Evidence map›Paper›PMID 35871418›Full record

ArticleAge and ageing2022

Outcomes as experienced by older patients after hospitalisation: satisfaction, acceptance, frustration and hope-a grounded theory study.

Maria Johanna van der Kluit, Geke J Dijkstra

Abstract read
In one paragraph

Article in Age and ageing, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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

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.

2 · The registry

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
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

2 authors.

Maria Johanna van der KluitUniversity of Groningen, University Medical Center Groningen, University Center for Geriatric Medicine, Hanzeplein 1, 9700 RB Groningen, The Netherlands.
Geke J DijkstraUniversity of Groningen, University Medical Center Groningen, Department of Health Sciences, Applied Health Research, Groningen, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundoutcomes of hospitalisation are often described in quantitative terms. It is unknown how older frail patients describe their own outcomes.

objectiveto discover how older frail persons describe their own hospitalisation outcomes and the meaning of these outcomes for their daily lives.

designConstructivist Grounded Theory approach.

participantsfrail older people discharged from hospital.

methodsOpen interviews in the participant's home. Transcripts were coded inductively according to the Constructivist Grounded Theory approach.

resultsTwenty-four interviews were conducted involving 20 unique participants. Although for some participants hospitalisation was just a ripple, for others, it was a turning point. It could have positive or negative impacts on outcomes, including remaining alive, disease, fatigue/condition, complaints, daily functioning, social activities and intimate relationships, hobbies, living situation and mental well-being. Few participants were completely satisfied, but for many, a discrepancy between expectation and reality existed. Some participants could accept this, others remained hopeful and some were frustrated. Factors associated with these categories were research and treatment options, (un)clarity about the situation, setting the bar too high or pushing boundaries, confidence in physicians, character traits and social factors.

conclusionsof the persons whose outcomes did not meet their expectations, some were frustrated, others hopeful and others accepted the situation. The following interventions can help patients to accept: clear communication about options and expectations before, during and after hospitalisation; giving room for emotions; help finding social support, encouragement to engage in pleasant activities and find meaning in small things. For some patients, psychological treatment may be needed.

Indexed as

FrustrationPersonal SatisfactionAgedGrounded TheoryHospitalizationHumansPatient Satisfactioncopingexpectationsolder peopleposthospitalisationqualitative research

Identifiers

PMID35871418
PMCPMC9308987

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