Article

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.

Langue : ANGLAIS