Provider Perspectives on the Influence of Family on Nursing Home Resident Transfers to the Emergency Department: Crises at the End of Life
المؤلفون المشاركون
Shim, Janet K.
Stephens, Caroline
Halifax, Elizabeth
Bui, Nhat
Lee, Sei J.
Harrington, Charlene
Ritchie, Christine
المصدر
Current Gerontology and Geriatrics Research
العدد
المجلد 2015، العدد 2015 (31 ديسمبر/كانون الأول 2015)، ص ص. 1-10، 10ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2015-08-24
دولة النشر
مصر
عدد الصفحات
10
التخصصات الرئيسية
الملخص EN
Background.
Nursing home (NH) residents often experience burdensome and unnecessary care transitions, especially towards the end of life.
This paper explores provider perspectives on the role that families play in the decision to transfer NH residents to the emergency department (ED).
Methods.
Multiple stakeholder focus groups ( n = 35 participants) were conducted with NH nurses, NH physicians, nurse practitioners, physician assistants, NH administrators, ED nurses, ED physicians, and a hospitalist.
Stakeholders described experiences and challenges with NH resident transfers to the ED.
Focus group interviews were recorded and transcribed verbatim.
Transcripts and field notes were analyzed using a Grounded Theory approach.
Findings.
Providers perceive that families often play a significant role in ED transfer decisions as they frequently react to a resident change of condition as a crisis.
This sense of crisis is driven by 4 main influences: insecurities with NH care; families being unprepared for end of life; absent/inadequate advance care planning; and lack of communication and agreement within families regarding goals of care.
Conclusions.
Suboptimal communication and lack of access to appropriate and timely palliative care support and expertise in the NH setting may contribute to frequent ED transfers.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Stephens, Caroline& Halifax, Elizabeth& Bui, Nhat& Lee, Sei J.& Harrington, Charlene& Shim, Janet K.…[et al.]. 2015. Provider Perspectives on the Influence of Family on Nursing Home Resident Transfers to the Emergency Department: Crises at the End of Life. Current Gerontology and Geriatrics Research،Vol. 2015, no. 2015, pp.1-10.
https://search.emarefa.net/detail/BIM-1057655
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Stephens, Caroline…[et al.]. Provider Perspectives on the Influence of Family on Nursing Home Resident Transfers to the Emergency Department: Crises at the End of Life. Current Gerontology and Geriatrics Research No. 2015 (2015), pp.1-10.
https://search.emarefa.net/detail/BIM-1057655
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Stephens, Caroline& Halifax, Elizabeth& Bui, Nhat& Lee, Sei J.& Harrington, Charlene& Shim, Janet K.…[et al.]. Provider Perspectives on the Influence of Family on Nursing Home Resident Transfers to the Emergency Department: Crises at the End of Life. Current Gerontology and Geriatrics Research. 2015. Vol. 2015, no. 2015, pp.1-10.
https://search.emarefa.net/detail/BIM-1057655
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1057655
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر