PDF(Pubmed)
Abstract：
UNASSIGNED: Early supported discharge (ESD) is well established as a model of health service delivery for people with stroke. Emerging evidence indicates that ESD also reduces the length of stay for older medical inpatients. There is a dearth of evidence exploring the views of stakeholders on ESD as a model of care for older medical inpatients. The overall aim of this study is to explore the views and perceptions of older adults, family carers and healthcare professionals on the potential role of ESD for older adults admitted to hospital with medical complaints.
UNASSIGNED: Purposeful sampling was used to recruit older adults and family carers for interview. For Healthcare Professionals (HCPs), snowball purposeful sampling was used. Phone interviews took place following a semi-structured interview guide. Focus groups were moderated by A-MM. Braun and Clarke\'s approach to thematic analysis was used. Ethical approval was granted by the HSE Mid-Western Area Regional Ethics Committee in November 2021 (REC Ref. 096/2021).
UNASSIGNED: Fifteen HCPs took part across three focus groups, with six older adults and two family members participating in one-to-one interviews. Three themes were identified: 1. Pre-ESD experiences of providing and receiving older adult inpatient care, 2. Navigating discharge procedures from acute hospital services, 3. A vision for more integrated model of care and a medical ESD team.
UNASSIGNED: This study provided insight into the current discharge experiences of older adult care in the acute setting, the potential role for ESD in this population and the key factors that would need to be considered for the running of an ESD service for older adults admitted to hospital with medical complaints.
UNASSIGNED: This research highlights the barriers and facilitators to ESD for older medical inpatients from the perspectives of key stakeholders. Given the adverse outcomes associated with prolonged hospital stay, these findings will help inform the development of a feasibility trial, examining patient and process outcomes for older adults admitted to hospital with medical complaints who receive an ESD intervention.
UNASSIGNED: Purposeful sampling was used to recruit older adults and family carers for interview. For Healthcare Professionals (HCPs), snowball purposeful sampling was used. Phone interviews took place following a semi-structured interview guide. Focus groups were moderated by A-MM. Braun and Clarke\'s approach to thematic analysis was used. Ethical approval was granted by the HSE Mid-Western Area Regional Ethics Committee in November 2021 (REC Ref. 096/2021).
UNASSIGNED: Fifteen HCPs took part across three focus groups, with six older adults and two family members participating in one-to-one interviews. Three themes were identified: 1. Pre-ESD experiences of providing and receiving older adult inpatient care, 2. Navigating discharge procedures from acute hospital services, 3. A vision for more integrated model of care and a medical ESD team.
UNASSIGNED: This study provided insight into the current discharge experiences of older adult care in the acute setting, the potential role for ESD in this population and the key factors that would need to be considered for the running of an ESD service for older adults admitted to hospital with medical complaints.
UNASSIGNED: This research highlights the barriers and facilitators to ESD for older medical inpatients from the perspectives of key stakeholders. Given the adverse outcomes associated with prolonged hospital stay, these findings will help inform the development of a feasibility trial, examining patient and process outcomes for older adults admitted to hospital with medical complaints who receive an ESD intervention.
摘要：
UNASSIGNED：早期支持放电（ESD）已确立为中风患者的健康服务提供模式。新出现的证据表明，ESD还可以减少老年医疗住院患者的住院时间。缺乏证据来探讨利益相关者对ESD作为老年住院患者护理模式的看法。这项研究的总体目标是探索老年人的观点和看法，家庭护理人员和医疗保健专业人员关于ESD对因医疗投诉入院的老年人的潜在作用。
UNASSIGNED：使用有目的的抽样来招募老年人和家庭照顾者进行访谈。对于医疗保健专业人员（HCP），使用雪球式有目的取样。电话采访是按照半结构化的采访指南进行的。焦点小组由A-MM主持。使用了布劳恩和克拉克的主题分析方法。HSE中西部地区区域道德委员会于2021年11月批准了道德批准（RECRef。096/2021）。
未经评估：15个HCP参加了三个焦点小组，有六名老年人和两名家庭成员参加一对一的面试。确定了三个主题：1.提供和接受老年成人住院护理的ESD前经验，2.从急诊医院服务中导航出院程序，3.实现更一体化的护理模式和医疗ESD团队的愿景。
UNASSIGNED：这项研究深入了解了目前在急性背景下老年人护理的出院体验，ESD在这一人群中的潜在作用，以及为住院有医疗投诉的老年人提供ESD服务需要考虑的关键因素。
UNASSIGNED：本研究从主要利益相关者的角度强调了老年医疗住院患者的ESD障碍和促进因素。鉴于与住院时间延长相关的不良结果，这些发现将有助于为可行性试验的发展提供信息，检查接受ESD干预的住院有医疗投诉的老年人的患者和过程结果。
UNASSIGNED：使用有目的的抽样来招募老年人和家庭照顾者进行访谈。对于医疗保健专业人员（HCP），使用雪球式有目的取样。电话采访是按照半结构化的采访指南进行的。焦点小组由A-MM主持。使用了布劳恩和克拉克的主题分析方法。HSE中西部地区区域道德委员会于2021年11月批准了道德批准（RECRef。096/2021）。
未经评估：15个HCP参加了三个焦点小组，有六名老年人和两名家庭成员参加一对一的面试。确定了三个主题：1.提供和接受老年成人住院护理的ESD前经验，2.从急诊医院服务中导航出院程序，3.实现更一体化的护理模式和医疗ESD团队的愿景。
UNASSIGNED：这项研究深入了解了目前在急性背景下老年人护理的出院体验，ESD在这一人群中的潜在作用，以及为住院有医疗投诉的老年人提供ESD服务需要考虑的关键因素。
UNASSIGNED：本研究从主要利益相关者的角度强调了老年医疗住院患者的ESD障碍和促进因素。鉴于与住院时间延长相关的不良结果，这些发现将有助于为可行性试验的发展提供信息，检查接受ESD干预的住院有医疗投诉的老年人的患者和过程结果。
