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Title: Life in limbo : a study of delayed discharge from a policy and patient perspective
Author: Kydd, Angela
ISNI:       0000 0001 3603 3486
Awarding Body: University of Aberdeen
Current Institution: University of Aberdeen
Date of Award: 2006
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This qualitative study took place over a four-year period and explored both the phenomenon of ‘delayed discharge’ and the experience of the frail older people classed as ‘delayed discharges’. The study set out to answer three research questions:- Given that this is not a new concept, why does the phenomenon and process of delayed discharge remain an issue for the Health Service in Scotland? What is life like for frail older people living in this state of transition? Can pragmatic guidelines for health care providers working with people in transitional states be designed from answers to the first two questions? The study borrowed from ethnography, and using the underlying philosophy of symbolic interactions attempted to view the subject from several different stances. Nine different methods were used to collect the data. The period of data collection lasted from November 2001 to November 2005, and during this time, the health and welfare state was changing rapidly. Changes were constant and the two most successful methods of keeping up to date were to interview people in the field and to review media reports. The main findings showed that frail older people in transition were anxious about their futures. However, the findings from the entire study showed that staff were too stressed to be able to provide evidenced-based care for their patients. They were also in transition and their own personal anxieties about organisational changes meant they were unable to support or comfort the frail older people in distress. The recommendations from this study suggest that qualified staff in health and social work posts, at all levels, need to be supported during periods of change by their seniors. With support, they might support unqualified frontline staff, who in turn will then be able to care for patients in distress.
Supervisor: Not available Sponsor: Not available
Qualification Name: Thesis (Ph.D.) Qualification Level: Doctoral
EThOS ID:  DOI: Not available