Exploring Older Adult Care Transitions From Hospital to Home: A Participatory Action Research Project

Zakrajsek, Andrea; Schuster, E.; Guenther, Deirdre; Lorenz, Kim

doi:10.3109/02703181.2013.825362

Cited by 20 publications

(35 citation statements)

References 1 publication

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“…Some explained how they were able to handle their decreased ability to perform daily activities by using adaptation strategies, such as dividing activities into smaller tasks, while others abstained from performing these activities. Using different strategies to adapt to new situations is well known from other studies (Aberg, Sidenvall, Hepworth, O'Reilly, & Lithell, 2005;Neiterman, Wodchis, & Bourgeault, 2015;Zakrajsek, Schuster, Guenther, & Lorentz, 2013). A study from 2005 revealed that elderly patients adopt different adaptation strategies in their everyday lives to avoid negative experiences due to their health condition (Aberg et al, 2005).…”

Section: Discussionmentioning

confidence: 99%

Returning to everyday life after discharge from a short-stay unit at the Emergency Department—a qualitative study of elderly patients’ experiences

Nielsen

Østergaard

Maribo

et al. 2019

International Journal of Qualitative Studies on Health and Well

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Introduction: Elderly patients often receive care and rehabilitation from different providers across healthcare settings. Collaboration between hospital and primary care providers is therefore essential to ensure that the discharge and transition of rehabilitation is coherent. However, research that focuses on elderly patients’ experiences of the discharge, and their everyday lives after, has attracted little attention. Purpose: This study explores elderly patients’ experiences of being discharged and returning to everyday lives after discharge from a short-stay unit at the Emergency Department.Methods: Eleven qualitative interviews with elderly patients were conducted two weeks after their discharge. The transcribed interviews were analysed using systematic text condensation.Results: The study identified four themes related to the participants experiences. In the participants perspective it was difficult, due to fatigue and pain, to perform daily activities after discharge. Participants who experienced not being prepared and clarified in relation to their discharge continued to have concerns for the future. They also experienced some challenges related to lack of being involved and lack of receiving the information needed. Conclusion: The findings contribute with impotant knowledge about elderly patients' experiences and concerns which should be taken into consideration in the discharge planning process .

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Section: Discussionmentioning

confidence: 99%

Returning to everyday life after discharge from a short-stay unit at the Emergency Department—a qualitative study of elderly patients’ experiences

Nielsen

Østergaard

Maribo

et al. 2019

International Journal of Qualitative Studies on Health and Well

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“…The exploration and comparison of the meaning of loneliness among older adults living in different places such as nursing homes, their own homes, and public care homes will provide a more comprehensive description of the phenomenon of loneliness. To examine the effect of various interventions to reduce loneliness in older adults calls for participatory action research (Zakrajsek, Schuster, Guenther, & Lorenz, 2013) to involve the older adults in the research process.…”

Section: Implications For Practice Education and Researchmentioning

confidence: 99%

“Trapped in an Empty Waiting Room”—The Existential Human Core of Loneliness in Old Age: A Meta-Synthesis

et al. 2017

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Loneliness in old age has a negative influence on quality of life, health, and survival. To understand the phenomenon of loneliness in old age, the voices of lonely older adults should be heard. Therefore, the purpose of this meta-synthesis was to synthesize scientific studies of older adults' experiences of loneliness. Eleven qualitative articles that met the inclusion criteria were analyzed and synthesized according to Noblit and Hare's meta-ethnographic approach. The analysis revealed the overriding meaning of the existential human core of loneliness in old age expressed through the metaphor "trapped in an empty waiting room." Four interwoven themes were found: (a) the negative emotions of loneliness, (b) the loss of meaningful interpersonal relationships, (c) the influence of loneliness on self-perception, and (d) the older adults' endeavors to deal with loneliness. The joint contribution of family members, health care providers, and volunteers is necessary to break the vicious circle of loneliness.

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“…The participants in this study identified the importance of family and social support during the first 30 days after returning home from an inpatient stay. While the findings regarding relationships were similar to those of other studies (Wu & Lu, ; Zakrajsek et al, ), and participants reported a period of adjustment after returning home (Zakrajsek et al, ), participants in this study did not indicate a need for better communication with healthcare providers as was found previously (Zakrajsek et al, ). The participants also did not emphasise the role of (a) enhanced care and support during transitions; (b) improved patient education and self‐management support; or (c) multidisciplinary team management as identified in previous research focused on healthcare providers’ interventions to reduce re‐hospitalisation (Boutwell & Hwu, ).…”

Section: Discussionmentioning

confidence: 99%

“…Only one study in the review focused on the role of the client during the first 30 days after hospitalisation. Using participatory action research, Zakrajsek, Schuster, Guenther, and Lorenz () identified three themes that are important in the immediate posthospital period. The themes included: (a) social support; (b) communication; and (c) adjusting to home and planning for living the community.…”

Section: Introductionmentioning

confidence: 99%

Self‐management after hospitalisation

Geryk¹,

Jacelon

LeBlanc

et al. 2019

Int J Older People Nursing

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Aims and objectives The aim of this research was to explore the processes used by older individuals to self‐manage their health during the first 30 days after being discharged from the hospital. The underlying philosophy for this research was symbolic interactionism. From this perspective, individuals make meaning out of their experiences and act on the basis of those meanings. Background Little is known about the processes older adults use to adjust to and self‐manage their evolved health status after returning home from the hospital. Few studies have explored this period from the perspective of the older individual living in the situation. Methods We used case study method to develop a collective, instrumental case to explain the phenomena of older individuals self‐managing their health after hospitalisation. Data included interviews, participant diaries and researcher field notes. Results The sample included three women who were at least 75 years old, had been hospitalised for at least 24 hr and had been discharged within the week prior to the first interview. Data from the participants were used to create a composite case, Mrs. C. She managed her autonomy, activity, attitude, health and relationships across three phases of posthospitalisation, returning home, adjusting and the evolved normal. Conclusions This study provides insight into the experience of older individuals during the first 30 days after a stay in a healthcare facility and supports previous research findings regarding hospitalisation and self‐management of chronic health problems. Implications for practice The findings provide evidence that returning home is a process that usually takes about a month to get into a new routine. Nurses can use this case study to describe some people’s experience after discharge, and to help the older individual to identify friends and family who can provide physical and emotional support during the time immediately after discharge.

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Exploring Older Adult Care Transitions From Hospital to Home: A Participatory Action Research Project

Cited by 20 publications

References 1 publication

Returning to everyday life after discharge from a short-stay unit at the Emergency Department—a qualitative study of elderly patients’ experiences

Returning to everyday life after discharge from a short-stay unit at the Emergency Department—a qualitative study of elderly patients’ experiences

“Trapped in an Empty Waiting Room”—The Existential Human Core of Loneliness in Old Age: A Meta-Synthesis

Self‐management after hospitalisation

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