Amy Stokoe1, Carolyn Hullick2, Isabel Higgins3,4, Jacqueline Hewitt5, Deborah Armitage6, Ian O'Dea7. 1. Hunter New England Local Health District, Newcastle, New South Wales, Australia. 2. Division of Emergency Medicine, John Hunter Hospital Hunter New England Local Health District, Newcastle, New South Wales, Australia. 3. School of Nursing and Midwifery, Faculty of Health, The University of Newcastle, Newcastle, New South Wales, Australia. 4. Centre for Practice Opportunity and Development, Hunter New England Local Health District, Newcastle, New South Wales, Australia. 5. Emergency Department, John Hunter Hospital, Hunter New England Local Health District, Newcastle, New South Wales, Australia. 6. Older Person Acute Care, Hunter New England Local Health District, Newcastle, New South Wales, Australia. 7. Older Persons Journey, Community Health Strategy, Hunter New England Local Health District, Newcastle, New South Wales, Australia.
Abstract
AIM: To explore the challenges and facilitators of managing acutely unwell residents in their residential aged-care facilities (RACF) and transferring RACF residents to the emergency department of a tertiary referral hospital in Australia. METHODS: This exploratory study used a qualitative descriptive approach incorporating structured focus group interviews with nursing staff from RACFs and General Practitioners (GPs) within the local area. Four focus groups were held with staff from RACFs and one with GPs who visited one or more of the facilities during 2010. The interview data were analysed for themes relating to the study aims. RESULTS: Findings revealed both challenges and facilitators associated with managing acutely unwell older people including, communication, nursing staffing mix and numbers, use of advanced care directives, responsibilities of GPs and awareness of community services. CONCLUSION: From these findings it is possible to make recommendations for alternative ways of practising and/or new models of care.
AIM: To explore the challenges and facilitators of managing acutely unwell residents in their residential aged-care facilities (RACF) and transferring RACF residents to the emergency department of a tertiary referral hospital in Australia. METHODS: This exploratory study used a qualitative descriptive approach incorporating structured focus group interviews with nursing staff from RACFs and General Practitioners (GPs) within the local area. Four focus groups were held with staff from RACFs and one with GPs who visited one or more of the facilities during 2010. The interview data were analysed for themes relating to the study aims. RESULTS: Findings revealed both challenges and facilitators associated with managing acutely unwell older people including, communication, nursing staffing mix and numbers, use of advanced care directives, responsibilities of GPs and awareness of community services. CONCLUSION: From these findings it is possible to make recommendations for alternative ways of practising and/or new models of care.
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