Older persons and relatives' experience of coordinated care planning via a video meeting.
Ann-Therese Hedqvist, Sandra Pennbrant, Margareta Karlsson
PMID 33072390WHAT IT FOUND
Older people and relatives felt excluded from video care planning when they did not know it was video, had no questions beforehand, and could not hear or feel heard.
They wanted advance information, clear topics, and slower dialogue.
Key findings
01The overall theme was being excluded, with categories of lack of a personal relationship, meaninglessness, and lack of participation.
02Older persons and relatives experienced video care planning as impersonal when professionals appeared unreal on screen or did not use their names.
03Insufficient information before the meeting and difficulty hearing what was said limited older persons' and relatives' participation.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
Only eight people were interviewed: four older persons and four relatives. Older persons with severe cognitive impairment, dementia, severe hearing loss, or language difficulties were excluded. Only people interested and able to share their experience were included, so the findings should be interpreted with caution. Five interviews were by telephone, so facial expression and body language were missing. The study describes experiences, not effects; it does not test any checklist or change to video care planning. It was conducted in southern Sweden, and transfer to other systems depends on similar coordinated care planning arrangements.
Declared interests
No potential conflict of interest was reported by the authors.
The easy way to misread this
Do not treat the checklist or recommendations as proven ways to make video care planning work. This was a small qualitative interview study of eight older persons and relatives, so it reports experiences, not tested outcomes.