Evidence map›Paper›PMID 31383709›Full record

ArticleBMJ open2019

Goals of older hospitalised patients: a qualitative descriptive study.

Maria Johanna van der Kluit, Geke J Dijkstra, Sophia E de Rooij

Abstract read
In one paragraph

Article in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

12 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Maria Johanna van der KluitUniversity of Groningen, University Medical Center Groningen, University Center for Geriatric Medicine, Groningen, The Netherlands m.j.van.der.kluit@umcg.nl.ORCID 0000-0001-8758-232X
Geke J DijkstraUniversity of Groningen, University Medical Center Groningen, Department of Health Sciences, Applied Health Research, Groningen, The Netherlands.
Sophia E de RooijUniversity of Groningen, University Medical Center Groningen, University Center for Geriatric Medicine, Groningen, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesSince the population continues ageing and the number of patients with multiple chronic diseases is rising in Western countries, a shift is recommended from disease oriented towards goal-oriented healthcare. As little is known about individual goals and preferences of older hospitalised patients, the aim of this study is to elucidate the goals of a diverse group of older hospitalised patients.

designQualitative descriptive method with open interviews analysed with inductive content analysis.

settingA university teaching hospital and a regional teaching hospital.

participantsTwenty-eight hospitalised patients aged 70 years and older.

resultsSome older hospitalised patients initially had difficulties describing concrete goals, but after probing all were able to state more concrete goals. A great diversity of goals were categorised into wanting to know what the matter is, controlling disease, staying alive, improving condition, alleviating complaints, improving daily functioning, improving/maintaining social functioning, resuming work/hobbies and regaining/maintaining autonomy.

conclusionsOlder hospitalised patients have a diversity of goals in different domains. Discussing goals with older patients is not a common practice yet. Timely discussions about goals should be encouraged because individual goals are not self-evident and this discussion can guide decision making, especially in patients with multimorbidity and frailty. Aids can be helpful to facilitate the discussion about goals and evaluate the outcomes of hospitalisation.

Indexed as

Decision MakingGoalsHospitalizationAdvance Care PlanningAgedAged, 80 and overFemaleFrail ElderlyHumansInterviews as TopicMaleMultimorbidityQualitative Researchgeriatric medicinegoal settinghospitalisationolder adultspatient perspectivequalitative research

Identifiers

PMID31383709
PMCPMC6687021

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.