Experiences of elderly patients regarding participation in their hospital discharge: a qualitative metasummary
dc.contributor.author | Lilleheie, Ingvild | |
dc.contributor.author | Debesay, Jonas | |
dc.contributor.author | Bye, Asta | |
dc.contributor.author | Bergland, Astrid | |
dc.date.accessioned | 2019-11-06T14:32:53Z | |
dc.date.accessioned | 2019-11-07T14:41:47Z | |
dc.date.available | 2019-11-06T14:32:53Z | |
dc.date.available | 2019-11-07T14:41:47Z | |
dc.date.issued | 2019-09-06 | |
dc.identifier.citation | Lilleheie I, Debesay J, Bye A, Bergland A. Experiences of elderly patients regarding participation in their hospital discharge: a qualitative metasummary . BMJ Open. 2019 | en |
dc.identifier.issn | 2044-6055 | |
dc.identifier.issn | 2044-6055 | |
dc.identifier.uri | https://hdl.handle.net/10642/7807 | |
dc.description.abstract | Background Ageing patients are discharged from the hospital ‘quicker and sicker’ than before, and hospital discharge is a critical step in patient care. Older patients form a particularly vulnerable group due to multimorbidity and frailty. Patient participation in healthcare is influenced by government policy and an important part of quality improvement of care. There is need for greater insights into the complexity of patient participation for older patients in discharge processes based on aggregated knowledge. Objective The aim of this study was to review reported evidence concerning the experiences of older patients aged 65 years and above regarding their participation in the hospital discharge process. Methods We conducted a qualitative metasummary. Systematic searches of Medline, Embase, Cinahl, PsycINFO and SocINDEX were conducted. Data from 18 studies were included, based on specific selection criteria. All studies explored older patients’ experience of participation during the discharge process in hospital, but varied when it came to type of discharge and diagnosis. The data were categorised into themes by using thematic analysis. Results Our analysis indicated that participation in the discharge process varied among elderly patients. Five themes were identified: (1) complexity of the patients state of health, (2) management and hospital routines, (3) the norm and preference of returning home, (4) challenges of mutual communication and asymmetric relationships and (5) the significance of networks. Conclusions Collaboration between different levels in the health systems and user-friendly information between staff, patient and families are crucial. The complexity of patient participation for this patient group should be recognised to enhance user involvement during discharge from hospital. Interventions or follow-up studies of how healthcare professionals can improve their communication skills and address the tension between client-centred goals and organisational priorities are requested. Organisational structure may need to be restructured to ensure the participation of elderly patients. | en |
dc.description.sponsorship | The project was funded by The Research Council of Norway and is part of a larger project of Crosscare- old ( project. nr. 256644/H10). | en |
dc.language.iso | en | en |
dc.publisher | BMJ Publishing Group | en |
dc.relation.ispartofseries | BMJ Open;Volume 9, Issue 11 | |
dc.rights | This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/. | en |
dc.rights.uri | https://creativecommons.org/licenses/by-nc/4.0/ | |
dc.subject | Elderly patients | en |
dc.subject | Experiences | en |
dc.subject | Hospital discharges | en |
dc.subject | Qualitative metasummaries | en |
dc.title | Experiences of elderly patients regarding participation in their hospital discharge: a qualitative metasummary | en |
dc.type | Journal article | en |
dc.type | Peer reviewed | en |
dc.date.updated | 2019-11-06T14:32:53Z | |
dc.description.version | publishedVersion | en |
dc.identifier.doi | http://dx.doi.org/10.1136/bmjopen-2018-025789 | |
dc.identifier.cristin | 1743938 | |
dc.source.journal | BMJ Open |
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Med mindre annet er angitt, så er denne innførselen lisensiert som This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/.