Abstract:
Objective This study investigated how nurses managed the care of acutely ill older patients in acute hospital settings. Design Constructivist inquiry has been used that included multiple methods of data collection: interviews, observations and documentation of care. Setting Participants were recruited from five acute medical and surgical units across two public hospitals. Participants Twenty seven registered nurses caring for patients who were aged 65 years and older. Results Three themes were identified from the data analysis: being informed about care; limiting care; and rationalising actions. Nurses articulated they understood that quality care was important, but care was limited and interventions were prioritised. The participants blamed health services, lack of clinical leadership, patients, other nurses, and themselves.
