ArticleInternational journal of environmental research and public health2020
Paramedics' Perspectives on the Hospital Transfers of Nursing Home Residents-A Qualitative Focus Group Study.
Article in International journal of environmental research and public health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.
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Who cites it
12 citing papers in PubMed, 1 synthesis or guideline pooled it, 30 citations in OpenAlex.
- Experiences and Perceptions of Medication Management Communication During Transitions of Care for Residents in Aged Care Homes and Their Caregivers: A Qualitative Meta-Synthesis.Journal of clinical nursing · 2025Pooled it
- The Mobile Hospital delivers outreach acute care to nursing homes: healthcare staff interviews.International journal of emergency medicine · 2026Article
- Rural Aged Care Providers' Engagement in Medication Communication During Transitions of Care: A Qualitative Study.The Australian journal of rural health · 2026Article
- Areas of consensus on unwarranted and warranted transfers between nursing homes and emergency care facilities in Norway: a Delphi study.BMC health services research · 2024Article
- Observational
- Emergency physicians' and nurses' perception on the adequacy of emergency calls for nursing home residents: a non-interventional prospective study.Frontiers in medicine · 2024Article
- A typology of nurses' interaction with relatives in emergency situations.Nursing ethics · 2023Article
- Using multi-focus group method as an effective tool for eliciting business system requirements: Verified by a case study.PloS one · 2023Article
- What influences decisions to transfer older care-home residents to the emergency department? A synthesis of qualitative reviews.Age and ageing · 2022Article
- [Care of older patients by community emergency paramedics : Comparison of community-dwellers and nursing home residents].Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2022Article
- Unplanned hospital transfers from nursing homes: who is involved in the transfer decision? Results from the HOMERN study.Aging clinical and experimental research · 2021Article
- Outpatient care in acute and prehospital emergency medicine by emergency medical and patient transport service over a 10-year period: a retrospective study based on dispatch data from a German emergency medical dispatch centre (OFF-RESCUE).BMC emergency medicine · 2021Article
Corrections and comments
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Authors and funding
4 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Emergency department (ED) visits and hospital admissions are common among nursing home residents (NHRs). Little is known about the perspectives of emergency medical services (EMS) which are responsible for hospital transports. The aim of this study was to explore paramedics' experiences with transfers from nursing homes (NHs) and their ideas for possible interventions that can reduce transfers. We conducted three focus groups following a semi-structured question guide. The data were analyzed by content analysis using the software MAXQDA. In total, 18 paramedics (mean age: 33 years, male n = 14) participated in the study. Paramedics are faced with complex issues when transporting NHRs to hospital. They mainly reported on structural reasons (e.g., understaffing or lacking availability of physicians), which led to the initiation of an emergency call. Handovers were perceived as poorly organized because required transfer information (e.g., medication lists, advance directives (ADs)) were incomplete or nursing staff was insufficiently prepared. Hospital transfers were considered as (potentially) avoidable in case of urinary catheter complications, exsiccosis/infections and falls. Legal uncertainties among all involved professional groups (nurses, physicians, dispatchers, and paramedics) seemed to be a relevant trigger for hospital transfers. In paramedics' point of view, emergency standards in NHs, trainings for nursing staff, the improvement of working conditions and legal conditions can reduce potentially avoidable hospital transfers from NHs.
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