Care workers' view on factors leading to unplanned hospitalizations of nursing home residents: A cross-sectional multicenter study
JournalArticle (Originalarbeit in einer wissenschaftlichen Zeitschrift)
ID
4514788
Author(s)
Giger, Max; Voneschen, Nina; Brunkert, Thekla; Zuniga, Franziska
Author(s) at UniBasel
Brunkert, Thekla Zúñiga, Franziska
Year
2019
Title
Care workers' view on factors leading to unplanned hospitalizations of nursing home residents: A cross-sectional multicenter study
Journal
Geriatric Nursing
Abstract
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 (nâEuro¯=âEuro¯33) and nursing staff (nâEuro¯=âEuro¯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.Copyright © 2019 Elsevier Inc. All rights reserved.
Publisher
Elsevier
ISSN/ISBN
0197-4572 ; 1528-3984
edoc-URL
https://edoc.unibas.ch/72143/
Full Text on edoc
Available
Digital Object Identifier DOI
10.1016/j.gerinurse.2019.08.005
PubMed ID
http://www.ncbi.nlm.nih.gov/pubmed/31447139
Document type (ISI)
Journal Article
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