O'Neill, BJ and Dwyer, T and Reid-Searl, K and Reid-Searl, KA, Managing the deteriorating nursing home resident after the introduction of a hospital avoidance programme: a nursing perspective, Scandinavian Journal of Caring Sciences, 31, (2) pp. 312-322. ISSN 1471-6712 (2017) [Refereed Article]
© 2016 Nordic College of Caring Science
Aim: To examine nursing home nursing staff perceptions regarding their management of the deteriorating resident after the introduction of a hospital avoidance programme.
Methods: A thematic analysis was conducted of focus group data collected from nursing staff 14 to 15 months after the introduction of a pilot hospital avoidance programme at an Australian nursing home.
Findings: The programme was well received and filled a gap in nursing staff management of residents with deteriorating health by providing structure and support. Staff were more confident and focused on this area of their work. Nursing assistants felt more integrated into the system and were supported and learning from nurses. Workload remained heavy and there was a shift in how time was allocated, but nursing staff preferred to keep residents at the facility.
Conclusions:Nursing staff welcomed the programme and benefitted from its implementation. However, strategies must be explored to accommodate the staffing needs associated with providing emergency and subacute care in the nursing home setting.
|Item Type:||Refereed Article|
|Keywords:||attitude of health personnel; focus groups; hospital avoidance; hospital transfers; nurse practitioners; nurses; nursing assistants; nursing homes; qualitative approaches; quality improvement programs; subacute care.|
|Research Group:||Curriculum and pedagogy|
|Research Field:||Medicine, nursing and health curriculum and pedagogy|
|Objective Group:||Provision of health and support services|
|UTAS Author:||Reid-Searl, K (Professor Kerry Reid-Searl)|
|Web of Science® Times Cited:||12|
Repository Staff Only: item control page