Abstract:
AIMS:This study aimed to provide an in-depth understanding of the process of hospital discharge experienced by the carers of patients 'at risk' of unsuccessful discharge from medical wards in three hospitals in the North of England. BACKGROUND:The Community Care Act and the Carers Recognition and Services Act placed responsibility on service providers to ensure the smooth discharge of patients from hospital making sure that appropriate community services are in place to support the patient and their informal carer following discharge from hospital. The study, from which this paper is taken, identified patients at risk of unsuccessful discharge and tracked the experiences of the patient and their carer through the discharge process. For the purpose of the study unsuccessful discharge is defined as unplanned readmission within 6 weeks of discharge or extended length of stay. DESIGN:The study combined qualitative and quantitative methods to identify factors leading to unsuccessful discharge. Logistic regression was used retrospectively with the records of 1500 patients to identify factors predicting unsuccessful discharge. A sample of medical patients predicted to be at risk of unsuccessful discharge, their formal and informal carers, were followed through the discharge process using qualitative techniques to look at decision-making and outcomes related to discharge. FINDINGS:This paper presents findings relating to patient/carer experiences of the discharge process. It explores the obligate moral climate in which the role of carer is negotiated between professionals, patients, family members, friends and neighbours and the differing assumptions about duty associated with caring roles in hospital and in family and community settings. CONCLUSION:The discussion adopts a critical theory perspective to examine the contradictions confronting practitioners, patients and carers arising from hospital policies which promote cost-effective and efficient use of expensive technical resources while simultaneously seeking to identify and meet the needs of patients and carers for care.
journal_name
J Adv Nursjournal_title
Journal of advanced nursingauthors
Procter S,Wilcockson J,Pearson P,Allgar Vdoi
10.1046/j.1365-2648.2001.01838.xkeywords:
subject
Has Abstractpub_date
2001-07-01 00:00:00pages
206-17issue
2eissn
0309-2402issn
1365-2648pii
jan1838journal_volume
35pub_type
杂志文章,多中心研究abstract:AIMS:To explore the motivation of family members of patients at high risk for sudden cardiac death for undertaking cardiopulmonary resuscitation (CPR) training. BACKGROUND:Home cardiac arrests are associated with poor outcomes because few family members learn CPR. Little is known about factors that motivate family mem...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/jan.13923
更新日期:2019-04-01 00:00:00
abstract::The study identified those hospital experiences perceived as stressful during hospitalization by patients, which will help clinical nurses to modify the nursing care provided. A Hospital Stress Rating Scale questionnaire of 40 items tested for reliability and validity was used to elicit responses from 100 patients fro...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.1991.tb03437.x
更新日期:1991-04-01 00:00:00
abstract::Research-based interventions for women with the human immunodeficiency virus (HIV) are usually developed without input from the women who receive the intervention. An exploratory study was performed using focus group methodology to develop a culturally sensitive videotape intervention for educating HIV-positive women ...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2648.2000.01610.x
更新日期:2000-12-01 00:00:00
abstract::The purpose of this study was to describe the problems of HIV-infected patients, hospitalized for Pneumocystis carinii pneumonia (PCP), as documented in the nursing care plan and to examine differences in the number and type of activated patient problems and patient outcomes between manually generated, computer-suppor...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.1994.tb01140.x
更新日期:1994-04-01 00:00:00
abstract:AIM:To report a study conducted to explore childrearing concerns through an analysis of online parenting message boards managed by popular parenting magazines. Background. Increasingly, mothers appear to be turning to the Web for childrearing advice and support. However, no previous studies have examined the childrear...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.2012.06030.x
更新日期:2013-03-01 00:00:00
abstract::The introduction of 'open' visiting and family involvement in the care of hospitalized children created a revolution in the care of children in hospitals. This historical study utilized the situation at the Hospital for Sick Children, Toronto (HSC), as a case study illustrating change. Although psychological research ...
