ArticleJournal of primary care & community health
Registered Nurses' Decisions Around Referral of Residents With Urinary Tract Infections: A Retrospective Cohort Study.
Article in Journal of primary care & community health. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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2 authors at 1 institution in 1 country.
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Abstract
backgroundReferral of residents with urinary tract infections (UTIs) in residential aged care facilities (RACFs) to hospital are common. However, there is limited information on what influences Registered Nurses' (RN) decision-making process.
aimTo investigate resident factors that influence RN's decisions to escalate care.
designA retrospective cohort approach audited electronic clinical records of residents with UTIs.
methodsData were extracted from the electronic database and analyzed using descriptive and regression analysis. Approval was obtained from both the RACFs and University Human Research Ethics Committee.
resultsThere was a higher likelihood of being referred to hospital if residents were female, had had a past fall, had related comorbidity, or had abnormal vital signs. However, being older and having a urinary catheter were protective factors for referral by the RN.
conclusionReferral of residents with UTIs by RNs to hospital is common in RACFs. Resident characteristics such as abnormal vital signs, past falls, and presence of comorbidity influence referrals by RNs. Nurse Practitioners dedicated to the RACFs could complement the role of a general practitioner. UTI-specific escalation protocols can assist RNs to make decisions about referrals. RNs' related risk factors also need to be examined to understand other influencing factors.
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