Factors influencing decision-making processes for unwell residents in residential aged care: Hospital transfer or Residential InReach referral?

Australasian Journal on Ageing
Sanka AmadoruPaul Yates

Abstract

To investigate decision-making around hospital transfer and/or referral of residents to a Residential InReach (RiR) service in north-eastern metropolitan Melbourne, Australia, from the perspectives of residential aged care facility (RACF) staff, general practitioners (GPs) and RiR registered nurses (RNs). Thirty-one staff from eight RACFs, five GPs and four RiR RNs participated in individual or group interviews. Residential aged care facility staff and GPs valued and relied upon RiR to manage unwell residents. Thematic analysis identified RiR utilisation was driven by the following: (i) complexity of decision-making processes in RACFs; (ii) variability in facility-based medical and nursing care; and (iii) impact of RiR service outcomes on patients and referrers. Availability of timely and appropriate medical and nursing care in RACFs was reported to influence transfers to the hospital and/or referrals to RiR. RiR was used to complement or substitute usual care available to residents. Further research and improvements in RACF and RiR resources are required.

References

Sep 27, 2003·Journal of the American Geriatrics Society·Robert L KaneMir Said Siadaty
Sep 18, 2007·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·Allison TongJonathan Craig
May 31, 2011·Journal of the American Medical Directors Association·Antonio CherubiniCarmelinda Ruggiero
Mar 20, 2013·Geriatrics & Gerontology International·Glenn ArendtsKirsten Howard
Jun 14, 2013·Emergency Medicine Australasia : EMA·Glenn Arendts, Judy Lowthian
Jan 1, 2014·Australasian Journal on Ageing·Glenn ArendtsKirsten Howard
Feb 14, 2014·Australasian Journal on Ageing·Brian DraperDiane Gibson
Feb 28, 2014·Australasian Journal on Ageing·Maryann StreetBridie Kent
Mar 10, 2015·Journal of the American Medical Directors Association·Joseph G OuslanderJin Han

❮ Previous
Next ❯

Citations

Jun 22, 2019·Australasian Journal on Ageing·Lynne Parkinson, Katrina Radford
Mar 20, 2019·Australasian Journal on Ageing·Jane Sims
Oct 8, 2021·Journal of Advanced Nursing·Jo-Anne Rayner, Deirdre Fetherstonhaugh

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.