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Title: From health crisis to home : an embedded multi-case study of the experiences and perceptions of older people
Author: Ashby, Susan
Awarding Body: Keele University
Current Institution: Keele University
Date of Award: 2013
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This thesis focuses on the voices of older people as they describe their experiences of health crisis and subsequent care in one primary care trust and its partner health and social care providers in the United Kingdom. The significance of listening to older people to inform care delivery is recognised as healthcare organisations respond to meeting the needs of this increasing population. Developed countries are reconfiguring their healthcare services by moving care traditionally delivered in acute hospitals to community settings; a term adopted is 'care closer to home.' However advocates of older people have recognised disparity between service provision and older people's needs. Achieving participation from the oldest old of the UK population, this qualitative research utilises an embedded multi-case study design, incorporating a convenience sample of six older people aged seventy five years and over. Led by the older person and their respective care pathway this research, by application of a snowballing technique, further expounds on surrounding carers, healthcare professionals and organisational information to contextualise the older person's experience. Multiple data collection included forty three semi-structured interviews, extracts from documents and medical records and nonparticipant observation. Application of a developed intrinsic analytical framework conSisting of situational and dimensional analysiS maintains a focus on the older person's perspective of their experience whilst achieving contextualisation of their sudden and potentially complex pathway of care. The findings revealed contributing factors influencing positive and negative experiences and perceptions of older people when experiencing unplanned healthcare; leading to the development of a salutogenic model. This salutogenic approach may improve the older person's ability to cope at a time when active involvement in care is crucial to support recovery, future life choices and expectations. This. research re-affirms the importance of facilitating inclusion of older people in research to inform person-centred care.
Supervisor: Not available Sponsor: Not available
Qualification Name: Thesis (Ph.D.) Qualification Level: Doctoral
EThOS ID:  DOI: Not available