dc.contributor.author | Dyrstad, Dagrunn Nåden | |
dc.contributor.author | Testad, Ingelin | |
dc.contributor.author | Storm, Marianne | |
dc.date.accessioned | 2016-04-06T08:22:40Z | |
dc.date.available | 2016-04-06T08:22:40Z | |
dc.date.issued | 2015-10 | |
dc.identifier.citation | Dyrstad, D. N., Testad, I., Storm, M. (2015) Older patients’ participation in hospital admissions through the emergency department: an interview study of healthcare professionals. BMC Health Services Research, 15:475 | nb_NO |
dc.identifier.uri | http://hdl.handle.net/11250/2384170 | |
dc.description | This article was originally published in BMC Health Services Research. It is distributed under the terms of the Creative Commons Attribution 4.0
International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and
reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to
the Creative Commons license, and indicate if changes were made. | nb_NO |
dc.description.abstract | Background: Patient participation is an important aspect of healthcare quality and may be one way to improve
the quality of transitional care for older patients. Research reveals minimal awareness about patient participation in
hospital admissions. Hospital admissions require attention to individuals’ specific needs beyond patient frailty, and
to involve patients and their families in shared decision-making. The aim of this study was to identify factors
influencing patient participation by exploring healthcare professionals’ views on patient participation during
the hospital admission of older patients through the emergency department (ED).
Methods: The study used a qualitative and descriptive design with face-to-face interviews. A total of 27 interviews
were conducted with 15 healthcare professionals from one hospital and 12 from another. The data were analyzed
using systematic text condensation.
Results: Healthcare professionals thought that patient participation in hospital admissions was influenced by five main
factors: 1) routine treatment and care during hospital admission, and in particular certain procedures such as medical
examinations; 2) the frail and thankful older patients, and the overall picture of their medical needs; 3) hospital
resources, such as available staff and beds; 4) healthcare professionals’ attitude towards finding out about older patients’
experiences; and 5) the presence of a supportive and demanding next of kin acting as an advocate for the patient.
Conclusions: Patient participation in hospital admissions of older patients is dependent on the way the service
is organized, the patients’ condition, hospital resources, healthcare professionals’ attitudes, and support from patients’
next of kin. Some of the participants had high expectations of themselves and actively involved patients, but others did
not find patient participation relevant in the emergency department. Some used crowded wards as a reason not to
engage older patients in their own care. | nb_NO |
dc.language.iso | eng | nb_NO |
dc.publisher | BioMed Central | nb_NO |
dc.rights | Navngivelse 3.0 Norge | * |
dc.rights.uri | http://creativecommons.org/licenses/by/3.0/no/ | * |
dc.subject | patient participation | nb_NO |
dc.subject | views of healthcare professionals | nb_NO |
dc.subject | eldre pasienter | nb_NO |
dc.subject | interviews | nb_NO |
dc.subject | older patients | nb_NO |
dc.subject | hospital admission | nb_NO |
dc.subject | sykehusinnleggelse | nb_NO |
dc.subject | eldreomsorg | nb_NO |
dc.title | Older patients’ participation in hospital admissions through the emergency department: an interview study of healthcare professionals | nb_NO |
dc.type | Journal article | nb_NO |
dc.type | Peer reviewed | nb_NO |
dc.rights.holder | © 2015 Dyrstad et al. | nb_NO |
dc.subject.nsi | VDP::Medical disciplines: 700 | nb_NO |
dc.source.journal | BMC Health Services Research | nb_NO |
dc.identifier.doi | 10.1186/s12913-015-1136-1 | |