Feeling let down: An exploratory study of the experiences of older people who were readmitted to hospital following a recent discharge

被引:22
作者
Dilworth, Sophie [1 ]
Higgins, Isabel [1 ,2 ]
Parker, Vicki [2 ,3 ]
机构
[1] Univ Newcastle, Sch Nursing & Midwifery, Callaghan, NSW 2308, Australia
[2] Hunter New England Hlth, Ctr Practice Opportun & Dev, New Lambton, NSW, Australia
[3] Univ New England, Sch Hlth, Armidale, NSW, Australia
关键词
older person; readmission to hospital; qualitative study; person-centred care; PERSON-CENTERED CARE; ELDERLY-PATIENTS; RISK-FACTORS; READMISSION; INDICATOR; FRAMEWORK;
D O I
10.5172/conu.2012.42.2.280
中图分类号
R47 [护理学];
学科分类号
1011 ;
摘要
Background: Readmission of older people to hospital following a recent discharge may be an indicator of gaps in services either prior to or after discharge. Aims and objectives: To explore the experiences of older people who have been readmitted to hospital following recent discharge to their homes. Design: A qualitative descriptive study. Method: In-depth interviews were conducted with three older people who were discharged from a large tertiary referral hospital in NSW Australia and readmitted. Interviews were conducted within the hospital setting in a private room. An interview guide was used to explore the reasons for admission and readmission to hospital and experiences upon discharge to home. In particular the researchers were interested in the events that led to readmission. Data were analysed thematically. Results: Three main themes emerged including: being left out, being cared for and feeling let down. Conclusion: While this study was undertaken in only one hospital with only three older people the findings provide valuable insight into their experiences. Nurses need to be proactive in ensuring and promoting a person-centred approach to the care and treatment of older people.
引用
收藏
页码:280 / 288
页数:9
相关论文
共 43 条
[1]   Risk factors for hospital readmission in patients with chronic obstructive pulmonary disease [J].
Almagro, Pedro ;
Barreiro, Bienvenido ;
Ochoa de Echaguen, Anna ;
Quintana, Salvador ;
Carballeira, Mnica Rodriguez ;
Heredia, Jose L. ;
Garau, Javier .
RESPIRATION, 2006, 73 (03) :311-317
[2]  
[Anonymous], OLDER AUSTR HOSP AUG
[3]  
[Anonymous], RED
[4]  
[Anonymous], PRACT GUID PRINC STA
[5]   Postdischarge environmental and socioeconomic factors and the likelihood of early hospital readmission among community-dwelling medicare beneficiaries [J].
Arbaje, Alicia I. ;
Wolff, Jennifer L. ;
Yu, Qilu ;
Powe, Neil R. ;
Anderson, Gerard F. ;
Boult, Chad .
GERONTOLOGIST, 2008, 48 (04) :495-504
[6]   A conceptual framework for the study of early readmission as an indicator of quality of care [J].
Ashton, CM ;
Wray, NP .
SOCIAL SCIENCE & MEDICINE, 1996, 43 (11) :1533-1541
[7]  
*AUSTR I HLTH WELF, 2008, AUSTR HOSP STAT 2006
[8]   Readmission patterns in patients with chronic obstructive pulmonary disease, chronic heart failure and diabetes mellitus: an administrative dataset analysis [J].
Brand, C ;
Sundararajan, V ;
Jones, C ;
Hutchinson, A ;
Campbell, D .
INTERNAL MEDICINE JOURNAL, 2005, 35 (05) :296-299
[9]  
Brand Caroline A, 2004, Aust Health Rev, V28, P275
[10]   Risk factors for early emergency hospital readmission in elderly medical patients [J].
Chu, LW ;
Pei, CKW .
GERONTOLOGY, 1999, 45 (04) :220-226