In the footstep of the old patient from hospital to home: A qualitative field observation study

Sanne Have Beck; Grethe Eilertsen; Karen Andersen-Ranberg; Astrid Janssens; Dorthe Susanne Nielsen

doi:10.1111/scs.13257

In the footstep of the old patient from hospital to home: A qualitative field observation study

Scand J Caring Sci. 2024 Apr 12. doi: 10.1111/scs.13257. Online ahead of print.

Authors

Sanne Have Beck^{1

2}, Grethe Eilertsen³, Karen Andersen-Ranberg^{1

2}, Astrid Janssens^{4

5

6

7}, Dorthe Susanne Nielsen^{1

2}

Affiliations

¹ Geriatric Research Unit, Department of Clinical Research, University of Southern Denmark, Odense, Denmark.
² Department of Geriatric Medicine, Odense University Hospital, Odense, Denmark.
³ USN Research Group of Older Peoples' Health, Faculty of Health and Social Sciences, Universitetet I Sørøst-Norge, Drammen, Norway.
⁴ Bioethics and Health Humanities, Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht, The Netherlands.
⁵ Department of Public Health, User Perspective and Community-Based Interventions, University of Southern Denmark, Odense, Denmark.
⁶ Centre for Research with Patients and Relatives, Odense University Hospital, Odense, Denmark.
⁷ University of Exeter Medical School, Exeter, UK.

PMID: 38610099
DOI: 10.1111/scs.13257

Abstract

Background: Older people often have multiple health conditions and therefore extended care needs. The transition from the hospital back to their home requires careful planning. The fragmented healthcare system and rapid discharge from the hospital can result in limited involvement of the older patient in the discharge planning process. We aimed to explore how older hospitalised patients experienced the transition from hospital to home and how possibilities and constraints in interactions with relevant parties in the transition affected their everyday lives.

Method: An ethnographic participant observation study including interviews was conducted with 10 older hospitalised patients. The theoretical perspective in the study is critical psychology and data were analysed using the condition-, meaning- and reasoning analysis.

Results: Three themes were identified: (1) Lost in transition - the person's ability to act is limited, (2) In transition - the relatives become important, (3) At home - the home transforms into a workplace.

Conclusion: Lack of involvement becomes a condition for older patients as some struggle to create meaning in their transition, affecting their everyday lives. The patients experienced their relatives as important as they ensured that the HCPs got to know their values and wishes. This knowledge is important for HCPs working closely with older people both at the hospital and at home ensuring active involvement of the older person with respect and acknowledgement of the older person's wishes, needs, resources and vulnerability.

Keywords: #from hospital to home; #nursing; #older patients; #transional care; #vulnerability.

Abstract

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