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"They were talking about me"--elderly women's experiences of taking part in a discharge planning conference.

Efraimsson, Eva (författare)
Umeå universitet,Institutionen för omvårdnad
Sandman, Per-Olof (författare)
Umeå universitet,Institutionen för omvårdnad
Rasmussen, Birgit H (författare)
Umeå universitet,Institutionen för omvårdnad
 (creator_code:org_t)
Wiley, 2006
2006
Engelska.
Ingår i: Scandinavian Journal of Caring Sciences. - : Wiley. - 0283-9318 .- 1471-6712. ; 20:1, s. 68-78
  • Tidskriftsartikel (refereegranskat)
Abstract Ämnesord
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  • INTRODUCTION: Discharge planning procedures needs improving to make transition to care settings in the community smooth, safe and secure. Research about discharge planning that involves a patient perspective is limited. The intention of this study was to focus on the patients' (elderly women) experiences of taking part in discharge planning conferences (DPCs) to deepen our understanding of the meaning of facing "the world of the institution" from a life-world perspective. AIM: This study aims at describing elderly women's experience of taking part in a DPC as they are about to be discharged from hospital. METHODOLOGICAL DESIGN: To illuminate the phenomenon from a life-world perspective, an interview study was chosen. Eight follow-up interviews with seven elderly women were carried out. The interviews were analysed using a qualitative content analysis methodology. FINDINGS: The interpretation of data was that the women's future was as in suspense as they got ill or were hit by accidents. The analysis revealed four themes that reflected the women's experiences of taking part in the DPCs: Being affiliated; Being in focus, Standing outside; and finally Being unprepared. STUDY LIMITATIONS AND CONCLUSION: The limitations of the study are related to: selection of participants; participation in the interview was connected to a video recording study; gap in time between participation in the DPC and the interview. The findings are still seen as trustworthy as the experiences expressed by the participating women in data are to be seen as a contribution to an emerging understanding of the meaning of the phenomenon from a life world perspective. The findings make clear that the institutional world easily and without much resistance from the patients transgresses the border of their life worlds. This awakes a need to reconsider how a caring perspective can be established in practice.

Nyckelord

Adaptation; Psychological
Aged/*psychology
Aged; 80 and over
Attitude to Health
Communication
Empathy
Family/psychology
Female
Follow-Up Studies
Health Knowledge; Attitudes; Practice
Health Services Needs and Demand
Humans
Narration
Nursing Methodology Research
Patient Discharge
Patient Education as Topic
Patient Participation/methods/*psychology
Power (Psychology)
Qualitative Research
Questionnaires
Social Support
Sweden
Uncertainty
Women/*psychology

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