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The enigma: Decision-making to transfer residents to the emergency department; communication and care delivery between emergency department staff and residential aged care facilities' nurses.

The enigma: Decision-making to transfer residents to the emergency department; communication and care delivery between emergency department staff and residential aged care facilities' nurses.

Authors :
Gurung A
Romeo M
Clark S
Hocking J
Dhollande S
Broadbent M
Source :
Australasian journal on ageing [Australas J Ageing] 2022 Dec; Vol. 41 (4), pp. e348-e355. Date of Electronic Publication: 2022 Feb 20.
Publication Year :
2022

Abstract

Objective: To investigate the experience of nurses involved in decision-making to transfer residents from a residential aged care facility (RACF) to their local hospital emergency department. This paper reports on the findings of the second phase of a two-phase study.<br />Methods: Qualitative semi-structured interviews with 19 aged care nurses were conducted. Interviews were audio-taped and transcribed verbatim, and a thematic analysis was carried out.<br />Results: The analysis revealed five major themes that influenced decision-making in relation to the transfer of a resident from the residential aged care facility to the emergency department: conflict with key stakeholders; knowledge and experience; policy and process; stakeholder perception; and recognition and support.<br />Conclusions: Robust outreach programs, support from other health-care professionals, and improving interdisciplinary understanding and communication between aged care nurses, paramedics and the emergency department would be advantageous to ensure effective care delivery and decision-making.<br /> (© 2022 AJA Inc.)

Details

Language :
English
ISSN :
1741-6612
Volume :
41
Issue :
4
Database :
MEDLINE
Journal :
Australasian journal on ageing
Publication Type :
Academic Journal
Accession number :
35187797
Full Text :
https://doi.org/10.1111/ajag.13044