SynthesisBMJ open2019
Experiences of elderly patients regarding participation in their hospital discharge: a qualitative metasummary.
Synthesis in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
37 citing papers in PubMed, 90 citations in OpenAlex.
- Experiences With an Intervention Based on Geriatric Assessment With Management: A Qualitative Study.Nursing open · 2025Trial
- Healthcare Professionals' Perspectives on the Impact of a Multicomponent Intervention for Older People With Frailty Discharged From Hospital-A Theory-Based Evaluation.Journal of evaluation in clinical practice · 2025Trial
- Patients' experiences while undergoing high-intensity gait training during inpatient stroke rehabilitation: a qualitative study.BMC health services research · 2026Article
- How Do Older People Experience Hospital to Home Discharge? An Overview of Qualitative Reviews.International journal of older people nursing · 2026Review
- Older adults' experiences of hospital-to-home transitions in rural Sweden: a qualitative study.BMC geriatrics · 2025Article
- Patient Experiences of Hospital Care in the Context of Comprehensive Care Delivery: A Mixed Method Study.Journal of advanced nursing · 2025Article
- One Chance to Get it Right: Exploring Perspectives and Experiences in Care Home Discharge Decision-Making in the Acute Hospital.International journal of older people nursing · 2025Article
- Journeying Home: Elderly Patients' Experiences and Needs During Hospital Discharge- A Meta-Synthesis.Scandinavian journal of caring sciences · 2025Review
- Hospital discharge communication problems in 10 high-income nations: a secondary analysis of an international health policy survey.BMJ open · 2025Article
- Situation analysis of implementation of the SMART safe discharge protocol: a study from East Guilan, Iran.BMC nursing · 2025Article
- Communication on Rounds: The Role of Rounds Culture and Communication in Patient Care and Teaching.Deutsches Arzteblatt international · 2025Review
- Patient Participation for Frail Older Persons and Their Next of Kin in Hospital Care-A Scoping Review.International journal of older people nursing · 2025Article
- Family Involvement During Patient Hospitalisation-Developing and Testing a Clinical Decision Aid.Scandinavian journal of caring sciences · 2025Article
- Hospital-to-Home Transitions for Lung Cancer Patients-A Qualitative Study of Healthcare Professionals' Experiences.Nursing open · 2025Article
- Article
- Psychological Impact of Hospital Discharge on the Older Person: A Systematic Review.Geriatrics (Basel, Switzerland) · 2024Review
- Provider Perspectives, Barriers, and Improvement Strategies for Hospital Discharge Support Programs: A Focus Group Interview Study in Korea.Journal of preventive medicine and public health = Yebang Uihakhoe chi · 2024Article
- Implementation of the four habits model in intermediate care services in Norway: a process evaluation.BMC health services research · 2024Article
- Perspectives of older adults with chronic illness on person-centered practice at an inpatient hospital department: a descriptive study.BMC geriatrics · 2024Article
- "Being the main character but not always involved in one's own care transition" - a qualitative descriptive study of older adults' experiences of being discharged from in-patient care to home.BMC health services research · 2024Article
Corrections and comments
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAgeing patients are discharged from the hospital 'quicker and sicker' than before, and hospital discharge is a critical step in patient care. Older patients form a particularly vulnerable group due to multimorbidity and frailty. Patient participation in healthcare is influenced by government policy and an important part of quality improvement of care. There is need for greater insights into the complexity of patient participation for older patients in discharge processes based on aggregated knowledge.
objectiveThe aim of this study was to review reported evidence concerning the experiences of older patients aged 65 years and above regarding their participation in the hospital discharge process.
methodsWe conducted a qualitative metasummary. Systematic searches of Medline, Embase, Cinahl, PsycINFO and SocINDEX were conducted. Data from 18 studies were included, based on specific selection criteria. All studies explored older patients' experience of participation during the discharge process in hospital, but varied when it came to type of discharge and diagnosis. The data were categorised into themes by using thematic analysis.
resultsOur analysis indicated that participation in the discharge process varied among elderly patients. Five themes were identified: (1) complexity of the patients state of health, (2) management and hospital routines, (3) the norm and preference of returning home, (4) challenges of mutual communication and asymmetric relationships and (5) the significance of networks.
conclusionsCollaboration between different levels in the health systems and user-friendly information between staff, patient and families are crucial. The complexity of patient participation for this patient group should be recognised to enhance user involvement during discharge from hospital. Interventions or follow-up studies of how healthcare professionals can improve their communication skills and address the tension between client-centred goals and organisational priorities are requested. Organisational structure may need to be restructured to ensure the participation of elderly patients.
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Registered trials
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.