Factors Associated With Transition of Care in Patients With Chronic Non-Communicable Diseases: Cross-Sectional Study.
Mardhjorie Dos Santos Seidler, Letícia Flores Trindade, Larissa Berghetti and 6 others
PMID 41917728WHAT IT FOUND
Surgical patients, white patients, women, and those discharged with medical devices reported better care transitions.
Patients with no income also scored higher, though the authors suspect gratitude bias. Mid-income patients reported the worst continuity of care.
Key findings
01Patients undergoing surgical treatment were 2.48 times more likely to report a satisfactory care transition than those receiving clinical treatment.
02White patients were 1.82 times more likely to report a satisfactory care transition compared to non-white patients.
03Patients discharged with clinical artefacts were 1.21 times more likely to report a satisfactory care transition than those without.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The study was conducted in a single hospital using convenience sampling, so the results may not apply to other settings. The high satisfaction scores among patients with no income may be distorted by gratitude bias, where patients rate care positively to please nurses. The cross-sectional design shows associations but cannot prove that specific factors cause better care transitions.
Declared interests
The authors declare no conflicts of interest. The work was supported by the Conselho Nacional de Desenvolvimento Científico e Tecnológico.
The easy way to misread this
Do not interpret the high satisfaction scores of patients with no income as evidence that financial hardship improves care transitions. The authors state this finding contradicts literature and may be an example of gratitude bias, where patients agree with statements to please the interviewers.