ArticleZeitschrift fur Gerontologie und Geriatrie2022
[Structuring emergency management in nursing homes: Results of interprofessional focus group interviews].
Article in Zeitschrift fur Gerontologie und Geriatrie, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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Who cites it
2 citing papers in PubMed.
- Cost-benefit analysis of the CoCare intervention to improve medical care in long-term care nursing homes: an analysis based on claims data.The European journal of health economics : HEPAC : health economics in prevention and care · 2023Article
- [Advance Directives and Palliative Medical Care in Nursing Homes: A Study on Everyday Life and Relevance in Out-of-Hours Medical Care].Gesundheitswesen (Bundesverband der Arzte des Offentlichen Gesundheitsdienstes (Germany)) · 2023Article
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundEmergencies in nursing homes lead to frequent utilization of emergency medical services and emergency department visits, which are frequently assessed as avoidable and do not comply with the patients' wishes. Emergency management is complicated by structural conditions, uncertainty and difficulties in communication between the treating healthcare professionals.
objectiveIn the framework of the NOVELLE research project a model for a recommendation for action was developed in an interprofessional process to structure the emergency management in nursing homes. MATERIAL AND
methodsThe research process was organized according to the grounded theory as a constant interplay of data collection, analysis and concept development. From January to April 2021 a total of 6 focus group interviews were conducted with 24 nurses, physicians and experts from medical ethics and 1 guideline interview with an expert from the field of medical law. All interviews were performed as video conferences. They were digitally recorded, transcribed verbatim and coded with MAXQDA software.
resultsRecommendations for organizing and improving the emergency management are structured into three components: 1) initial assessment, 2) structured assessment including nursing evaluation and integration of patient treatment preferences and 3) organization of further treatment. Components include actions, results and consequences and can be arranged in the form of an algorithm. DISCUSSION: Recommendations for improvement of emergency management should enhance the competences of nursing staff, respect patient treatment preferences, consider situational conditions and support communication with external medical and care providers.
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