Forskning
Udskriv Udskriv
Switch language
Region Hovedstaden - en del af Københavns Universitetshospital
Udgivet

Maintaining Unity - relatives in older patients' fast-track treatment programmes. A grounded theory study

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

DOI

  1. Structure and content of diaries written by close relatives for intensive care unit patients: A narrative approach (DRIP study)

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  2. Intervention fidelity in post-intensive care follow-up consultations at ten sites in the RAPIT-trial: a mixed-methods evaluation

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  3. The existential experience of everyday life with systemic lupus erythematosus

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  1. Flere sygeplejersker vil øge patientsikkerheden og behandlingskvaliteten

    Publikation: Bidrag til tidsskriftTidsskriftartikelFormidling

  2. What relatives of older medical patients want us to know - a mixed-methods study

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

Vis graf over relationer

AIM: To generate a substantive grounded theory of relatives' pattern of behaviour in older patients' fast-track treatment programmes during total hip or knee replacement.

BACKGROUND: Fast-track treatment programmes are designed to make total hip and knee replacements more efficient through recovery improvements. The support of relatives during older patients' trajectory is important. However, knowledge is needed on the relatives' pattern of behaviour to strengthen their involvement in fast-track treatment programmes.

DESIGN: We used a Glaserian grounded theory approach based on a systematic generation of theory from data to explain the latent pattern of behaviour of relatives.

METHODS: Data were collected from 2010-2011 in orthopaedic wards at two Danish university hospitals and consisted of 14 non-participant observations, 14 postobservational interviews and five interviews. Seven relatives of patients over 70 years of age participated. The constant comparative method was the guiding principle for simultaneous data collection, data analysis and coding, while theoretically sampling and writing memos.

FINDINGS: Maintaining Unity emerged as the relatives' pattern of behaviour through which they resolved their main concern: preventing the patients from feeling alone. The relatives resolved their main concern through three interchangeable behavioural modes: Protecting Mode, by providing loving and respectful support; Substituting Mode, with practical and cognitive support; and an Adapting Mode, by trying to fit in with the patients' and health professionals' requirements.

CONCLUSION: The substantive theory of Maintaining Unity offers knowledge of relatives' strong desire to provide compassionate and loving support for the older patients during fast-track treatment programmes.

OriginalsprogEngelsk
TidsskriftJournal of Advanced Nursing
Vol/bind70
Udgave nummer12
Sider (fra-til)2746-56
Antal sider11
ISSN0309-2402
DOI
StatusUdgivet - 1 apr. 2014

ID: 44464683