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Exploring Older People's Experiences and Factors Associated With 30-Day Hospital Readmission: A Qualitative Study
Fanis Stavrou1,2, Jo Adams1, Harnish P Patel3,4
1Faculty of Environmental and Life Sciences, University of Southampton, Southampton, UK.
International Journal of Older People Nursing
|November 2, 2024
Summary
Older adults feel unheard during hospital readmissions, experiencing fragmented care. Improving patient involvement and integrated health services is crucial for recovery and preventing readmissions.
Area of Science:
- Gerontology
- Healthcare Management
- Patient Experience Research
Background:
- Hospital readmissions negatively impact older adults and healthcare systems.
- Existing research on readmissions primarily uses cross-sectional data, with limited focus on patient experiences.
- Understanding patient priorities is essential for improving care quality and reducing readmissions.
Purpose of the Study:
- To explore the experiences of older adults undergoing hospital readmission.
- To identify key factors influencing older patients' readmission journeys.
- To inform strategies for enhancing patient-centred care and support.
Main Methods:
- Semi-structured qualitative interviews were conducted with ten participants aged over 65.
- Participants had experienced unplanned hospital readmission within 30 days.
- Interpretative phenomenological analysis (IPA) was used to analyze the interview data.
Main Results:
- Four major themes emerged: 'All about me without me', 'Fragmented and ad hoc post-discharge support', 'My readmission experience and what led me back', and 'Segregated health and social services that are detached from people's needs'.
- Participants reported feeling excluded from decisions about their care.
- Inconsistent and inadequate post-discharge support was a significant issue.
Conclusions:
- Increased patient involvement in care decisions is recommended.
- Health professionals should better understand patients' contexts and support systems.
- Enhanced communication and a stronger continuum of care are vital for recovery and readmission prevention.
- Shared decision-making and patient-centred care are crucial for improving quality of care, maintaining independence, and valuing older adults.
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