti da Costa, Alacoque Lorenzini Erdmann and 2 others
PMID 42771557WHAT IT FOUND
Recovered patients described care coproduction as negotiation, not compliance.
Clear information built trust, but rigid protocols and absent family involvement during discharge left them unprepared for recovery at home.
Key findings
01Understanding their condition and routines made care predictable and fostered collaborative relationships, while a lack of information led to misunderstanding and detachment from care.
02Discharge was a sensitive transition marked by communication weaknesses, including difficulty recalling instructions, a lack of educational support materials, and limited family involvement in the educational process.
03Continuity of care post-discharge was conditioned by the healthcare system's ability to provide timely support, with delays in specialized consultations and multidisciplinary follow-up limiting patient participation in their own recovery.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
Remote telephone interviews may have limited the depth of narratives and the understanding of hospitalization experiences. Technical difficulties during recording and participant memory lapses may have restricted the recall of specific care-related events. The researchers' professional backgrounds in healthcare could have influenced data generation and interpretation, despite reflexivity measures. Findings are context-specific to Brazilian federal university hospitals and should not be generalized to other settings.
Declared interests
No specific funding sources or conflicts of interest are declared in the provided text. The study notes that ChatGPT 4.0 was used exclusively for preliminary spelling and grammar corrections.
The easy way to misread this
Do not interpret the identified strategies as evidence that they improve clinical outcomes or reduce hospital readmissions. This qualitative study describes patient experiences and perceptions of care processes; it does not test the efficacy of these strategies or measure health results.