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'They never talked to me about...'
 — perspectives on aged care resident transfer to emergency departments
Author(s)Glenn Arendts, Aurora Popescu, Denise Howting
Journal titleAustralasian Journal on Ageing, vol 34, no 2, June 2015
PublisherWiley, June 2015
Pagespp 95-102
Sourcewileyonlinelibrary.com/journal/ajag
KeywordsCare homes ; Residents [care homes] ; Acute illness ; Admission [hospitals] ; Accident & emergency depts ; Attitude.
AnnotationThe present study aimed to explore perspectives of three groups concerning transfers from aged care facilities to hospital emergency departments. The authors sought to reveal factors influencing transfer decisions; how active each group was in making decisions; and to what extent groups ceded decision-making to others. Semi-structured interviews were carried out with 11 residents, 14 relatives and 17 staff with content analysis of interview transcripts. The three groups substantially differed in their involvement with initiating, and attitudes towards, transfer. Residents were least likely to be involved in the decision, yet most likely to support transfer. Staff felt conflicted between their desire to provide optimal treatment for one ill resident, and their obligations to other residents under care. Staff perspectives were largely consistent with published data, but this was compared with new results for other informant groups. Overall, group expectations and preferences differed substantially. Service delivery to meet all preferences presents a challenge for health service design. (JL).
Accession NumberCPA-150626246 A
ClassmarkKW: KX: CHA: LD:QKH: LD6: DP

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