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Nurs Open. 2016 Oct 25;4(1):41-48. doi: 10.1002/nop2.68. eCollection 2017 Jan.

Transfer of nursing home residents to emergency departments: organizational differences between nursing homes with high vs. low transfer rates.

Nursing open

Marie Kirsebom, Mariann Hedström, Ulrika Pöder, Barbro Wadensten

Affiliations

  1. Department of Public Health and Caring Sciences Uppsala University Uppsala Sweden.

PMID: 28078098 PMCID: PMC5221446 DOI: 10.1002/nop2.68

Abstract

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 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.

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

Keywords: advance care planning; avoidable hospitalization; geriatric nursing; hospital admission; nursing homes; organization and administration

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