Department of Neurobiology, Care Science and Society, Center for family and community medicine, Karolinska Institutet, Stockholm, Sweden.
Int J Older People Nurs. 2010 Dec;5(4):254-64. doi: 10.1111/j.1748-3743.2009.00190.x.
To examine how older persons in need of home-nursing care and their relatives experience the discharge process and develop a model that explains the experience.
The discharge process has well-known deficiencies and is therefore a challenging issue requiring improvement in many countries. Research focusing on patient-centred factors has attracted very little critical attention.
Grounded theory was used to analyze semi-structured interviews with 26 older persons and their relatives.
The analysis resulted in a theoretical model that depicts factors determining whether the older persons and their relatives feel prepared or unprepared for life at home at the time of discharge.
The older persons and/or their relatives felt prepared at the time of discharge if their needs were satisfied in the three significant areas of preparation. Not only were the professionals' skills of the utmost importance in preparing the older persons/relatives, but also the latter's own approach if the professionals were unskilled.
A knowledge of the preparation areas and skills can be of use for improving the quality of the discharge process from the older persons' and their relatives' perspective, i.e. through policies, checklists and teaching programmes.
探讨有居家护理需求的老年人及其家属如何体验出院过程，并构建一个解释这一体验的模型。
出院过程存在众所周知的缺陷，因此是一个需要在许多国家加以改进的具有挑战性的问题。关注以患者为中心的因素的研究很少受到严格的关注。
采用扎根理论对 26 名老年人及其家属的半结构式访谈进行分析。
分析结果得出了一个理论模型，描述了决定老年人及其家属在出院时对居家生活是否有准备或无准备的因素。
如果老年人及其家属在三个重要的准备领域得到满足，那么他们在出院时就会有准备。不仅专业人员的技能对准备老年人/家属至关重要，而且如果专业人员不熟练，后者自己的方法也很重要。
了解准备领域和技能可以帮助从老年人及其家属的角度提高出院过程的质量，例如通过政策、清单和教学计划。
