{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,24]],"date-time":"2026-02-24T04:03:26Z","timestamp":1771905806316,"version":"3.50.1"},"reference-count":46,"publisher":"Oxford University Press (OUP)","issue":"7","license":[{"start":{"date-parts":[[2022,7,24]],"date-time":"2022-07-24T00:00:00Z","timestamp":1658620800000},"content-version":"vor","delay-in-days":23,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2022,7,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>outcomes of hospitalisation are often described in quantitative terms. It is unknown how older frail patients describe their own outcomes.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Objective<\/jats:title>\n                  <jats:p>to discover how older frail persons describe their own hospitalisation outcomes and the meaning of these outcomes for their daily lives.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Design<\/jats:title>\n                  <jats:p>Constructivist Grounded Theory approach.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Participants<\/jats:title>\n                  <jats:p>frail older people discharged from hospital.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>Open interviews in the participant\u2019s home. Transcripts were coded inductively according to the Constructivist Grounded Theory approach.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Twenty-four interviews were conducted involving 20 unique participants. Although for some participants hospitalisation was just a ripple, for others, it was a turning point. It could have positive or negative impacts on outcomes, including remaining alive, disease, fatigue\/condition, complaints, daily functioning, social activities and intimate relationships, hobbies, living situation and mental well-being. Few participants were completely satisfied, but for many, a discrepancy between expectation and reality existed. Some participants could accept this, others remained hopeful and some were frustrated. Factors associated with these categories were research and treatment options, (un)clarity about the situation, setting the bar too high or pushing boundaries, confidence in physicians, character traits and social factors.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>of the persons whose outcomes did not meet their expectations, some were frustrated, others hopeful and others accepted the situation. The following interventions can help patients to accept: clear communication about options and expectations before, during and after hospitalisation; giving room for emotions; help finding social support, encouragement to engage in pleasant activities and find meaning in small things. For some patients, psychological treatment may be needed.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/ageing\/afac166","type":"journal-article","created":{"date-parts":[[2022,7,24]],"date-time":"2022-07-24T16:09:13Z","timestamp":1658678953000},"source":"Crossref","is-referenced-by-count":2,"title":["Outcomes as experienced by older patients after hospitalisation: satisfaction, acceptance, frustration and hope\u2014a grounded theory study"],"prefix":"10.1093","volume":"51","author":[{"given":"Maria Johanna","family":"van der Kluit","sequence":"first","affiliation":[{"name":"University of Groningen, University Medical Center Groningen, University Center for Geriatric Medicine , Hanzeplein 1, 9700 RB Groningen, The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Geke J","family":"Dijkstra","sequence":"additional","affiliation":[{"name":"University of Groningen, University Medical Center Groningen, Department of Health Sciences, Applied Health Research , Groningen, The Netherlands"},{"name":"NHL Stenden University of Applied Sciences, Research Group Living, Wellbeing and Care for Older People , Leeuwarden, The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2022,7,23]]},"reference":[{"key":"2022072416090768700_ref1","doi-asserted-by":"crossref","first-page":"551","DOI":"10.1016\/j.jamda.2015.03.007","article-title":"Unplanned transfer to emergency departments for frail elderly residents of aged care facilities: a review of patient and organizational factors","volume":"16","author":"Dwyer","year":"2015","journal-title":"J Am Med Dir Assoc"},{"key":"2022072416090768700_ref2","doi-asserted-by":"crossref","first-page":"793","DOI":"10.1093\/ageing\/afy110","article-title":"The prevalence of frailty and its association with clinical outcomes in general surgery: a systematic review and 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