Kydd Angela
The University of Paisley, Paisley, UK.
J Nurs Manag. 2008 Mar;16(2):121-6. doi: 10.1111/j.1365-2834.2008.00848.x.
To explore what life was like for frail older people, classed as 'delayed discharges'.
Delayed discharge or 'bed blocking' is when a patient is inappropriately occupying a hospital bed. Most delayed discharges are frail older people who are waiting until a care home bed is available for them to move to. This paper explores what life was like for some people who were living in such a state of transition.
An ethnographic approach was employed, using a variety of methods. This paper discusses one of the methods used; participant observation on a ward for older people classed as delayed discharge. The researcher visited the ward for over a year, field notes and interviews were transcribed and the data analysed using thematic analysis.
The frail older people were anxious about their futures. Not one voiced their anxieties to staff and the findings showed they felt unsupported during this critical and final stage in their lives.
In order to support frail older people undergoing a major life event, staff need to be aware of the effect of the stress involved for those who know they have to move on and yet have no control over their destiny.
Qualified and unqualified staff need to understand that patients in transition have many anxieties about their futures. The stress of moving on should be sensitively addressed in everyday care.
探究被归类为“延迟出院”的体弱老年人的生活状况。
延迟出院或“床位占用”是指患者不恰当地占用医院床位。大多数延迟出院的是体弱老年人，他们在等待护理院有空床位以便搬过去。本文探讨了处于这种过渡状态的一些人的生活状况。
采用人种志方法，运用多种方式。本文讨论所使用的其中一种方法；对被归类为延迟出院的老年人病房进行参与观察。研究者在该病房走访了一年多，对实地记录和访谈进行转录，并采用主题分析法对数据进行分析。
体弱老年人对自己的未来感到焦虑。没有一个人向工作人员表达他们的焦虑，研究结果表明，在他们生命中这个关键的最后阶段，他们感到无人支持。
为了支持正在经历重大生活事件的体弱老年人，工作人员需要意识到对于那些知道自己必须继续前行但无法掌控自己命运的人来说，其中所涉及压力的影响。
合格和不合格的工作人员都需要明白，处于过渡阶段的患者对自己的未来有诸多焦虑。在日常护理中应敏感地处理继续前行的压力。
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