Title : Bridging the gap: Exploring information sharing between carers and healthcare professionals in older adult care
Abstract:
Objective: To explore barriers and facilitators influencing information sharing between carers of older adults and healthcare professionals across diverse healthcare settings.
Methods: A qualitative exploratory study supported by descriptive quantitative demographic data was conducted with 150 participants, including 90 carers and 60 healthcare professionals (30 nurses, 15 physicians, 10 allied health professionals, and 5 social workers). Participants were recruited from hospitals, primary care clinics, and community-based aged care services. Data were collected through semi-structured interviews and optional focus groups. Interviews were audio-recorded, transcribed verbatim, and analyzed using inductive thematic analysis. Demographic survey data were analyzed using descriptive statistics.
Results: Four overarching themes emerged: (1) fragmented communication systems, with carers reporting delayed or inconsistent information and healthcare professionals citing incompatible communication platforms; (2) role ambiguity and professional boundaries, including uncertainty regarding confidentiality and carer involvement in decision-making; (3) trust, respect, and relational continuity, highlighting the importance of consistent relationships and recognition of carers’ expertise; and (4) digital and structural facilitators, including shared electronic records, secure messaging systems, and multidisciplinary team meetings. Barriers included fragmented systems, unclear roles, and inconsistent engagement, while facilitators involved proactive communication, structured care planning, and digital communication tools.
Conclusion: Information sharing between carers and healthcare professionals is shaped by both systemic and relational factors. Strengthening communication infrastructure, clarifying professional roles, fostering trust, and integrating carers as active partners in care may improve care coordination and support better outcomes for older adults.
Keywords: Older adults; carers; healthcare professionals; information sharing; communication.
