Coping with crisis: How Australian families search for and select an aged care facility for a family member upon discharge from an acute care setting
Julianne Cheek
Institute of Nursing and Health Sciences, University of Oslo, Norway; Centre for Research into Sustainable Health Care, University of South Australia, SA
Alison Ballantyne
Senior Lecturer, School of Nursing and Midwifery, Division of Health Sciences, University of South Australia, SA
PP: 012 - 020
Abstract
Searching for, and selecting, an aged care facility for a family member upon his or her discharge from an acute setting is known, anecdotally, to be a challenge; but the process itself, and its effects on families, has seldom been examined. In this exploratory/descriptive study, face-to-face in-depth interviews were conducted with sponsors (often family members) of residents who had been admitted to an aged care facility within the past 90 days, following their discharge from an acute care setting. Where possible, both sponsor and resident were interviewed.
This paper reports on the participants' perceptions of the search and selection process. Specific areas of interest were probed: Why and how the decision was made to seek residential placement; when and how the search for an aged care facility began; factors that were important in the family's final selection process; what happened when families, either initially or in the long term, were unable to find a place in an aged care facility; and the family's perspective about the efficacy of the search and selection process and its effect on the well being of the family.
Residents are often passive in the search and selection process, while sponsors are often actively involved. Very few residents or sponsors consider planning for an aged care facility prior to hospitalisation, and there is often the perception by families of having very little support at this stressful and emotional time. The decision to relocate a family member in these circumstances is a stressful experience and should be viewed as a family crisis, particularly if unexpected such as upon discharge from an acute setting. These findings provide valuable insights that can be used to guide and assist families experiencing this process, and health care professionals working with families in this situation.
Keywords
older people; discharge from acute care; residential aged care; qualitative research; families
References
Bishop B (1999) The National Strategy for an Ageing Australia, Background paper, pp. 17-18. Commonwealth of Australia, Canberra.
Burns N & Grove S (1993) The Practice of Nursing Research, Second Edition, pp. 246-247.WB Saunders, Philadelphia.
Burns R (1997) Introduction to Research Methods, Third Edition, p. 330. Addison Wesley Longman, Melbourne.
Cheek J (1997) Nurses and the administration of medications. Clinical Nursing Research 6(3): 253-274.
Cotter A, Meyer J & Roberts S (1998) The transition from hospital to long-term care. Nursing Times 26(94): 55-56.
Densen P (1991): Tracing the elderly through the health care system: An update. Report no. AHCPR 91-11, Agency for Health Care Policy and Research, Rockville, Maryland, USA.
Ekman I & Segesten K (1995) Disputed power of medical control: Hidden message in the ritual of oral shift reports. Journal of Advanced Nursing 22: 1006-1011.
Kane R & Kane R (1989) Transitions in long term care. In Ory M & Bond K (eds) Ageing and Health Care, pp. 217-243. Routledge, New York.
Kumar R (1996) Research Methodology: A Step-by-Step Guide for Beginners, p. 162. Longman, Melbourne.
McAuley W, Travis S & Safewright M (1997) Personal accounts of the nursing home search and selection process. Qualitative Health Research 7(2): 236-254.
Naleppa M (1996) Families and the institutionalised elderly: A review. Journal of Gerontological Social Work 27(1/2): 87-111.
Nolan M, Walker G, Nolan J, Williams S, Poland F, Curran M & Kent B (1996) Entry to care: Positive choice or fait accompli? Developing a more proactive nursing response to needs of older people and their carers. Journal of Advanced Nursing 24: 265-274.
Norman I, Redfern S, Tomalin D & Oliver S (1992) Developing Flanagan's critical incident technique to elicit indicators of high and low quality care from patients and their nurses. Journal of Advanced Nursing 17: 590-600.
Reed J & Morgan D (1999) Discharging older people from hospital to care homes: Implications for nursing. Journal of Advanced Nursing 20(4): 819-825.
Travis S & McAuley W (1992) Hospitalization experiences in the long-term care trajectories of a Medicaid cohort. Applied Nursing Research 5: 20-25.
Wright F (1998): Continuing to care: The Effect on Spouses and Children of an Older Person's Admission to a Care Home, pp. 34, 38, 47, 115. York Publishing Service, York.
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