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Development, validation and testing of a nursing home to emergency room transfer checklist

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  • Hsiu‐Hsin Tsai
  • Yun‐Fang Tsai

Abstract

Aims and objectives To develop and test the feasibility of an instrument to support patients’ nursing home to emergency room transfer. Background Transfers from a nursing home care facility to an acute care facility such as a hospital emergency room are common. However, the prevalence of an information gap for transferring residents’ health data to acute care facility is high. An evidence‐based transfer instrument, which could fill this gap, is lacking. Design Development of a nursing home to emergency room transfer checklist, validation of items using the Delphi method and testing the feasibility and benefits of using the nursing home to emergency room transfer checklist. Methods Items were developed based on qualitative data from previous research. Delphi validation, retrospective chart review (baseline data) and a 6‐month prospective study design were applied to test the feasibility of using the checklist. Variables for testing the feasibility of the checklist included residents’ 30‐day readmission rate and length of hospital stay. Results Development of the nursing home to emergency room transfer checklist resulted in four main parts: (i) demographic data of the nursing home resident; (ii) critical data for nursing home to emergency room transfer; (iii) contact information and (iv) critical data for emergency room to nursing home transfer. Two rounds of Delphi validation resulted in a mean score (standard deviation) ranging from 4.39 (1.13)–4.98 (.15). Time required to complete the checklist was 3–5 min. Use of the nursing home to emergency room transfer checklist resulted in a 30‐day readmission rate of 13.4%, which was lower than the baseline rate of 15.9%. Conclusions The nursing home to emergency room transfer checklist was developed for transferring nursing home residents to an emergency room. The instrument was found to be an effective tool for this process. Relevance to clinical practice Use of the nursing home to emergency room transfer checklist for nursing home transfers could fill the information gap that exists when transferring older adults between facilities such as nursing homes and hospitals.

Suggested Citation

  • Hsiu‐Hsin Tsai & Yun‐Fang Tsai, 2018. "Development, validation and testing of a nursing home to emergency room transfer checklist," Journal of Clinical Nursing, John Wiley & Sons, vol. 27(1-2), pages 115-122, January.
  • Handle: RePEc:wly:jocnur:v:27:y:2018:i:1-2:p:115-122
    DOI: 10.1111/jocn.13853
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    References listed on IDEAS

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    1. David C. Grabowski & Kate Stewart & Suzanne M. Broderick & Laura A. Coots, "undated". "Predictors of Nursing Home Hospitalization: A Review of the Literature," Mathematica Policy Research Reports 293a0c5e35ca433196b8853ca, Mathematica Policy Research.
    2. Hsiu‐Hsin Tsai & Yun‐Fang Tsai & Hsiu‐Li Huang, 2016. "Nursing home nurses’ experiences of resident transfers to the emergency department: no empathy for our work environment difficulties," Journal of Clinical Nursing, John Wiley & Sons, vol. 25(5-6), pages 610-618, March.
    3. repec:mpr:mprres:6215 is not listed on IDEAS
    4. Julia Crilly & Wendy Chaboyer & Marianne Wallis & Lukman Thalib & Denise Polit, 2011. "An outcomes evaluation of an Australian Hospital in the Nursing Home admission avoidance programme," Journal of Clinical Nursing, John Wiley & Sons, vol. 20(7‐8), pages 1178-1187, April.
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    Cited by:

    1. Alexandra Pulst & Alexander Maximilian Fassmer & Falk Hoffmann & Guido Schmiemann, 2020. "Paramedics’ Perspectives on the Hospital Transfers of Nursing Home Residents—A Qualitative Focus Group Study," IJERPH, MDPI, vol. 17(11), pages 1-16, May.

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