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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.
- 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.)
- Subjects :
- Humans
Aged
Communication
Patient Transfer
Emergency Service, Hospital
Subjects
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