Frail Older Persons' Experiences of Information and Participation in Hospital Care

Int J Environ Res Public Health. 2019 Aug 8;16(16):2829. doi: 10.3390/ijerph16162829.

Abstract

The aim of this paper is to describe frail older persons' experiences of hospital care of information and participation when being an inpatient at a hospital. A qualitative method was used. Data were collected at the hospital from 20 interviews with frail older patients, together with observations in the environment at the hospital ward. A content analysis was performed. Patients experienced not receiving information about their care and rehabilitation, or receiving such information in noisy surroundings. They experienced situations of misunderstanding related to their medication, which indicates the need for appropriate discharge calls for frail older patients. They expressed feelings of distress concerning the future, caused by hasty admissions or relatives' problems to handle the situation. The results highlight the need to receive appropriate information and to participate in decision-making. The level of health literacy should be taken notice of when giving information, using peaceful and quiet environments when informing frail older persons. Person-centered care should be recognized to a greater extent in order for healthcare professionals to give information to frail older people in a health literacy-friendly way. This might make it easier for frail older persons to participate in a partnership in care.

Keywords: communication; frail older persons; health literacy; information; person-centered care (PCC).

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged
  • Aged, 80 and over
  • Communication*
  • Decision Making
  • Female
  • Frail Elderly / psychology*
  • Frail Elderly / statistics & numerical data
  • Humans
  • Information Dissemination / methods*
  • Inpatients / psychology*
  • Inpatients / statistics & numerical data
  • Male
  • Patient Participation / psychology*
  • Patient Participation / statistics & numerical data
  • Patient-Centered Care / methods*