journal_title:Journal of advanced nursing
pub_type: 历史文章,杂志文章
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更新日期:1992-12-01 00:00:00
abstract:AIMS:To develop a theoretically and psychometrically sound instrument to measure the 'dose' of person-centred care practice in long-term care. BACKGROUND:Although person-centred care has been adopted for long-term care across the world, there is a lack of theory-based instruments to measure its impact. Two questionnai...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/jan.14392
更新日期:2020-07-01 00:00:00
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journal_title:Journal of advanced nursing
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1046/j.1365-2648.1995.22030517.x
更新日期:1995-09-01 00:00:00
abstract:AIM:This paper is a report of psychometric testing of the Swedish version of the Child Drawing: Hospital Manual. BACKGROUND:Drawings have shown to be useful in assessing emotional status and anxiety in children because they generally speak to us more clearly and openly through their drawings than they are willing or a...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.2010.05550.x
更新日期:2011-05-01 00:00:00
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journal_title:Journal of advanced nursing
pub_type: 杂志文章,评审
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更新日期:2000-07-01 00:00:00
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journal_title:Journal of advanced nursing
pub_type: 临床试验,杂志文章
doi:10.1046/j.1365-2648.1994.20010071.x
更新日期:1994-07-01 00:00:00
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journal_title:Journal of advanced nursing
pub_type: 杂志文章,meta分析
doi:10.1111/jan.13818
更新日期:2019-01-01 00:00:00
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journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.2006.03839.x
更新日期:2006-05-01 00:00:00
abstract:AIM:To evaluate emergency nurse practitioner service effectiveness on outcomes related to quality of care and service responsiveness. BACKGROUND:Increasing service pressures in the emergency setting have resulted in the adoption of service innovation models; the most common and rapidly expanding of these is the emerge...
journal_title:Journal of advanced nursing
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更新日期:2014-09-01 00:00:00
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journal_title:Journal of advanced nursing
pub_type: 杂志文章,多中心研究
doi:10.1111/j.1365-2648.2007.04499.x
更新日期:2008-02-01 00:00:00
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journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.1992.tb01876.x
更新日期:1992-02-01 00:00:00
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journal_title:Journal of advanced nursing
pub_type: 杂志文章,多中心研究
doi:10.1111/jan.12545
更新日期:2015-02-01 00:00:00
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journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/jan.13939
更新日期:2019-06-01 00:00:00
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journal_title:Journal of advanced nursing
pub_type: 杂志文章
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更新日期:2002-02-01 00:00:00
abstract:AIM:This paper is a report of a study to determine the incidence of non-Clostridium difficile-associated diarrhoea in hospitalized patients and to re-evaluate clinical characteristics and other risk factors related to non-C. difficile-associated diarrhoea. BACKGROUND:Numerous factors are thought to be responsible for ...
journal_title:Journal of advanced nursing
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更新日期:2008-05-01 00:00:00
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journal_title:Journal of advanced nursing
pub_type: 杂志文章,评审
doi:10.1046/j.1365-2648.2002.02179.x
更新日期:2002-05-01 00:00:00
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journal_title:Journal of advanced nursing
pub_type: 杂志文章,多中心研究
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更新日期:2010-07-01 00:00:00
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journal_title:Journal of advanced nursing
pub_type: 杂志文章
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更新日期:2006-08-01 00:00:00
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journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2648.2001.01900.x
更新日期:2001-09-01 00:00:00
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journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/jan.14327
更新日期:2020-06-01 00:00:00
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journal_title:Journal of advanced nursing
pub_type: 杂志文章
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更新日期:1986-03-01 00:00:00
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journal_title:Journal of advanced nursing
pub_type: 杂志文章,评审
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更新日期:1999-01-01 00:00:00
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journal_title:Journal of advanced nursing
pub_type: 杂志文章
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更新日期:1998-09-01 00:00:00
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journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.2008.04624.x
更新日期:2008-06-01 00:00:00
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journal_title:Journal of advanced nursing
pub_type: 杂志文章
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更新日期:2012-03-01 00:00:00