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Who Bears Responsibility for the Post-Acute Older Adult: Patient, Family or State?
- Source :
-
British Journal of Community Nursing . Aug2023, Vol. 28 Issue 8, p376-383. 8p. - Publication Year :
- 2023
-
Abstract
- Aim: This study explores the perceptions of hospital discharge coordinators on the issues raised for the post-acute older adult and their family, using the lens of assisted decision-making and advance directives. Background: New legislation has been developed in Ireland to support assisted decision-making and advance directives that is largely consistent with other countries around the world. The Assisted Decision-Making Act of 2015 was fully commeced in April 2023, following lengthy debate. However, there is a lot of professional uncertainty regarding how to support and integrate Advance Healthcare Directives and assisted decision-making into the care of adults and into the role of nurses working in the community. Methods: Utilising a qualitative approach, this study conducted a series of five focus groups, with 23 participants, across the South-East of Ireland. Thematic analysis was used to interpret results. The 32-item consolidated criteria for reporting qualitative research checklist was utilised. Findings: The central finding in this study concerned the locus of control, as well as findings on burden of care and the role of the nurse. A stark incongruence of beliefs among patient, family and State was identified. Conclusion: Nurses must learn to circumnavigate the complex terrain involved in supporting the older adult's advance decision-making and advance healthcare directives. [ABSTRACT FROM AUTHOR]
- Subjects :
- *OCCUPATIONAL roles
*FOCUS groups
*CAPACITY (Law)
*ATTITUDES of medical personnel
*SOCIAL workers
*HOME care services
*FUNCTIONAL status
*FAMILIES
*STATE governments
*EXECUTIVES
*BURDEN of care
*RESPONSIBILITY
*ADVANCE directives (Medical care)
*QUALITATIVE research
*PATIENTS' attitudes
*CRITICAL care medicine
*DECISION making
*DESCRIPTIVE statistics
*LOCUS of control
*RESEARCH funding
*SOUND recordings
*HEALTH attitudes
*NURSES
*THEMATIC analysis
*JUDGMENT sampling
*DATA analysis software
*ROLE conflict
*DISCHARGE planning
Subjects
Details
- Language :
- English
- ISSN :
- 14624753
- Volume :
- 28
- Issue :
- 8
- Database :
- Academic Search Index
- Journal :
- British Journal of Community Nursing
- Publication Type :
- Academic Journal
- Accession number :
- 169712137
- Full Text :
- https://doi.org/10.12968/bjcn.2023.28.8.376