Background: Coordination and transitional care are significant focus areas in nursing. A cross-sectoral virtual 4-party meeting (V4M) was established to coordinate and promote quality of care for patients with complex multimorbidity. Aim: To investigate how elderly patients with complex multimorbidity assess their participation in V4M and the impact on everyday life. Method: Qualitative individual first-person interviews with eight patients and three relatives, who had taken part in V4M before discharge from the hospital. The interviews took place up to three months after discharge. Results: Overarching theme, Power and Self-Determination, described how participation fostered control, recognition, and influence. Three themes emerged: Cognition and mastery, Relation and involvement, and Planning and follow-up, followed by seven subthemes: Clarification and influence, Help and independence, Understanding, Dialog, Meeting the GP, Flexibility and visibility, and Shattered expectation. Conclusion: V4M enhances coordination and patient empowerment in transitional care when professionals are prepared and responsive. Sustainable impact requires follow-up and cross-sectoral collaboration.
Bagger et al. (Fri,) studied this question.
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