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“They’re on the Fast Track†: Older Blacks Describe Experiences of Nursing Care Quality During Hospitalization

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Listed:
  • J. Margo Brooks Carthon
  • Jessica Rearden
  • Darcy Pancir
  • Kerry Gamble
  • Helyn Rothwell

Abstract

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.

Suggested Citation

  • J. Margo Brooks Carthon & Jessica Rearden & Darcy Pancir & Kerry Gamble & Helyn Rothwell, 2017. "“They’re on the Fast Track†: Older Blacks Describe Experiences of Nursing Care Quality During Hospitalization," Clinical Nursing Research, , vol. 26(5), pages 557-575, October.
    • Handle: RePEc:sae:clnure:v:26:y:2017:i:5:p:557-575
    DOI: 10.1177/1054773816674478
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    References listed on IDEAS

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    1. Cuffee, Y.L. & Hargraves, J.L. & Rosal, M. & Briesacher, B.A. & Schoenthaler, A. & Person, S. & Hullett, S. & Allison, J., 2013. "Reported racial discrimination, trust in physicians, and medication adherence among inner-city African Americans with hypertension," American Journal of Public Health, American Public Health Association, vol. 103(11), pages 55-62.
    2. Tajeu, G.S. & Cherrington, A.L. & Andreae, L. & Prince, C. & Holt, C.L. & Halanych, J.H., 2015. ""We'll get to you when we get to you": Exploring potential contributions of health care staff behaviors to patient perceptions of discrimination and satisfaction," American Journal of Public Health, American Public Health Association, vol. 105(10), pages 2076-2082.
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