Transferring from an acute hospital and settling into a subacute facility: the experience of patients with dementia
Abstract
digby R., moss c. & bloomer m. (2012) Transferring from an acute hospital and settling into a subacute facility: the experience of patients with dementia. International Journal of Older People Nursing7, 57–64 doi: 10.1111/j.1748‐3743.2011.00282.x Background. In a Melbourne metropolitan health network, patients with dementia can have difficulty settling into a subacute rehabilitation facility after transfer from the acute hospital. Aims and objectives. To understand how older patients with mild to moderate dementia experienced the transfer from acute to subacute care and settling‐in period. Design. A descriptive design was used. Eight patients with mild to moderate dementia were recruited, one to 5 days after transfer. Method. A qualitative method using in‐depth interviews was used. The data were analysed using content analysis. Results. Four main themes were identified: ‘Settling into a new environment’, ‘staff attitudes to people with dementia’, ‘loss of control’ and ‘family support’. Conclusions. Person‐centred care that comes from the perspective of respect for the individual transcends all these issues. People with dementia require more support to settle after transfer. Family involvement can assist in facilitating a smooth transition. Implications for practice. Nurses who understand the specific needs of patients with dementia can develop ways of working with patients to ensure person‐centred care. More conversations with people with dementia are needed to investigate how this can be achieved. Orientation procedures should ensure that support for people with dementia is optimized during the settling‐in phase.
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Just two of the studies elicited perspectives of people living with dementia.
“Just two of the studies elicited perspectives of people living with dementia [31, 32].”
From Stakeholder perspectives of care for people living with dementia moving from hospital to care facilities in the community: a systematic review (2019) · cites this paper as [31]
The one lower quality study score reflects that insufficient information was given on the process of analysis and whether at least two raters had been involved.
“The one lower quality study score [31] reflects that insufficient information was given on the process of analysis and whether at least two raters had been involved.”
From Stakeholder perspectives of care for people living with dementia moving from hospital to care facilities in the community: a systematic review (2019) · cites this paper as [31]
People living with dementia interviewed by Digby et al. described a lack of understanding on the part of healthcare professionals in the facility, reporting often feeling patronised and unsettled by the lack of personal empowerment in the environment.
“The people living with dementia interviewed by Digby et al. also described a lack of understanding on the part of healthcare professionals in the facility, as they reported often feeling patronised and unsettled by the lack of personal empowerment in the environment [31].”
From Stakeholder perspectives of care for people living with dementia moving from hospital to care facilities in the community: a systematic review (2019) · cites this paper as [31]
Digby et al. revealed that people living with dementia were often not consulted about their care and they felt powerless and unsettled in their new location.
“Digby et al. who interviewed eight people living with dementia revealed they were often not consulted about their care and they felt powerless and unsettled in their new location [31].”
From Stakeholder perspectives of care for people living with dementia moving from hospital to care facilities in the community: a systematic review (2019) · cites this paper as [31]
People living with dementia in Digby et al.'s study were unable to recall the preparation involved, but many admitted to feeling disorientated by the move.
“People living with dementia in Digby et al’s study [31] were unable to recall the preparation involved, but many admitted to feeling disorientated by the move.”
From Stakeholder perspectives of care for people living with dementia moving from hospital to care facilities in the community: a systematic review (2019) · cites this paper as [31]
Health and social care professionals fail to communicate adequately with the person with dementia about discharge planning and outcomes.
“Health and social care professionals fail to communicate adequately with the person with dementia about discharge planning and outcomes [31–33].”
From Stakeholder perspectives of care for people living with dementia moving from hospital to care facilities in the community: a systematic review (2019) · cites this paper as [31]
Family support and regular presence provided comfort to the person living with dementia.
“Both Fitzgerald et al. and Digby et al. reinforced that family support and regular presence provided comfort to the person living with dementia [29, 31].”
From Stakeholder perspectives of care for people living with dementia moving from hospital to care facilities in the community: a systematic review (2019) · cites this paper as [31]
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- Authors
- Digby, R., Moss, C., & Bloomer, M.
- Affiliations
- Peninsula Health (AU)
- Venue
- International Journal of Older People Nursing
- Publisher
- Wiley
- Published
- 2011-06-27
- Volume
- 7
- Issue
- 1
- Pages
- 57-64
- ISSN
- 1748-3735 (ISSN-L)
- 1748-3743
- OpenAlex
- W1955989363
- Cited by
- 34
- References
- 48
- Citations by year
- 2026: 1 · 2025: 1 · 2024: 1 · 2023: 2 · 2022: 2 · 2021: 3 · 2020: 3 · 2019: 4 · 2018: 2 · 2017: 2 · 2016: 3 · 2015: 4 · 2014: 3 · 2013: 2 · 2012: 1
- FWCI
- 3.56
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- International Journal of Older People Nursing (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Health Professions › General Health Professions › Geriatric Care and Nursing Homes
- Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
- Health Sciences › Medicine › Emergency Medicine › Hospital Admissions and Outcomes
- Keywords
- dementia, hospital discharge, subacute rehabilitation, care transitions, person-centred care, employee attitudes, loss of control, family support, elderly patients, nursing care
- MeSH terms
- Adaptation, Psychological, Aged, Aged, 80 and over, Anxiety, Attitude of Health Personnel, Confusion, Dementia, Female, Geriatric Nursing, Hospitals, Humans, Inpatients, Male, Nursing Staff, Patient Transfer, Rehabilitation Centers, Social Support, Patient-Centered Care, Rehabilitation Nursing
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