Open AccessTransfer of nursing home residents to emergency departments: organizational differences between nursing homes with high vs. low transfer rates
Author(s) -
Kirsebom Marie,
Hedström Mariann,
Pöder Ulrika,
Wadensten Barbro
Publication year - 2017
Publication title -
nursing open
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.55
H-Index - 12
ISSN - 2054-1058
DOI - 10.1002/nop2.68
Subject(s) - nursing , nursing homes , medicine , emergency department , transfer (computing) , family medicine , parallel computing , computer science
Aim To explore possible factors in the organization of nursing homes that could be related to differences in the rate of transfer of residents from nursing homes to emergency department. Design Explorative. Method In a single municipality, qualitative and quantitative data were collected from documents and through semi‐structured interviews with 11 RN s from five nursing homes identified as having the highest vs. six identified as having the lowest transfer rates to emergency department. Data were analysed by non‐parametric tests and basic content analysis. Results All nursing homes in the highest transfer rate group and one in the lowest transfer rate group were run by private for‐profit providers. Compared with the low group, the high group had fewer updated advance care plans and the RN s interviewed had less work experience in care of older people and less training in care of persons with dementia. There was no difference in nursing home size or staff/resident ratio. The RN s described similar possibilities to provide palliative care, medical equipment and perceived medical support from GP s.