Home > DARE Reviews > Older adults' experiences regarding...
  • We are sorry, but NCBI web applications do not support your browser and may not function properly. More information

PubMed Health. A service of the National Library of Medicine, National Institutes of Health.

Database of Abstracts of Reviews of Effects (DARE): Quality-assessed Reviews [Internet]. York (UK): Centre for Reviews and Dissemination (UK); 1995-.

Database of Abstracts of Reviews of Effects (DARE): Quality-assessed Reviews.

Older adults' experiences regarding discharge from hospital following orthopaedic intervention: a metasynthesis

Review published: 2012.

Bibliographic details: Perry MA, Hudson HS, Meys S, Norrie O, Ralph T, Warner S.  Older adults' experiences regarding discharge from hospital following orthopaedic intervention: a metasynthesis. Disability and Rehabilitation 2012; 34(4): 267-278. [PubMed: 21981113]

Quality assessment

The authors concluded that mental outlook, loss of independence, limitations in function and activities, and coping with pain were important concepts during the hospital discharge process following orthopaedic intervention in older adults. Most included studies evaluated experience following surgery, and not directly relating to discharge. With this limitation in mind, the review was well-conducted and conclusions are reliably derived. Full critical summary

Abstract

PURPOSE: To identify and synthesise qualitative literature on the older adults' perspectives of being discharged from hospital following orthopaedic intervention.

METHODS: A systematic search of nine databases, for qualitative research published between 1950 and December 2010, exploring the lived experience of older adults being discharged from hospital following orthopaedic surgery was undertaken. Included papers were evaluated using the Critical Appraisal Skills Programme (CASP) quality guidelines. Data were extracted and themes synthesised, using an EXCEL spreadsheet to assist with organisation of data.

RESULTS: From the 16 papers included in the review, four themes were identified: 1) mental outlook; 2) loss of independence; 3) function and activity limitations; and 4) coping with pain. Mental outlook was central to the other three themes.

CONCLUSIONS: Older adults' experiences around hospital discharge, collected through qualitative research, provide health authorities with valuable information that could be used in care pathway planning. Health professionals involved in in-patient and community care should be aware that a perceived loss of independence, function and activity limitations, and the ability to cope with pain can influence mental outlook and consequently rehabilitation.

CRD has determined that this article meets the DARE scientific quality criteria for a systematic review.

Copyright © 2014 University of York.

PubMed Health Blog...

read all...

Recent Activity

Your browsing activity is empty.

Activity recording is turned off.

Turn recording back on

See more...