Files and links (1)
Accepted (AM)Open Access (License Unspecified), Open
Journal article
Why older adults may decline offers of post-acute care services: A qualitative descriptive study
Geriatric nursing (New York), v 38(3), pp 238-243
May 2017
PMID: 27964972
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
The most common post-acute care (PAC) services available to patients after hospital discharge include home care, skilled nursing facilities, nursing homes, inpatient rehabilitation, and hospice. Patients who need PAC and receive services have better outcomes, however almost one-third of those offered services decline. Little research exists on PAC decision-making and why patients may decline services. This qualitative descriptive study explored the responses of thirty older adults to the question: “Can you, from the patient point of view, tell me why someone would not want post hospital care?” Three themes emerged. Participants may decline due to 1) previous negative experiences with PAC, or 2) a preference to be home. Some participants stated, “I'd be there” and would not decline services. Participants also discussed 3) why other patients might decline PAC which included patients' past experiences, lack of understanding/preconceived ideas, and preferences. Clinical implications include assessing patients' knowledge and experience before providing recommendations.
Metrics
Details
- Title
- Why older adults may decline offers of post-acute care services: A qualitative descriptive study
- Creators
- Justine S. Sefcik - University of PennsylvaniaAshley Z. Ritter - University of PennsylvaniaEmilia J. Flores - University of PennsylvaniaRebecca H. Nock - University of PennsylvaniaJo-Ana D. Chase - University of PennsylvaniaChristine Bradway - University of PennsylvaniaSheryl Potashnik - University of PennsylvaniaKathryn H. Bowles - VNS Health
- Publication Details
- Geriatric nursing (New York), v 38(3), pp 238-243
- Publisher
- Elsevier
- Grant note
- T32NR009356; F31 NR015693 / National Institute of Nursing Research (http://dx.doi.org/10.13039/100000056) University of Pennsylvania School of Nursing Center for Integrative Science in Aging Frank Morgan Jones Fund National Institutes of Health (http://dx.doi.org/10.13039/100000002)
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Doctoral Nursing
- Web of Science ID
- WOS:000405148200010
- Scopus ID
- 2-s2.0-85008150083
- Other Identifier
- 991020099054404721
UN Sustainable Development Goals (SDGs)
This publication has contributed to the advancement of the following goals:
InCites Highlights
Data related to this publication, from InCites Benchmarking & Analytics tool:
- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Geriatrics & Gerontology
- Gerontology
- Nursing