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Discharge decision‐making with older people: The influence of the institutional environment
Author(s) -
Moats Gillian
Publication year - 2006
Publication title -
australian occupational therapy journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.595
H-Index - 44
eISSN - 1440-1630
pISSN - 0045-0766
DOI - 10.1111/j.1440-1630.2006.00568.x
Subject(s) - accommodation , perspective (graphical) , qualitative research , rehabilitation , face (sociological concept) , older people , psychology , occupational therapy , nursing , applied psychology , medicine , gerontology , sociology , computer science , social science , artificial intelligence , neuroscience , psychiatry
Background/Aim: Occupational therapists often participate in decision‐making about postdischarge accommodations. This paper presents the findings of a study that identified and explored institutional factors influencing discharge accommodation decision‐making with older people, from the perspective of occupational therapists.Methods: Qualitative, semistructured, face‐to‐face interviews were conducted with 10 occupational therapists. Interviews were recorded, transcribed, coded and analysed for the presence and emergence of themes.Results: Decision‐making processes were influenced by the institutional environment. The medical model and pressure for fast decisions seemed to impede client‐centred processes in acute settings.Conclusions: When possible, decision‐making about long‐term care needs to occur in community or longer‐stay rehabilitation settings that allow time for negotiated client‐centred processes.