Referrals to hospital emergency departments from residential aged care facilities: stuck in a time warp

O'Connell, Beverly, Hawkins, Mary, Considine, Julie and Au, Catherine 2013, Referrals to hospital emergency departments from residential aged care facilities: stuck in a time warp, Contemporary nurse : healthcare across the lifespan, vol. 45, no. 2, pp. 228-233.

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Title Referrals to hospital emergency departments from residential aged care facilities: stuck in a time warp
Author(s) O'Connell, Beverly
Hawkins, Mary
Considine, JulieORCID iD for Considine, Julie orcid.org/0000-0003-3801-2456
Au, Catherine
Journal name Contemporary nurse : healthcare across the lifespan
Volume number 45
Issue number 2
Start page 228
End page 233
Total pages 6
Publisher eContent Management
Place of publication Maleny, Qld.
Publication date 2013-10
ISSN 1037-6178
1839-3535
Keyword(s) residential aged care
nursing home
emergency department
transfer
aged
Summary This research aimed to describe the number and type of residents admitted to emergency departments (EDs) over 2 years; and to explore nurses' perceptions of the reasons why residential aged care facility (RACF) residents are referred to EDs. The research objective was addressed in a retrospective exploratory study using data on admissions to EDs from RACFs (N = 3,094) at the participating organisation over a 2-year period, and interview data on seven RACF and four ED nurses' perceptions of the issues involved. Most residents presenting at EDs required urgent medical attention. Major themes identified by RACF and ED nurses included issues related to staff competency, availability of general practitioners, lack of equipment in RACFs, residents and family members requesting referrals, communication difficulties, and poor attitudes towards RACF staff. There is a need to use strategies to detect residents whose conditions are deteriorating and treat them promptly in RACFs.
Language eng
Field of Research 111001 Aged Care Nursing
111003 Clinical Nursing: Secondary (Acute Care)
Socio Economic Objective 920210 Nursing
HERDC Research category C1 Refereed article in a scholarly journal
Copyright notice ©2013, eContent Management
Persistent URL http://hdl.handle.net/10536/DRO/DU:30060351

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