Research
Print page Print page
Switch language
The Capital Region of Denmark - a part of Copenhagen University Hospital
Published

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

Research output: Contribution to journalJournal articleResearchpeer-review

DOI

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

    Research output: Contribution to journalJournal articleResearchpeer-review

  2. Mechanisms and drivers of social inequality in phase II cardiac rehabilitation attendance: A Convergent Mixed Methods study

    Research output: Contribution to journalJournal articleResearchpeer-review

  3. h-index or G-spot: Female nursing researchers' conditions for an academic career

    Research output: Contribution to journalEditorialResearchpeer-review

  4. Supporting existential care with Protected Mealtimes: Patients' experiences of a mealtime intervention in a neurological ward

    Research output: Contribution to journalJournal articleResearchpeer-review

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

    Research output: Contribution to journalJournal articleResearchpeer-review

  2. An evaluation of nursing documentation of acutely admitted older home-living medical patients in a Danish hospital

    Research output: Contribution to journalJournal articleResearchpeer-review

  3. A qualitative study of COPD-patients' experience of a telemedicine intervention

    Research output: Contribution to journalJournal articleResearchpeer-review

View graph of relations

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.

Original languageEnglish
JournalJournal of Advanced Nursing
Volume70
Issue number12
Pages (from-to)2746-56
Number of pages11
ISSN0309-2402
DOIs
Publication statusPublished - 1 Apr 2014

ID: 44464683