Kirsebom Marie, Hedström Mariann, Pöder Ulrika, Wadensten Barbro
Department of Public Health and Caring Sciences Uppsala University Uppsala Sweden.
Nurs Open. 2016 Oct 25;4(1):41-48. doi: 10.1002/nop2.68. eCollection 2017 Jan.
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.
Explorative.
In a single municipality, qualitative and quantitative data were collected from documents and through semi-structured interviews with 11 RNs 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.
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 group, the group had fewer updated advance care plans and the RNs 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 RNs described similar possibilities to provide palliative care, medical equipment and perceived medical support from GPs.
探讨养老院组织中可能与居民从养老院转至急诊科的比率差异相关的因素。
探索性研究。
在一个单一的市政辖区内，从文件中收集定性和定量数据，并通过对来自五家被确定为转至急诊科比率最高的养老院和六家被确定为转至急诊科比率最低的养老院的11名注册护士进行半结构化访谈来收集数据。数据通过非参数检验和基本内容分析进行分析。
转至急诊科比率最高组的所有养老院以及转至急诊科比率最低组的一家养老院由私营营利性机构运营。与低比率组相比，高比率组更新的预先护理计划较少，接受访谈的注册护士在照顾老年人方面的工作经验较少，在照顾痴呆症患者方面接受的培训也较少。养老院规模或工作人员/居民比率没有差异。注册护士描述了提供姑息治疗、医疗设备以及从全科医生那里获得医疗支持的类似可能性。
