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A spider in a broken web: nurses' views on discharge planning for older patients after hip fracture surgery who live in their own homes in rural areas
Mid Sweden University, Faculty of Human Sciences, Department of Nursing Sciences.
Mid Sweden University, Faculty of Human Sciences, Department of Nursing Sciences.
Mid Sweden University, Faculty of Human Sciences, Department of Nursing Sciences.
2018 (English)In: Open Journal of Nursing, ISSN 2162-5336, E-ISSN 2162-5344, Vol. 8, no 7Article in journal (Refereed) Published
Abstract [en]

Introduction: The in-hospital rehabilitation of patients who have undergone surgery for hip fracture requires a team-based effort, in which nurses play an all-embracing role throughout the patients’ hospital stays. Although discharge planning has been widely studied, little is known about discharge planning from hospitals to homes in rural settings. Aim: To describe nurses’ views on discharge planning for older patients after hip fracture surgery who live in their own homes in rural areas. Methods: A qualitative method was used. Four focus group interviews were conducted with 18 nurses who work at an orthopaedic clinic. The interview texts were analysed with qualitative content analysis. Findings: Nurses expressed that patients needed support from healthcare personnel as well as relatives in order to prepare for life at home. They also expressed that patients were not supported in all aspects of discharge planning because they faced difficulties in having their voices heard. Nurses described that many of those aspects were beyond their own control, which had left them with little to non-ability to influence discharge planning. Findings additionally indicate that discharge planning seems not affected by occurring in rural settings. Conclusions: Although discharge planning is intended to meet the unique wishes and needs of each patient given the realities of existing resources, nurses’ responsibilities in discharge planning are unclear. This study shows an organisation in which healthcare personnel continue to make decisions for patients. Significance for nurses to perform a discharge planning that support patients’ participation seems to be a communication based on shared understanding.

Place, publisher, year, edition, pages
2018. Vol. 8, no 7
Keywords [en]
Discharge Planning, Nurses, Older Patients, Rural Area, Qualitative Method
National Category
Nursing
Identifiers
URN: urn:nbn:se:miun:diva-34769DOI: 10.4236/ojn.2018.87032OAI: oai:DiVA.org:miun-34769DiVA, id: diva2:1258055
Available from: 2018-10-23 Created: 2018-10-23 Last updated: 2018-10-29Bibliographically approved
In thesis
1. Recovery following hip fracture surgery for older people living in rural areas
Open this publication in new window or tab >>Recovery following hip fracture surgery for older people living in rural areas
2018 (English)Licentiate thesis, comprehensive summary (Other academic)
Place, publisher, year, edition, pages
Sundsvall: Mid Sweden University, 2018. p. 39
Series
Mid Sweden University licentiate thesis, ISSN 1652-8948 ; 143
National Category
Nursing
Identifiers
urn:nbn:se:miun:diva-34770 (URN)978-91-88527-61-5 (ISBN)
Presentation
2018-09-28, F234, Östersund, 10:30 (Swedish)
Supervisors
Note

Vid tidpunkten för framläggningen av avhandlingen var följande delarbete opublicerat: delarbete 1 inskickat.

At the time of the defence the following paper was unpublished: paper 1 submitted.

Available from: 2018-10-26 Created: 2018-10-23 Last updated: 2018-10-29Bibliographically approved

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Segevall, CeciliaBjörkman Randström, KerstinSöderberg, Siv

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Citation style
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