Understanding factors influencing the choice of discharge destination by older patients post total lower limb replacement: A qualitative study:

Proceedings of Singapore Healthcare

ShuzhenChee¹ 

关键词: Nursing;    qualitative;    total knee replacement;    total hip replacement;    discharge;    community hospital;   

DOI  :  10.1177/2010105815615359

学科分类：医学（综合）

来源: Sage Journals

【 摘 要 】

Background:In Singapore, the clinical pathway for total knee replacement was introduced in 1997 to streamline multidisciplinary care and reduce length of stay for patients in acute hospitals. However, patients who chose to be discharged to a community hospital for rehabilitation currently have a longer length of stay due to the higher demand and longer waiting time for beds in these step-down care facilities. To our knowledge, no qualitative studies have been done in Singapore to investigate the post-discharge issues faced by these patients. This study aims to understand how decisions about discharge were being made among elderly patients post-discharge.Design:Grounded theory qualitative methodology was applied.Method:Data was collected from nine inpatients who recently underwent total knee replacement or total hip replacement surgery in a tertiary hospital in Singapore by in-depth interviews conducted between October 2012 and July 2013. Data was analyzed using thematic analysis.Findings:Three major theme...

【 授权许可】

CC BY