ArticleBMC health services research2015
Older patients' participation in hospital admissions through the emergency department: an interview study of healthcare professionals.
Article in BMC health services research, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed.
- A work systems approach to characterizing emergency department disposition decision-making under low and high demand.Applied ergonomics · 2026Article
- Article
- Challenges in the Literature Around Context-Sensitive Implementation of Shared Decision Making in Emergency Medicine: A Scoping Review.Open access emergency medicine : OAEM · 2025Review
- Behavioural observation tool for patient involvement and collaboration in emergency care teams (PIC-ET-tool).BMC emergency medicine · 2023Article
- Relatives' experiences of the hospitalisation of older people with COVID-19: A qualitative interview study.International journal of older people nursing · 2022Article
- Patient Involvement During a Pathway of Home-Based Reablement for Older Persons: A Longitudinal Single-Case Study.Journal of multidisciplinary healthcare · 2021Article
- What matters when asking, "what matters to you?" - perceptions and experiences of health care providers on involving older people in transitional care.BMC health services research · 2020Article
- Health-care professionals' experiences of patient participation among older patients in intermediate care-At the intersection between profession, market and bureaucracy.Health expectations : an international journal of public participation in health care and health policy · 2019Article
- Returning to everyday life after discharge from a short-stay unit at the Emergency Department-a qualitative study of elderly patients' experiences.International journal of qualitative studies on health and well-being · 2019Article
- The decision-making process for unplanned admission to hospital unveiled in hospitalised older adults: a qualitative study.BMC geriatrics · 2018Article
- Attitudes, perceptions, and behaviours associated with hospital admission avoidance: a qualitative study of high-risk patients in primary care.The British journal of general practice : the journal of the Royal College of General Practitioners · 2018Article
- Comprehensive geriatric assessment pilot of a randomized control study in a Swedish acute hospital: a feasibility study.Pilot and feasibility studies · 2018Article
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPatient 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).
methodsThe 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.
resultsHealthcare 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.
conclusionsPatient 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.
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