Evidence map›Paper›PMID 35977148›Full record

ArticleAge and ageing2022

Healthcare professionals' experience with emergency department-based acute care performed within nursing homes.

Stine Emilie Junker Udesen, Dorthe Susanne Nielsen, Nina Andersen, Claus-Henrik Rasmussen, Søren Mikkelsen, Mikkel Braband, Annmarie Lassen

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Age and ageing, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Observational
  5. Observational
  6. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Stine Emilie Junker UdesenEmergency Medicine Research Unit, University of Southern Denmark, Kløvervænget 25, 5000 Odense, Denmark.ORCID 0000-0002-5962-514X
Dorthe Susanne NielsenMigrant Health Clinic and Department of Geriatric Medicine, Odense University Hospital, Kløvervænget 23, 5000 Odense, Denmark.
Nina AndersenAcute Team Odense, Department of the Elderly and Disabled, Odense Municipality, Ørbækvej 100, 5220 Odense, Denmark.
Claus-Henrik RasmussenDepartment of Emergency Medicine, Odense University Hospital, Kløvervænget 25, 5000 Odense, Denmark.
Søren MikkelsenThe Prehospital Research Unit, the Department of Regional Health Research, University of Southern Denmark, J.B. Winsløwsvej 4, 5000 Odense, Denmark.
Mikkel BrabandEmergency Medicine Research Unit, University of Southern Denmark, Kløvervænget 25, 5000 Odense, Denmark.
Annmarie LassenEmergency Medicine Research Unit, University of Southern Denmark, Kløvervænget 25, 5000 Odense, Denmark.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundhospital admissions of residents from nursing homes often lead to delirium, infections, mortality and reduced functional capacity. We initiated a new service, 'emergency department-based acute care service', maintained by consultants from an emergency department (ED) moving emergency care from the hospitals into nursing homes.

objectivethis study explored healthcare professionals' experiences with this service.

designqualitative semi-structured focus group discussions. INTERVENTION/

settingthe new service provides acute on-site evaluation and treatment to nursing home residents following calls to the emergency dispatch centre.

methodswe conducted focus groups with general practitioners, prehospital personnel, municipal acute care nurses, ED staff and nursing home staff. The analysis was performed using the iterative and explorative approach, 'systematic text condensation'.

resultsthe participants considered the service as a meaningful and appropriate alternative to hospital admission, as the treatment can be tailored to meet the residents' wishes and daily capabilities. This was experienced to promote dignity for the residents by reducing unnecessary transfers to the ED and the residents could remain in familiar surroundings with staff who knew their habitual behaviour and history. The nursing home staff contributed valuable information to the ED consultants' decision-making. The service made it possible to base the decision-making on complete patient pictures, as the ED consultants had the time to get to understand the residents.

conclusionacute care at nursing homes provides an alternative to routine admissions to hospitals and enables healthcare professionals to provide more dignity in the care of nursing home residents.

Indexed as

General PractitionersPatient TransferAttitude of Health PersonnelEmergency Service, HospitalHumansNursing Homesacute careemergency carenursing home residentsnursing homesolder peoplequalitative

Identifiers

PMID35977148
PMCPMC9385181

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.