Older people's experiences in acute care settings: Systematic review and synthesis of qualitative studies

Abstract

BackgroundThere is no recent synthesis of primary research studies into older people's experiences of hospital care. ObjectiveTo synthesise qualitative research findings into older people's experiences of acute health care. DesignSystematic procedures for study selection and data extraction and analysis.Comparative thematic approach with meta-ethnographic features for synthesis. Data sourcesWorldwide grey and published literature written in English between January 1999 and December 2018 identified from databases: CINAHL, Medline, British Nursing Index, EMBASE Psychiatry, International Bibliography of the Social Sciences, PsychINFO, and AgeInfo. Review methodsSystematic review and synthesis of 61 qualitative studies and two systematic reviews describing older patients' experiences of care in acute hospital settings.

Perspectives about dignity during acute care for older people and their relatives: A qualitative study

“…Three key themes were identified in this qualitative study that explored the perspectives of older people and their relatives regarding what constitutes dignified care: “Involve me in decisions about my care and treatment,” “Keep me safe when I am vulnerable” and “Treat me as an individual and with respect.” These themes closely align with the three key features of care that influence older people's experiences of acute health care identified in a recent systematic review by Bridges, Collins, Flatley, Hope, and Young (2020): “maintaining identity: see who I am,” “building relationships: connect with me” and “partnering in care: involve me.” According to Bridges et al. (2020), these features either mediate negative feelings or are linked to positive experiences. The similarity of our findings with the Bridges et al (2020) review suggests these key features of dignity are relevant across cultures and care settings.…”

“…(2020), these features either mediate negative feelings or are linked to positive experiences. The similarity of our findings with the Bridges et al (2020) review suggests these key features of dignity are relevant across cultures and care settings.…”

“…Implementation and evaluation of these strategies will provide evidence about their effectiveness on patient dignity. Organisational support for professional development in relational care is likely to lead to successful implementation (Bridges et al., 2020).…”

Algunas Características Asociadas a La Satisfacción De Las Madres De Los Recién Nacidos Usuarios Del Consultorio Externo De Neonatología Del Hospital Iii Yanahuara Febrero 2017

“…Las madres expresaron que les hubiera gustado entender mejor sobre los cuidados y el tratamiento de su hijo. Este resultado, digno de ser tenido en cuenta, es un hallazgo similar al encontrado en otros estudios que muestran como los pacientes quieren participar más en la toma de decisiones sobre su tratamiento (18). En estos casos se da la circunstancia de que los pacientes pueden expresar que han podido comunicar a su médico sus puntos de vista sobre el tratamiento, mientras que al mismo tiempo pueden sentir que no tienen suficiente participación.…”

Conocimientos, actitudes y práctica clínica del consentimiento informado en bloque quirúrgico en el Área de Salud de Soria

“…Tuvieron un nivel alto de comprensión de la información proporcionada, aunque hay un 21% de la muestra que hubiera querido más información 187,188 .…”