Why older adults may decline offers of post-acute care services: A qualitative descriptive study

被引：20

作者：

Sefcik, Justine S. ^{[1
]}

Ritter, Ashley Z. ^{[1
]}

Flores, Emilia J. ^{[1
]}

Nock, Rebecca H. ^{[1
]}

Chase, Jo-Ana D. ^{[1
,2
]}

Bradway, Christine ^{[1
]}

Potashnik, Sheryl ^{[1
]}

Bowles, Kathryn H. ^{[1
,3
]}

机构：

[1] Univ Penn, Sch Nursing, 418 Curie Blvd, Philadelphia, PA 19104 USA

[2] Univ Missouri, Sinclair Sch Nursing, S343 Sinclair Sch Nursing, Columbia, MO 65211 USA

[3] Visiting Nurse Serv New York, Ctr Home Care Policy & Res, New York, NY USA

来源：

GERIATRIC NURSING | 2017年 / 38卷 / 03期

基金：

美国国家卫生研究院;

关键词：

Post-acute care services; Discharge planning; Discharge decision making; Older adults; Qualitative research; PATIENT PREFERENCES; 60-DAY READMISSIONS; PHYSICIANS; COPD; HOME;

D O I：

10.1016/j.gerinurse.2016.11.003

中图分类号：

R592 [老年病学]; C [社会科学总论];

学科分类号：

03 ; 0303 ; 100203 ;

摘要：

The most common post-acute care (PAC) services available to patients after hospital discharge include home care, skilled nursing facilities, nursing homes, inpatient rehabilitation, and hospice. Patients who need PAC and receive services have better outcomes, however almost one-third of those offered services decline. Little research exists on PAC decision-making and why patients may decline services. This qualitative descriptive study explored the responses of thirty older adults to the question: "Can you, from the patient point of view, tell me why someone would not want post hospital care?" Three themes emerged. Participants may decline due to 1) previous negative experiences with PAC, or 2) a preference to be home. Some participants stated, "I'd be there" and would not decline services. Participants also discussed 3) why other patients might decline PAC which included patients' past experiences, lack of understanding/preconceived ideas, and preferences. Clinical implications include assessing patients' knowledge and experience before providing recommendations. (C) 2016 Elsevier Inc. All rights reserved.

引用

页码：238 / 243

页数：6

共 24 条

[11] Patient Preferences for Stroke Rehabilitation [J].

Gregory, Patricia ;

Edwards, Lloyd ;

Faurot, Keturah ;

Williams, Sharon W. ;

Felix, Ana C. G. .

TOPICS IN STROKE REHABILITATION, 2010, 17 (05) :394-400

[12] "We are not worthy" - understanding why patients decline pulmonary rehabilitation following an acute exacerbation of COPD [J].

Harrison, Samantha Louise ;

Robertson, Noelle ;

Apps, Lindsay ;

Steiner, Michael C. ;

Morgan, Mike D. L. ;

Singh, Sally J. .

DISABILITY AND REHABILITATION, 2015, 37 (09) :750-756

[13] Three approaches to qualitative content analysis [J].

Hsieh, HF ;

Shannon, SE .

QUALITATIVE HEALTH RESEARCH, 2005, 15 (09) :1277-1288

[14] Who recommends long-term care matters [J].

Kane, Robert L. ;

Bershadsky, Boris ;

Bershadsky, Julie .

GERONTOLOGIST, 2006, 46 (04) :474-482

[15] Patient preferences and health disparities [J].

Katz, JN .

JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2001, 286 (12) :1506-1509

[16]

Kim H.J., 2016, RES NURS HLTH

[17]

Lincoln V.S., 1985, Naturalistic inquiry

[18]

Sandelowski M, 2000, RES NURS HEALTH, V23, P334, DOI 10.1002/1098-240X(200008)23:4<334::AID-NUR9>3.0.CO

[19]

2-G

[20] Detection of Cognitive Impairment and Dementia Using the Animal Fluency Test: The DECIDE Study [J].

Sebaldt, Rolf ;

Dalziel, William ;

Massoud, Fadi ;

Tanguay, Andre ;

Ward, Rick ;

Thabane, Lehana ;

Melnyk, Peter ;

Landry, Pierre-Alexandre ;

Lescrauwaet, Benedicte .

CANADIAN JOURNAL OF NEUROLOGICAL SCIENCES, 2009, 36 (05) :599-604

← 1 2 3 →