Attitudes, perceptions, and behaviours associated with hospital admission avoidance: a qualitative study of high-risk patients in primary care

Dew, Rosie; Wilkes, Scott

doi:10.3399/bjgp18x697493

Cited by 2 publications

(6 citation statements)

References 31 publications

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“…The studies highlighted the importance of being interested in the experiences of frail older adults; offering home visits, listening and providing psychosocial support in the community 23 ; and recognizing the incidence of anxiety and depression in this population 31 . Similarly, another study maintains that the family support network, relatives, neighbors and friends reduced anxiety, hospitalization, and were recognized as fundamental to well-being 35 . There is a correlation between social support and resilience, contributing to a better quality of life for older adults 35,37 .…”

Section: Interpersonal Relationships In Care For Frail Older Adultsmentioning

confidence: 98%

“…Similarly, another study maintains that the family support network, relatives, neighbors and friends reduced anxiety, hospitalization, and were recognized as fundamental to well-being 35 . There is a correlation between social support and resilience, contributing to a better quality of life for older adults 35,37 . Social and community life is expressed as a possibility for compensating for losses 42 .…”

Section: Interpersonal Relationships In Care For Frail Older Adultsmentioning

confidence: 98%

“…In this context, the perception of the demand for care provides important information about the real care needs of frail older adults -however, more attention is often paid to physical and environmental issues than those in the psychosocial domain 6 . In the United Kingdom, older people evaluated the care received positively, affirmed their confidence in and the continuity of health care to avoid unplanned hospitalization by including medication, physical aids, adaptations to the home, the adoption of a healthy lifestyle and psychosocial practices 35 .…”

Section: Perspectives Of Older Adults Regarding Care Servicesmentioning

confidence: 99%

“…This category introduces the various relational aspects that modulate the care of the frail older person in the community. Interpersonal relationships, social contact, intervention in community contexts were particularly valued by this group 14,23,31,35,36 as fundamental for prevention, adherence to interventions and the reduction of frailty 23 .…”

Section: Interpersonal Relationships In Care For Frail Older Adultsmentioning

confidence: 99%

“…Explore health, health management and behavioral factors that contribute to enabling high-risk patients to avoid unplanned hospitalizations 35 .…”

mentioning

confidence: 99%

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Care for frail older adults in the community: an integrative review

Souza

Giacomin

Firmo

2020

Rev. bras. geriatr. gerontol.

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Objective: to identify scientific evidence regarding the care of frail older adults in the community, from the perspective of the older adults themselves. Method: a descriptive, integrative review study was performed. The search for articles was carried out in the Medline, Lilacs, Web of Science, Scopus and SciELO databases. The inclusion criteria were complete available articles; published between 2014 and 2019; written in Portuguese, English, Spanish or French; which had older adults as participants. Results: four categories of analysis emerged from the results: frailty from the perspective of frail older adults; priorities from the perspective of the older adults; the older adults’ perspectives on care by services; and interpersonal relationships in the care of frail older adults. The perception of the older adults has specific characteristics, has maintaining their independence as a focus of care, signals the need to maintain interpersonal relationships, improve communication, and for actions of health education and people-centered services. Conclusion: these points demand the attention of care providers and policy services to improve care delivery and provide actions that are welcomed by this public.

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Section: Interpersonal Relationships In Care For Frail Older Adultsmentioning

confidence: 98%

Section: Interpersonal Relationships In Care For Frail Older Adultsmentioning

confidence: 98%

Section: Perspectives Of Older Adults Regarding Care Servicesmentioning

confidence: 99%

Section: Interpersonal Relationships In Care For Frail Older Adultsmentioning

confidence: 99%

“…Explore health, health management and behavioral factors that contribute to enabling high-risk patients to avoid unplanned hospitalizations 35 .…”

mentioning

confidence: 99%

See 3 more Smart Citations

Care for frail older adults in the community: an integrative review

Souza

Giacomin

Firmo

2020

Rev. bras. geriatr. gerontol.

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Support for living well with long‐term conditions: How people manage

Budge¹,

Taylor²,

Curtis³

2020

Journal of Clinical Nursing

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Aims and objectives To explore how people self‐manage their long‐term conditions and the support enabling them to do so. Background People with long‐term conditions are required to engage in daily self‐management with the support of health practitioners, family and friends. Design A qualitative interview study. Methods Thirty‐two New Zealand European and Pacific people with long‐term conditions were interviewed about how they manage their condition/s at home with support from family, neighbours, agencies and general practice doctors and nurses. Interviews were recorded, transcribed, checked and analysed for thematic content. The COREQ checklist was used. Results Three themes emerging from the data were as follows: ‘acceptance’ of conditions, limitations, support and advice; ‘making it work’ regarding life with long‐term conditions; and the need for health practitioners to ‘work alongside me’. Conclusions People with long‐term conditions struggle with acceptance of a diagnosis and symptoms, and acceptance of help which conflicts with their need to maintain independence and personal control. They self‐manage every day, learning to plan, choose what and what not to do and negotiate with others to get tasks done and maintain quality of life. They manage better with support from understanding health practitioners, especially advanced nurses, with whom they have established a positive, sustained relationship. Relevance to clinical practice Active support for people to self‐manage has been shown to assist people to achieve their goals and improve overall health and well‐being. Nurses are well positioned to provide self‐management support for people with long‐term conditions but require allocated time and system changes to enable this. Practitioners need to acknowledge that it is difficult for people to accept diagnoses and symptoms and provide individualised support for this process. The desire to remain independent may limit acceptance of help, making it harder for people to maintain life quality. A change in length and content of consultations is required in order for practitioners to really get to know people and provide the self‐management support they need to meet their goals.

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Attitudes, perceptions, and behaviours associated with hospital admission avoidance: a qualitative study of high-risk patients in primary care

Cited by 2 publications

References 31 publications

Care for frail older adults in the community: an integrative review

Care for frail older adults in the community: an integrative review

Support for living well with long‐term conditions: How people manage

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