Mobile X-ray services in nursing homes as an enabler to healthcare-in-place for residents: informal carers’ views
Abstract Background Informal carers (ICs) of residents living in nursing homes (NH) have a key role in the care of residents, including making decisions about and providing care. As radiology has a role in decision making about care, it is important to understand IC’s perspectives about resident’s u...
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2023-07-01
|
| Series: | BMC Geriatrics |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12877-023-04130-7 |
| _version_ | 1797769361604214784 |
|---|---|
| author | Joanne Dollard Jane Edwards Lalit Yadav Virginie Gaget David Tivey Guy J. Maddern Renuka Visvanathan |
| author_facet | Joanne Dollard Jane Edwards Lalit Yadav Virginie Gaget David Tivey Guy J. Maddern Renuka Visvanathan |
| author_sort | Joanne Dollard |
| collection | DOAJ |
| description | Abstract Background Informal carers (ICs) of residents living in nursing homes (NH) have a key role in the care of residents, including making decisions about and providing care. As radiology has a role in decision making about care, it is important to understand IC’s perspectives about resident’s use of mobile X-ray services (MXS). The aim was to explore the perspectives of ICs of residents living in nursing homes about the use of MXS. Methods From November 2020 to February 2021, twenty ICs of residents living in four nursing homes in different areas of one Australian city participated. Their perspectives of MXS, including benefits and barriers, were explored in semi-structured interviews. Data were analysed using thematic analysis. Results ICs were resident’s children (80%) and spouses (20%). One resident had received a MXS. Four themes were developed: (1) a priority for resident well-being, where ICs were positive about using MXS, because residents could receive healthcare without transfer; (2) MXS could reduce carer burden; (3) economic considerations, where MXS could reduce health system burden but the MXS call-out fee could result in health inequities; and (4) pathways to translation, including the need to improve consumer awareness of MXS, ensure effective processes to using MXS,, consider nursing home staff levels to manage MXS and ICs expectations about quality and availability of MXS. Conclusions ICs consider MXS can benefit resident well-being by potentially reducing transfers to hospital or radiology facilities and advocated equitable access. ICs cautioned that the quality and safety of healthcare delivered in nursing homes should equal what they would receive in hospitals. |
| first_indexed | 2024-03-12T21:06:51Z |
| format | Article |
| id | doaj.art-5028e18837a447feabe4f2e19a297be2 |
| institution | Directory Open Access Journal |
| issn | 1471-2318 |
| language | English |
| last_indexed | 2024-03-12T21:06:51Z |
| publishDate | 2023-07-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Geriatrics |
| spelling | doaj.art-5028e18837a447feabe4f2e19a297be22023-07-30T11:24:24ZengBMCBMC Geriatrics1471-23182023-07-0123111110.1186/s12877-023-04130-7Mobile X-ray services in nursing homes as an enabler to healthcare-in-place for residents: informal carers’ viewsJoanne Dollard0Jane Edwards1Lalit Yadav2Virginie Gaget3David Tivey4Guy J. Maddern5Renuka Visvanathan6Adelaide Geriatrics and Training with Aged Care (GTRAC) Centre, Adelaide Medical School, Faculty of Health and Medical Sciences, University of AdelaideAdelaide Geriatrics and Training with Aged Care (GTRAC) Centre, Adelaide Medical School, Faculty of Health and Medical Sciences, University of AdelaideAdelaide Geriatrics and Training with Aged Care (GTRAC) Centre, Adelaide Medical School, Faculty of Health and Medical Sciences, University of AdelaideDiscipline of Surgery, The Queen Elizabeth Hospital, The University of Adelaide Surgical Specialties, University of AdelaideDiscipline of Surgery, The Queen Elizabeth Hospital, The University of Adelaide Surgical Specialties, University of AdelaideBasil Hetzel Institute for Translational Health Research, Central Adelaide Local Health NetworkAdelaide Geriatrics and Training with Aged Care (GTRAC) Centre, Adelaide Medical School, Faculty of Health and Medical Sciences, University of AdelaideAbstract Background Informal carers (ICs) of residents living in nursing homes (NH) have a key role in the care of residents, including making decisions about and providing care. As radiology has a role in decision making about care, it is important to understand IC’s perspectives about resident’s use of mobile X-ray services (MXS). The aim was to explore the perspectives of ICs of residents living in nursing homes about the use of MXS. Methods From November 2020 to February 2021, twenty ICs of residents living in four nursing homes in different areas of one Australian city participated. Their perspectives of MXS, including benefits and barriers, were explored in semi-structured interviews. Data were analysed using thematic analysis. Results ICs were resident’s children (80%) and spouses (20%). One resident had received a MXS. Four themes were developed: (1) a priority for resident well-being, where ICs were positive about using MXS, because residents could receive healthcare without transfer; (2) MXS could reduce carer burden; (3) economic considerations, where MXS could reduce health system burden but the MXS call-out fee could result in health inequities; and (4) pathways to translation, including the need to improve consumer awareness of MXS, ensure effective processes to using MXS,, consider nursing home staff levels to manage MXS and ICs expectations about quality and availability of MXS. Conclusions ICs consider MXS can benefit resident well-being by potentially reducing transfers to hospital or radiology facilities and advocated equitable access. ICs cautioned that the quality and safety of healthcare delivered in nursing homes should equal what they would receive in hospitals.https://doi.org/10.1186/s12877-023-04130-7Nursing homesGeriatric assessmentMobile health unitsDiagnostic servicesX-RaysQualitative research |
| spellingShingle | Joanne Dollard Jane Edwards Lalit Yadav Virginie Gaget David Tivey Guy J. Maddern Renuka Visvanathan Mobile X-ray services in nursing homes as an enabler to healthcare-in-place for residents: informal carers’ views BMC Geriatrics Nursing homes Geriatric assessment Mobile health units Diagnostic services X-Rays Qualitative research |
| title | Mobile X-ray services in nursing homes as an enabler to healthcare-in-place for residents: informal carers’ views |
| title_full | Mobile X-ray services in nursing homes as an enabler to healthcare-in-place for residents: informal carers’ views |
| title_fullStr | Mobile X-ray services in nursing homes as an enabler to healthcare-in-place for residents: informal carers’ views |
| title_full_unstemmed | Mobile X-ray services in nursing homes as an enabler to healthcare-in-place for residents: informal carers’ views |
| title_short | Mobile X-ray services in nursing homes as an enabler to healthcare-in-place for residents: informal carers’ views |
| title_sort | mobile x ray services in nursing homes as an enabler to healthcare in place for residents informal carers views |
| topic | Nursing homes Geriatric assessment Mobile health units Diagnostic services X-Rays Qualitative research |
| url | https://doi.org/10.1186/s12877-023-04130-7 |
| work_keys_str_mv | AT joannedollard mobilexrayservicesinnursinghomesasanenablertohealthcareinplaceforresidentsinformalcarersviews AT janeedwards mobilexrayservicesinnursinghomesasanenablertohealthcareinplaceforresidentsinformalcarersviews AT lalityadav mobilexrayservicesinnursinghomesasanenablertohealthcareinplaceforresidentsinformalcarersviews AT virginiegaget mobilexrayservicesinnursinghomesasanenablertohealthcareinplaceforresidentsinformalcarersviews AT davidtivey mobilexrayservicesinnursinghomesasanenablertohealthcareinplaceforresidentsinformalcarersviews AT guyjmaddern mobilexrayservicesinnursinghomesasanenablertohealthcareinplaceforresidentsinformalcarersviews AT renukavisvanathan mobilexrayservicesinnursinghomesasanenablertohealthcareinplaceforresidentsinformalcarersviews |