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"They were talking about me"--elderly women's experiences of taking part in a discharge planning conference.
Umeå University, Faculty of Medicine, Nursing.
Umeå University, Faculty of Medicine, Nursing.
Umeå University, Faculty of Medicine, Nursing.
2006 (English)In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, Vol. 20, no 1, 68-78 p.Article in journal (Refereed) Published
Abstract [en]

INTRODUCTION: Discharge planning procedures needs improving to make transition to care settings in the community smooth, safe and secure. Research about discharge planning that involves a patient perspective is limited. The intention of this study was to focus on the patients' (elderly women) experiences of taking part in discharge planning conferences (DPCs) to deepen our understanding of the meaning of facing "the world of the institution" from a life-world perspective. AIM: This study aims at describing elderly women's experience of taking part in a DPC as they are about to be discharged from hospital. METHODOLOGICAL DESIGN: To illuminate the phenomenon from a life-world perspective, an interview study was chosen. Eight follow-up interviews with seven elderly women were carried out. The interviews were analysed using a qualitative content analysis methodology. FINDINGS: The interpretation of data was that the women's future was as in suspense as they got ill or were hit by accidents. The analysis revealed four themes that reflected the women's experiences of taking part in the DPCs: Being affiliated; Being in focus, Standing outside; and finally Being unprepared. STUDY LIMITATIONS AND CONCLUSION: The limitations of the study are related to: selection of participants; participation in the interview was connected to a video recording study; gap in time between participation in the DPC and the interview. The findings are still seen as trustworthy as the experiences expressed by the participating women in data are to be seen as a contribution to an emerging understanding of the meaning of the phenomenon from a life world perspective. The findings make clear that the institutional world easily and without much resistance from the patients transgresses the border of their life worlds. This awakes a need to reconsider how a caring perspective can be established in practice.

Place, publisher, year, edition, pages
2006. Vol. 20, no 1, 68-78 p.
Keyword [en]
Adaptation; Psychological, Aged/*psychology, Aged; 80 and over, Attitude to Health, Communication, Empathy, Family/psychology, Female, Follow-Up Studies, Health Knowledge; Attitudes; Practice, Health Services Needs and Demand, Humans, Narration, Nursing Methodology Research, Patient Discharge, Patient Education as Topic, Patient Participation/methods/*psychology, Power (Psychology), Qualitative Research, Questionnaires, Social Support, Sweden, Uncertainty, Women/*psychology
URN: urn:nbn:se:umu:diva-6595DOI: 10.1111/j.1471-6712.2006.00382.xPubMedID: 16489962OAI: diva2:146264
Available from: 2007-12-14 Created: 2007-12-14 Last updated: 2009-11-11Bibliographically approved
In thesis
1. Vårdplaneringsmötet.: En studie av det institutionella samtalet mellan äldre kvinnor, närstående och vårdare
Open this publication in new window or tab >>Vårdplaneringsmötet.: En studie av det institutionella samtalet mellan äldre kvinnor, närstående och vårdare
2005 (Swedish)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

The overall aim of this thesis is to describe how elderly women’s encounters with an institutionalised world of health care manifest itself in a discharge planning conference (DPC). The thesis is based on eight video recorded DPCs and follow-up interviews with the women who took part in the conferences.

The result of study I, a case study, showed that the woman’s experience of taking part in the DPC was characterised as a feeling of powerlessness. The women’s possibility to have influence on the care planning was small (Study II). Study III revealed that the participants adopted or were assigned to different roles during the DPC. As these roles collided dilemmatic situations occurred. Simultaneously the women and family members struggled to manage the institutional frame that surrounded the meeting by trying to find room within it or by challenging it. Study IV revealed that the women found themselves to be in a vulnerable situation. Their body had failed them, their future was insecure and they felt unprepared as they took part in the DPC. They felt as if they were being affiliated with the other participants in a joint project, as if they were standing outside the event or as if they were in focus for the conversation which. The last was a double edged experience: getting confirmative attention but also being exposed as dependent. Four themes characterise the care that was jointly constructed by all participants during the DPC. These themes are “Care as spirit of community and confirmation”, ”Care as alienation”, ”The incomprehensible care” and “The inflexible and betraitful care”.The result gives rise to questions about the relevance of DPCs in their present shape. Further research and developmental projects requested to achieve dicharge planning conferences that are corresponding better to official caring ideals and the patients needs.

Place, publisher, year, edition, pages
Umeå: Omvårdnad, 2005. 89 p.
Umeå University medical dissertations, ISSN 0346-6612 ; 967
Nursing, Discharge planning, Omvårdnad
National Category
Research subject
Caring Sciences
urn:nbn:se:umu:diva-590 (URN)91-7305-883-1 (ISBN)
Public defence
2005-09-30, Aulan, Vårdvetarhuset, Institutionen för omvårdnad, 901 87Umeå, 13:00 (English)
Available from: 2005-09-19 Created: 2005-09-19 Last updated: 2009-11-11Bibliographically approved

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