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Posted Tue, 5 Oct 2010 10:36:12
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*British Sociological Association*
*London Medical Sociology Group Meeting*
*Wednesday 13th Oct **6pm*
*
*
**
Jackie Bridges, Mary Flatley & Julienne Meyer
City University, London
* **Learning from the acute hospital care experiences of older
people and their relatives *
*Abstract*
Recognition is growing that current models of acute hospital care
may not adequately meet older people's needs, but what we know about
patient experiences has largely relied on survey results and
anecdotal evidence. Satisfaction surveys highlight that older people
tend to evaluate care differently to younger people, often more
positively. These relatively positive evaluations may be because
older people's expectations of care are lower than those of younger
adults, so it is appropriate to use qualitative methodologies to
better understand older people's experiences of acute care. While
there are now an increasing number of qualitative studies providing
such insight, a systematic overview of this work has not been
previously conducted. This paper presents the findings from a
systematic review of qualitative research focused on older people's
and their relatives' views on and experiences of acute care.
Systematic procedures were used for study selection and data
extraction and analysis. Worldwide grey and published literature
written in English between January 1999 and June 2008 identified
from databases: CINAHL, Medline, British Nursing Index, EMBASE
Psychiatry, International Bibliography of the Social Sciences,
PsychINFO, and AgeInfo. 42 primary studies and 1 systematic review
met the inclusion criteria. A comparative thematic approach to
synthesis was taken with a number of features adopted from the
literature on meta-ethnography.
Findings indicate that the quality of technical care is often taken
for granted by older patients, and good or bad experiences are
described more in terms of relational aspects of care. Older
patients in hospital may feel worthless, fearful or not in control
of what happens, especially if they have impaired cognition, or
communication difficulties. Three key features of care consistently
mediated these negative feelings and were linked to more positive
experiences: "creating communities: connect with me", "maintaining
identity: see who I am" and "sharing decision-making: include me".
These findings highlight the perspectives of older people and their
relatives on the delivery of personalized and dignified care in
acute settings. They lend support to previous calls for
relationship-centred approaches to care and provide a useful
experience-based framework for practice for those involved in care
for older people.
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*Venue*
King's College London
Franklin Wilkins Building
Room 1.16
Stamford Street
London SE1 8WA
nearest train/tube station: Waterloo
*Everyone is welcome to attend the LMSG meeting. The group has no formal membership.
*
The BSA is a Company Limited by Guarantee. Registered in England and
Wales. Company Number: 3890729. Registered Charity Number 1080235
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