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The interface of acute and aged care: the role of the nurse in provincial area

Hegney, Desley, McCarthy, Alexandra, De La Rue, Mary Beth, Gorman, Don, Martin-McDonald, Kristine, Fahey, Paul and Pretty, Grace 2003, The interface of acute and aged care: the role of the nurse in provincial area, Australasian journal on ageing, vol. 22, no. 2, pp. 85-90, doi: 10.1111/j.1741-6612.2003.tb00472.x.

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Title The interface of acute and aged care: the role of the nurse in provincial area
Author(s) Hegney, Desley
McCarthy, Alexandra
De La Rue, Mary Beth
Gorman, Don
Martin-McDonald, Kristine
Fahey, Paul
Pretty, Grace
Journal name Australasian journal on ageing
Volume number 22
Issue number 2
Start page 85
End page 90
Publisher Wiley Interscience
Place of publication New York, N.Y.
Publication date 2003
ISSN 1440-6381
1741-6612
Summary Objective: This study was to investigate issues that arose from pre-admission to post-discharge, for people in Toowoomba, Queensland over the age of 65 admitted to an acute facility. This paper concentrates on a significant concern that emerged from the latge amount of data collected during this project, that is, the role of the nurse in the continuum of health care involving elderly people.

Method: The study involved a multi-site, multi-agency and multi-method (qualitative and quantitative) approach. Data was collected from regional service providers, the Department of Health and Aged Care (DHAC), the Australian Bureau of Statistics (ABS), Home and Community Care (HACC), the Aged Care Assessment Team (ACAT), elderly people who had been discharged from regional hospitals and their carers, residents of regional aged care facilities, area health professionals and elderly regional hospital inpatients.

Results:
The data indicated that nurses in this provincial area currently play a limited role in preadmission planning, being mostly concerned with elective surgery, especially joint replacements. While nurses deliver the majority of care during hospitalisation, they do not appear to be cognizant of the needs of the elderly regarding post-acute discharge.

Conclusion: The recent introduction of the model of nurse case management in the acute sector appears to be a positive development that will streamline and optimise the health care of the elderly across the continuum in the Toowoomba area. The paper recommends some strategies, such as discharge liaison nurses based in Emergency Departments and the expansion of the nurse case management role, which would optimise care for the elderly person at the interface of care.


Language eng
DOI 10.1111/j.1741-6612.2003.tb00472.x
Field of Research 111001 Aged Care Nursing
HERDC Research category C1.1 Refereed article in a scholarly journal
Copyright notice ©2009 ACOTA
Persistent URL http://hdl.handle.net/10536/DRO/DU:30009419

Document type: Journal Article
Collection: School of Nursing and Midwifery
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