Exploring older people’s experiences and factors associated with 30-day hospital readmission: a qualitative study using interpretive phenomenological analysis
Exploring older people’s experiences and factors associated with 30-day hospital readmission: a qualitative study using interpretive phenomenological analysis
INTRODUCTION: Hospital readmission has a negative impact on older people and the healthcare system. Current hospital readmission research predominantly reports on clinical outcomes based on cross-sectional data. Research exploring patients' experiences and priorities is limited. This study aimed to explore older people's experiences of hospital readmission in order to develop an understanding of what matters most to them.
METHODS: Semi-structured qualitative interviews were conducted to generate data that were analysed using principles of interpretative phenomenological analysis.
RESULTS: Ten participants over 65 years old, who had experienced unplanned hospital readmission within a period of 30 days, were recruited from a large single tertiary referral centre. Four themes emerged: 'All about me without me', 'Fragmented and ad hoc post-discharge support', 'My readmission experience and what led me back' and 'Segregated health and social services that are detached from people's needs'.
CONCLUSION: The study findings suggest that patients should be more involved in decisions about their care, and health professionals should endeavour to better understand the contexts, resources and access to formal and informal support of patients. Effective communication and stronger continuum of care could be a key to patients' recovery and avoidance of hospital readmission. This research highlights the importance of shared decision-making and patient-centred care to improve quality of care, maintain independence and preserve older adult's right to feel valued.
Humans, Patient Readmission, Aged, Female, Male, Qualitative Research, Aged, 80 and over, Interviews as Topic, Patient Discharge
Stavrou, Fanis
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Adams, Jo
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Patel, Harnish P
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Vassilev, Ivaylo
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Samuel, Dinesh
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Stavrou, Fanis
cb1cc2b8-ab84-4d7e-b900-ff9781414ca5
Adams, Jo
6e38b8bb-9467-4585-86e4-14062b02bcba
Patel, Harnish P
e1c0826f-d14e-49f3-8049-5b945d185523
Vassilev, Ivaylo
d76a5531-4ddc-4eb2-909b-a2a1068f05f3
Samuel, Dinesh
03b00738-9b9c-4c0a-a85a-cf43fc0932fc
Stavrou, Fanis, Adams, Jo, Patel, Harnish P, Vassilev, Ivaylo and Samuel, Dinesh
(2024)
Exploring older people’s experiences and factors associated with 30-day hospital readmission: a qualitative study using interpretive phenomenological analysis.
International Journal of Older People Nursing, 19 (6), [e12662].
(doi:10.1111/opn.12662).
Abstract
INTRODUCTION: Hospital readmission has a negative impact on older people and the healthcare system. Current hospital readmission research predominantly reports on clinical outcomes based on cross-sectional data. Research exploring patients' experiences and priorities is limited. This study aimed to explore older people's experiences of hospital readmission in order to develop an understanding of what matters most to them.
METHODS: Semi-structured qualitative interviews were conducted to generate data that were analysed using principles of interpretative phenomenological analysis.
RESULTS: Ten participants over 65 years old, who had experienced unplanned hospital readmission within a period of 30 days, were recruited from a large single tertiary referral centre. Four themes emerged: 'All about me without me', 'Fragmented and ad hoc post-discharge support', 'My readmission experience and what led me back' and 'Segregated health and social services that are detached from people's needs'.
CONCLUSION: The study findings suggest that patients should be more involved in decisions about their care, and health professionals should endeavour to better understand the contexts, resources and access to formal and informal support of patients. Effective communication and stronger continuum of care could be a key to patients' recovery and avoidance of hospital readmission. This research highlights the importance of shared decision-making and patient-centred care to improve quality of care, maintain independence and preserve older adult's right to feel valued.
Text
Int J Older People Nursing - 2024 - Stavrou - Exploring Older People s Experiences and Factors Associated With 30‐Day
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Accepted/In Press date: 14 October 2024
e-pub ahead of print date: 2 November 2024
Keywords:
Humans, Patient Readmission, Aged, Female, Male, Qualitative Research, Aged, 80 and over, Interviews as Topic, Patient Discharge
Identifiers
Local EPrints ID: 495368
URI: http://eprints.soton.ac.uk/id/eprint/495368
ISSN: 1748-3735
PURE UUID: 423a29e4-00e8-4bb0-9ce8-584748c5c680
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Date deposited: 11 Nov 2024 18:46
Last modified: 12 Nov 2024 02:49
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Author:
Fanis Stavrou
Author:
Harnish P Patel
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