RESUMO
There is growing recognition in health care of the expertise patients bring to the management of their own illness or condition. But some patient groups, including older people, may need encouragement to see their own coping strategies as expertise, and nurses have an important role to play in ensuring that patients' experiences are acknowledged and made central to the care offered. This article describes a study of patients' and professionals' views of patient expertise. It concludes that although disruption can occur when older people are admitted to hospital, this can be minimised if they are perceived as experts in their own condition and information supplied to them is based upon such acknowledgement.
Assuntos
Idoso/psicologia , Atitude do Pessoal de Saúde , Doença Crônica , Enfermagem Geriátrica/organização & administração , Unidades Hospitalares/organização & administração , Participação do Paciente , Adaptação Psicológica , Doença Crônica/enfermagem , Doença Crônica/psicologia , Comportamento Cooperativo , Efeitos Psicossociais da Doença , Tomada de Decisões , Avaliação Geriátrica , Pesar , Conhecimentos, Atitudes e Prática em Saúde , Humanos , Negociação/métodos , Negociação/psicologia , Papel do Profissional de Enfermagem/psicologia , Relações Enfermeiro-Paciente , Avaliação em Enfermagem , Pesquisa Metodológica em Enfermagem , Planejamento de Assistência ao Paciente , Participação do Paciente/métodos , Participação do Paciente/psicologia , Pesquisa Qualitativa , Escócia , Autocuidado/métodos , Autocuidado/psicologia , Autoimagem , Apoio SocialRESUMO
The admission process to hospital is vital in maintaining a patient's sense of independence and control of his or her situation, which in turn will help during the discharge procedure back to the community. This paper focuses on the qualitative research techniques used to uncover the experience of older patients and their carers during an admission to hospital.
Assuntos
Serviço Hospitalar de Admissão de Pacientes/organização & administração , Enfermagem Geriátrica , Pesquisa em Administração de Enfermagem , Recursos Humanos de Enfermagem Hospitalar , Idoso , Humanos , Admissão do PacienteRESUMO
In a culture where randomised controlled trials are considered the 'gold standard', qualitative research suffers from the 'stigma of the small n'. A small number of cases are studied, the cases are not statistically representative of the population and the data collected are unstructured and difficult to analyse. Consequently, some NHS staff may see the study as not worthwhile, and indeed as a waste of money and resources.
