{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T14:04:57Z","timestamp":1787061897441,"version":"build-2736575974"},"reference-count":46,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2025,5,30]],"date-time":"2025-05-30T00:00:00Z","timestamp":1748563200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100000024","name":"Canadian Institutes of Health Research","doi-asserted-by":"publisher","award":["TIA 184572"],"award-info":[{"award-number":["TIA 184572"]}],"id":[{"id":"10.13039\/501100000024","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["agsjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J American Geriatrics Society"],"published-print":{"date-parts":[[2025,8]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Patient\u2010centered care is fundamental to high\u2010quality healthcare, emphasizing respect for individual needs and preferences. In long\u2010term care (LTC), this approach, known as resident\u2010centered care, necessitates accommodating diverse levels of resident autonomy, particularly for those with cognitive impairments. Transitioning from LTC to hospital settings presents significant challenges, as it can disrupt continuity of care and heighten stress for residents, care partners, and staff. To address these challenges, decision\u2010making should be thoughtful and planned rather than rushed or based on emotions during crises.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Following semi\u2010structured needs assessment interviews with 28 participants from three LTC homes in Ontario, Canada, we organized focus groups with a subset of residents and care partners. These focus groups were conducted to gather insights and preferences for developing a decision\u2010making tool tailored to LTC\u2010to\u2010hospital transitions. Using a framework designed to assess decisional needs and enhance decision outcomes, the focus groups explored participants' priorities and generated recommendations for the creation of a tool to test and evaluate in their LTC home.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Participants proposed three tools to improve LTC\u2010to\u2010hospital transitions: (1) a decision\u2010aid flowchart to guide users through questions, record details, and provide care options and contact information; (2) a hospitalization chapter in the LTC home's admission handbook with guidance, checklists, and cost breakdowns; and (3) a lanyard with a dual\u2010sided card and QR code linking to an electronic platform containing important resident information and contact details.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The study identified critical decisional needs and proposed tools that can address both preparation and decision\u2010making aspects for hospital transitions from LTC. Co\u2010designing these tools with residents and care partners ensures their alignment with user needs, enhancing resident\u2010centered care during critical transitions. The implementation of these tools could significantly improve the transition experience, ensuring continuity of resident\u2010centered care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jgs.19535","type":"journal-article","created":{"date-parts":[[2025,5,30]],"date-time":"2025-05-30T06:48:43Z","timestamp":1748587723000},"page":"2410-2421","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["\u201cWe Didn't Ask to Be Sick:\u201d Equipping Residents and Care Partners for Transitions From Long\u2010Term Care to Hospital"],"prefix":"10.1111","volume":"73","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5509-8960","authenticated-orcid":false,"given":"Alixe","family":"M\u00e9nard","sequence":"first","affiliation":[{"name":"Department of Medicine Ottawa Hospital Research Institute  Ottawa Ontario Canada"},{"name":"Interdisciplinary School of Health Sciences University of Ottawa  Ottawa Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yamini","family":"Singh","sequence":"additional","affiliation":[{"name":"Department of Medicine Ottawa Hospital Research Institute  Ottawa Ontario Canada"},{"name":"Bruy\u00e8re Health Research Institute  Ottawa Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michaela","family":"Adams","sequence":"additional","affiliation":[{"name":"Perley Health Centre of Excellence in Frailty\u2010Informed Care<sup>TM<\/sup>   Ottawa Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jia Qi Adam","family":"Bai","sequence":"additional","affiliation":[{"name":"Department of Medicine Ottawa Hospital Research Institute  Ottawa Ontario Canada"},{"name":"Bruy\u00e8re Health Research Institute  Ottawa Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1812-2335","authenticated-orcid":false,"given":"Daniel","family":"Kobewka","sequence":"additional","affiliation":[{"name":"Department of Medicine Ottawa Hospital Research Institute  Ottawa Ontario Canada"},{"name":"Bruy\u00e8re Health Research Institute  Ottawa Ontario Canada"},{"name":"Department of Medicine University of Ottawa  Ottawa Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Krystal Kehoe","family":"MacLeod","sequence":"additional","affiliation":[{"name":"Bruy\u00e8re Health Research Institute  Ottawa Ontario Canada"},{"name":"Division of Palliative Care Bruy\u00e8re Health Research Institute  Ottawa Ontario Canada"},{"name":"Department of Family Medicine University of Ottawa  Ottawa Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,5,30]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1370\/afm.1239"},{"issue":"2","key":"e_1_2_11_3_1","first-page":"1","article-title":"Patient Centered Long\u2010Term Care","volume":"19","author":"Miller N. 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