Elizabeth Pritchard1, Narelle Warren2, Anna Barker3, Ted Brown4, Terry Haines5. 1. Department of Physiotherapy, Monash University, Peninsula Campus, McMahons Road, Frankston, Melbourne, Victoria, Australia. elizabeth.pritchard@monash.edu. 2. Social science and health research, School of Psychology and Psychiatry, Monash University, Clayton Campus, Wellington Road, Melbourne, Victoria, Australia. 3. Department of Epidemiology and Preventive Medicine, The Alfred Research Center, Monash University, 99 Commercial Road, Melbourne, Victoria, Australia. 4. Occupational Therapy Department, Monash University, Peninsula Campus, McMahons Road, Frankston, Melbourne, Victoria, Australia. 5. Department of Physiotherapy, Monash University, Peninsula Campus, McMahons Road, Frankston, Melbourne, Victoria, Australia. Allied Health Research Unit, Monash Health, Melbourne, Victoria, Australia.
Abstract
PURPOSE: To explore factors that support or inhibit participation in daily activities amongst older adults who have returned home following hospitalization. DESIGN AND METHODS: An exploratory qualitative design was used to gather information from a sample of older adults. Participants were recruited during their hospital stay from acute and rehabilitation wards in Victoria, Australia. Semistructured interviews were carried out in the participants' home within 6 weeks of discharge. Data were analyzed through thematic analysis. RESULTS: Participants (n = 21) were aged ≥65 years (mean 82 years [SD 8.5]), 57% were female (n = 11) and 76% with English as their first language (n = 16). Thematic analysis identified one primary theme (personal life approach) moderated by spirituality and two subthemes; interpretation of physical and mental abilities, and social interactions. The life approach acted as a filter through which participants interpreted their abilities and social interactions that either supported or inhibited their return to participation after a stay in hospital. IMPLICATIONS: The findings suggest that clinicians need to consider the individual's approach to life in their recovery following hospitalization. This approach can influence their return to participation in activities and potentially be supported (towards higher levels of optimism) by health professionals to enhance participation in activities postdischarge.
PURPOSE: To explore factors that support or inhibit participation in daily activities amongst older adults who have returned home following hospitalization. DESIGN AND METHODS: An exploratory qualitative design was used to gather information from a sample of older adults. Participants were recruited during their hospital stay from acute and rehabilitation wards in Victoria, Australia. Semistructured interviews were carried out in the participants' home within 6 weeks of discharge. Data were analyzed through thematic analysis. RESULTS:Participants (n = 21) were aged ≥65 years (mean 82 years [SD 8.5]), 57% were female (n = 11) and 76% with English as their first language (n = 16). Thematic analysis identified one primary theme (personal life approach) moderated by spirituality and two subthemes; interpretation of physical and mental abilities, and social interactions. The life approach acted as a filter through which participants interpreted their abilities and social interactions that either supported or inhibited their return to participation after a stay in hospital. IMPLICATIONS: The findings suggest that clinicians need to consider the individual's approach to life in their recovery following hospitalization. This approach can influence their return to participation in activities and potentially be supported (towards higher levels of optimism) by health professionals to enhance participation in activities postdischarge.
Authors: Chiara Naseri; Steven M McPhail; Julie Netto; Terrence P Haines; Meg E Morris; Christopher Etherton-Beer; Leon Flicker; Den-Ching A Lee; Jacqueline Francis-Coad; Anne-Marie Hill Journal: BMJ Open Date: 2018-04-20 Impact factor: 2.692
Authors: Jennifer Beveridge; Andrea Phillipou; Kelly Edwards; Alice Hobday; Krissy Hilton; Cathy Wyett; Anna Saw; Georgia Graham; David Castle; Leah Brennan; Philippa Harrison; Rebecca de Gier; Narelle Warren; Freya Hanly; Benjamin Torrens-Witherow; J Richard Newton Journal: Pilot Feasibility Stud Date: 2018-04-18