Care workers' view on factors leading to unplanned hospitalizations of nursing home residents: A cross-sectional multicenter study.
Advance care planning
Cross-sectional studies
Hospitalizations
Nursing homes
Journal
Geriatric nursing (New York, N.Y.)
ISSN: 1528-3984
Titre abrégé: Geriatr Nurs
Pays: United States
ID NLM: 8309633
Informations de publication
Date de publication:
Historique:
received:
08
05
2019
revised:
10
08
2019
accepted:
12
08
2019
pubmed:
27
8
2019
medline:
13
2
2021
entrez:
27
8
2019
Statut:
ppublish
Résumé
Nursing home residents have a high risk of adverse events during hospitalizations. Since up to two-thirds of hospitalizations of nursing home residents are rated as potentially preventable, this study aimed to describe factors related to unplanned hospitalizations and to describe rates of unplanned hospitalizations, comparing differences between high- and low-hospitalization nursing homes. This cross-sectional multicenter study was conducted in 19 Swiss nursing homes and used questionnaire surveys of ward supervisors (n = 33) and nursing staff (n = 146) and retrospectively assessed hospitalization data. The study revealed several issues regarding unplanned hospitalizations, mostly concerning limitations regarding physicians' availability, lack of acquaintance of on-call physicians with the residents, and health professionals' lack of knowledge about the residents' wishes concerning therapeutic decisions. Our findings suggest that standardizing advance care planning processes and better physician availability might further reduce hospitalizations and improve quality of care in nursing homes.
Identifiants
pubmed: 31447139
pii: S0197-4572(19)30263-0
doi: 10.1016/j.gerinurse.2019.08.005
pii:
doi:
Types de publication
Journal Article
Multicenter Study
Research Support, Non-U.S. Gov't
Langues
eng
Pagination
110-117Informations de copyright
Copyright © 2019 Elsevier Inc. All rights reserved.
Déclaration de conflit d'intérêts
Declaration of Competing Interest None