Was asked to participate in discharge meeting |
Formal and informal participation in planning the care transition |
Participation depends on being invited to planning the care transition |
Was asked their opinion about future care needs |
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The family helped in planning the care transition |
Partial participation in planning the care transition |
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Don’t remember being asked to participate in planning the care transition |
No participation in planning the care transition |
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Was not asked to participate in planning care transition |
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Information from hospital to home-care staff and patient |
Communication during care transition takes place on different levels |
Managing continuity in care represents a complex and challenging process |
Experiences with written documentation |
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Communication from patient to health care staff |
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Unresolved responsibility |
Responsibility during care transition varies |
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Handing over the responsibility |
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Obliged responsibility |
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Personal responsibility |
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