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Getting prepared for life at home in the discharge process - from the perspective of the older persons and their relatives
Department of Neurobiology, Care Science and Society, Karolinska Institutet, Center for family and community medicine, Stockholm.ORCID iD: 0000-0002-6597-5111
Karolinska Institutet, Department of Neurobiology, Care Science and Society, Center for Family and Community Medicine.
2010 (English)In: International Journal of Older People Nursing, ISSN 1748-3735, E-ISSN 1748-3743, Vol. 5, no 4, 254-264 p.Article in journal (Refereed) Published
Abstract [en]

Aim: To examine how older persons in need of home-nursing care and their relatives experience the discharge process and develop a model that explains the experience. Background: The discharge process has well-known deficiencies and is therefore a challenging issue requiring improvement in many countries. Research focusing on patient-centred factors has attracted very little critical attention. Design: Grounded theory was used to analyze semi-structured interviews with 26 older persons and their relatives. Findings: The analysis resulted in a theoretical model that depicts factors determining whether the older persons and their relatives feel prepared or unprepared for life at home at the time of discharge. Conclusions: The older persons and/or their relatives felt prepared at the time of discharge if their needs were satisfied in the three significant areas of preparation. Not only were the professionals’ skills of the utmost importance in preparing the older persons/relatives, but also the latter’s own approach if the professionals were unskilled. Relevance for clinical practice. A knowledge of the preparation areas and skills can be of use for improving the quality of the discharge process from the older persons’ and their relatives’ perspective, i.e. through policies, checklists and teaching programmes.

Place, publisher, year, edition, pages
Wiley-Blackwell, 2010. Vol. 5, no 4, 254-264 p.
Keyword [en]
aged; aging; article; family; family nursing; female; geriatric nursing; home care; hospital discharge; human; male; methodology; nursing methodology research; patient satisfaction; psychological aspect, Aged; Aged, 80 and over; Aging; Family; Family Nursing; Female; Geriatric Nursing; Home Nursing; Humans; Male; Nursing Methodology Research; Patient Discharge; Patient Satisfaction
National Category
Health Sciences Nursing
Identifiers
URN: urn:nbn:se:rkh:diva-1028DOI: 10.1111/j.1748-3743.2009.00190.xPubMedID: 21083804OAI: oai:DiVA.org:rkh-1028DiVA: diva2:745584
Available from: 2014-09-10 Created: 2014-09-10 Last updated: 2015-01-28Bibliographically approved

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