An observational study of older patients' participation in hospital admission and discharge--exploring patient and next of kin perspectives

Journal of Clinical Nursing
Dagrunn N DyrstadMarianne Storm

Abstract

To explore older patients' participation during hospital admission and discharge. Patient participation is suggested as a means to improve the quality of transitional healthcare. Older people with chronic diseases, physical disabilities and cognitive impairments often need to transfer from primary to hospital healthcare and vice versa. This study adopts a participant observational research design. Participant observations of 41 older patients (over 75 years of age) during hospital admission and discharge were conducted in two hospitals in Norway (in 2012). The observations included short conversations with the patient and their next of kin to capture their participation experiences. Systematic text condensation was used to analyse the data material from the field notes. Varying degrees of information exchange between healthcare professionals and patients, and a lack of involvement of the patient in decision-making (in admission and discharge) were observed and experienced by patients and their next of kin. The next of kin appeared to be important advocates for the patients in admission and provided practical support both during admission and discharge. Data suggest that patient participation in admission and discharge is influe...Continue Reading

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Citations

Jul 22, 2016·Scandinavian Journal of Caring Sciences·Dagrunn Nåden Dyrstad, Marianne Storm
Jan 13, 2018·Journal of Clinical Nursing·Lindy KingElizabeth Tanner
Aug 24, 2017·Scandinavian Journal of Caring Sciences·Anne-Kari JohannessenAnne Werner
Dec 27, 2019·Journal of Human Nutrition and Dietetics : the Official Journal of the British Dietetic Association·C H HestevikA Bye
Aug 15, 2020·International Journal of Clinical Pharmacy·K SvensbergL Mathiesen
Nov 21, 2018·British Journal of Nursing : BJN·Nina O'Grady
Mar 19, 2019·Emergency Medicine Australasia : EMA·Lauren T SoutherlandGlenn Arendts
May 28, 2019·Health Expectations : an International Journal of Public Participation in Health Care and Health Policy·Linda Aimée Hartford KvaelAstrid Bergland
Nov 6, 2018·International Journal of Nursing Practice·Sarah J Bahr, Marianne E Weiss
Feb 23, 2020·BMC Medical Informatics and Decision Making·Ruth E Pel-LittelBianca M Buurman
Jul 9, 2020·Revista brasileira de enfermagem·Simone Aparecida TrovóMarcia Galan Perroca
Jul 1, 2020·BMC Health Services Research·Marianne KumlinRagnhild Hellesø
Oct 22, 2020·Journal of Evaluation in Clinical Practice·Georgia TobianoElizabeth Manias
Feb 17, 2021·BMC Health Services Research·Kim E AlexanderNatalie Bradford
Mar 12, 2021·Scandinavian Journal of Caring Sciences·Karina SchjødtAnnesofie Lunde Jensen
Jun 5, 2021·Research Involvement and Engagement·Troels Kjærskov HansenMerete Gregersen
Jun 6, 2021·Geriatric Nursing·Anne Snoghøj ErlangAnnesofie Lunde Jensen
Jun 10, 2021·The Australian Journal of Rural Health·Warren Kealy-BatemanPatricia Bullen
Jun 23, 2021·Scandinavian Journal of Caring Sciences·Eva HoffmannJette Primdahl
Aug 11, 2021·BMJ Open·Cecilie Haraldseid-DriftlandStephen Billett
Aug 26, 2021·International Journal of Qualitative Studies on Health and Well-being·Cecilia SegevallSiv Söderberg

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