Kompetanse i tiltakskjeden — avdelingslederes erfaringer om utskrivninger av eldre pasienter fra sykehus

Abstract

The large increase of elderly patients admitted to hospitals constitutes a big challenge for the secondary health care. This article is about how health care managers experience the basis for release off elderly patients. We performed open in depth interviews with eight ward managers about their experience concerning the evaluation that are done in regard off releasing elderly patients from the hospitals to primary health care.

The findings have been analyzed according to Kvales phenomenological-hermeneutical methodology. The findings are presented analysed and interpreted from four sub themes;

Results:

There where a lack of competence in the chain of actions. It was lack of competence in the interaction where elderly has a complex need for health care services. Indistinct strategy on treatment and care at the time of admission. Different views on what is the right care for elderly patients. Elderly patients needs for health care service are not met and take care of.

Conclusion:

The findings points in a direction that there is a challenge to establish a distinct chain of action i the health care service. Counties and hospitals have different traditions and cultures regarding safeguard the of the elderly