Kinsey, Debbie;
Carrieri, Daniele;
Briscoe, Simon;
Febrey, Sam;
Kneale, Dylan;
Lovegrove, Chris;
Nunns, Michael;
... Shaw, Liz; + view all
(2024)
Experiences of interventions to reduce hospital stay for older adults following elective treatment: Qualitative evidence-synthesis.
International Journal of Older People Nursing
, 19
(2)
, Article e12602. 10.1111/opn.12602.
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Abstract
Background and Objectives: Hospitals streamline treatment pathways to reduce the length of time older adults admitted for planned procedures spend in hospital. However patient perspectives have been poorly evaluated. This systematic review aimed to understand the experiences of older patients, carers, families and staff of multi-component interventions intended to improve recovery following elective treatment. Research Design and Methods: Bibliographic databases searched in June 2021 included MEDLINE ALL, HMIC, CENTRAL, CINAHL, AMED and ProQuest Dissertations and Theses. We conducted citation searching and examined reference lists of reviews. Two reviewers independently undertook screening and data extraction, resolving disagreements through discussion. We used an adapted Wallace checklist for quality appraisal and meta-ethnography to synthesise data. Clinician, carer and patient views were incorporated throughout the review. Results: Thirty-five papers were included in the synthesis. Thirteen studies were conducted in the UK, with patient views the most frequently represented. We identified six overarching constructs: ‘Home as preferred environment for recovery’, ‘Feeling safe’, ‘Individualisation of structured programme’, ‘Taking responsibility’, ‘Essential care at home’ and ‘Outcomes’. Discussion and Implications: Findings explore the support patients, families and carers need throughout hospital admission, and may inform commissioning of services to ensure patients and carers receive appropriate follow-up support after hospital discharge. The findings may help hospital and community-based health and social care staff provide person-centred care based upon assessments of emotional and physical wellbeing of patients and family/carers. Research is needed to establish a core-set of patient-reported outcome measures which capture aspects of recovery which are meaningful to patients.
| Type: | Article |
|---|---|
| Title: | Experiences of interventions to reduce hospital stay for older adults following elective treatment: Qualitative evidence-synthesis |
| Open access status: | An open access version is available from UCL Discovery |
| DOI: | 10.1111/opn.12602 |
| Publisher version: | http://dx.doi.org/10.1111/opn.12602 |
| Language: | English |
| Additional information: | © 2024 The Authors. International Journal of Older People Nursing published by John Wiley & Sons Ltd. This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited. |
| Keywords: | meta-ethnography, planned treatment, surgery, systematic review |
| UCL classification: | UCL UCL > Provost and Vice Provost Offices > School of Education UCL > Provost and Vice Provost Offices > School of Education > UCL Institute of Education UCL > Provost and Vice Provost Offices > School of Education > UCL Institute of Education > IOE - Social Research Institute |
| URI: | https://discovery.ucl.ac.uk/id/eprint/10187880 |
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