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Discharge transition experience and nursing needs of elderly patients with hip fracture: A qualitative systematic
Chun Huang1, Jian Song1, Lingli Peng2
1Teaching and Research Section of Clinical Nursing, Xiangya Hospital, Central South University, 87 Xiangya Road, Kaifu District, Changsha, Hunan Province, China; Xiangya School of Nursing, Central South University, 172 Tongzipo Road, Yuelu District, Changsha, Hunan Province, China.
Background:
Unmet nursing needs during hospital discharge for elderly patients with hip fractures may lead to increased readmission rates and mortality.
Objective:
To investigate the discharge transition experience and nursing needs of elderly patients with hip fracture.
Methods:
Five electronic databases (PubMed, Web of science, Ovid, CINAHL, Embase) were searched from Jan. 1st, 2014 to Nov. 1st, 2024. Qualitative studies that reported the experiences, perceptions, and needs of elderly patients with hip fractures during the discharge transition were included. Two authors independently screened, and extracted themes. The Joanna Briggs Institute Critical Appraisal Checklist for Qualitative Research was used to evaluate the quality of literature. Themes were generated by the thematic analysis method of data from the original study.
Results:
A total of 11 qualitative studies were included. And three themes were identified: (1) challenges of transition and rehabilitation, (2) adaptation and coping, (3) ensuring patient-centered rehabilitation and discharge care.
Conclusion:
It is crucial for healthcare staff to address the discharge transition experiences and nursing needs of elderly patients with hip fracture. Additionally, the findings of this review offer valuable insights for healthcare policymakers and administrators to enhance support for patients during the discharge process.
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