Table 2.

Overarching themes and the list of corresponding codes developed to describe family and hired caregivers’ health information management and communication experiences in complex home care settings for older adults through inductive qualitative analysis.

Themes and subthemes			Codes
			Family caregivers		Hired caregivers
Updating the caregiver team
	Binder-based health documentation
		Physical documentation Keeping personal notes to support safety Transparency of recordkeeping Managing medications		The burden of physical documentation Keeping personal notes to support safety Capturing holistic information
	Digital health documentation
		Desire to ease documentation		Concerns regarding information silos
	Communication practices beyond the binder
		Calling and texting caregivers Ensuring awareness of the patient status Leaving notes for caregivers Reminding caregivers Bringing information to clinicians		Calling and texting caregivers Handing off care Leaving notes around the home
Learning to improve care and decision-making
	Developing expertise as a family caregiver
		Understanding medications and the health condition Learning from caregivers and health care professionals		—a
	Tailoring expertise as a hired caregiver
		—		Learning from caregivers Having prior knowledge Learning through observation Learning from the client Reviewing documentation and health care records
Conflicts within caregiver teams
	2-way communication
		Expressing concerns Struggling to share information Sharing the client’s perspective Providing instructions Communicating health concerns with health care professionals Planning together COVID-19 pandemic impacting care continuity		Coordinating with caregivers Establishing communication boundaries Feelings of control over information sharing
	Trusting the caregiver team
		Talking through tasks Worrying about the quality of care Watching caregivers		—

^aNot applicable.