Reducing Avoidable Hospital Transfers From Nursing Homes in Austria
Hospital transfers from nursing homes (NHs) are frequent, burdensome for residents, and often avoidable. The evidence regarding the effectiveness of interventions to reduce avoidable transfers is limited, and most projects focus on nurses’ knowledge and skills. In the present project, interventions...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
SAGE Publishing
2017-03-01
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| Series: | Gerontology and Geriatric Medicine |
| Online Access: | https://doi.org/10.1177/2333721417696671 |
| _version_ | 1818383091639517184 |
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| author | Olivia Kada FH-Prof. Dr Herbert Janig Univ.-Prof. Dr Rudolf Likar Univ.-Prof. Dr Karl Cernic Dr Georg Pinter Dr |
| author_facet | Olivia Kada FH-Prof. Dr Herbert Janig Univ.-Prof. Dr Rudolf Likar Univ.-Prof. Dr Karl Cernic Dr Georg Pinter Dr |
| author_sort | Olivia Kada FH-Prof. Dr |
| collection | DOAJ |
| description | Hospital transfers from nursing homes (NHs) are frequent, burdensome for residents, and often avoidable. The evidence regarding the effectiveness of interventions to reduce avoidable transfers is limited, and most projects focus on nurses’ knowledge and skills. In the present project, interventions focusing on nurses and physicians are integrated, elaborated, and implemented in 17 NHs. Results of the 6 months preintervention period are reported. Hospital transfer rates ( N = 1,520) and basic data on all residents ( N = 1,238) were collected prospectively. Nurses’ preintervention knowledge and self-efficacy were assessed using standardized questionnaires ( N = 330). Many hospital transfers were initiated by nurses without physician involvement, polypharmacy was common, and a high potential for reducing transfers by increasing physician presence was observed. Nurses showed rather low knowledge but high self-efficacy. The results are discussed against the background of the interventions including enhancement of physician presence and geriatric quality circles. |
| first_indexed | 2024-12-14T03:00:51Z |
| format | Article |
| id | doaj.art-de3028e3e83b4c9ebb9c21a769bffe0c |
| institution | Directory Open Access Journal |
| issn | 2333-7214 |
| language | English |
| last_indexed | 2024-12-14T03:00:51Z |
| publishDate | 2017-03-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Gerontology and Geriatric Medicine |
| spelling | doaj.art-de3028e3e83b4c9ebb9c21a769bffe0c2022-12-21T23:19:31ZengSAGE PublishingGerontology and Geriatric Medicine2333-72142017-03-01310.1177/2333721417696671Reducing Avoidable Hospital Transfers From Nursing Homes in AustriaOlivia Kada FH-Prof. Dr0Herbert Janig Univ.-Prof. Dr1Rudolf Likar Univ.-Prof. Dr2Karl Cernic Dr3Georg Pinter Dr4Carinthia University of Applied Sciences, Feldkirchen, AustriaAlps Adria University of Klagenfurt, AustriaHospital of Klagenfurt, AustriaHospital of Klagenfurt, AustriaHospital of Klagenfurt, AustriaHospital transfers from nursing homes (NHs) are frequent, burdensome for residents, and often avoidable. The evidence regarding the effectiveness of interventions to reduce avoidable transfers is limited, and most projects focus on nurses’ knowledge and skills. In the present project, interventions focusing on nurses and physicians are integrated, elaborated, and implemented in 17 NHs. Results of the 6 months preintervention period are reported. Hospital transfer rates ( N = 1,520) and basic data on all residents ( N = 1,238) were collected prospectively. Nurses’ preintervention knowledge and self-efficacy were assessed using standardized questionnaires ( N = 330). Many hospital transfers were initiated by nurses without physician involvement, polypharmacy was common, and a high potential for reducing transfers by increasing physician presence was observed. Nurses showed rather low knowledge but high self-efficacy. The results are discussed against the background of the interventions including enhancement of physician presence and geriatric quality circles.https://doi.org/10.1177/2333721417696671 |
| spellingShingle | Olivia Kada FH-Prof. Dr Herbert Janig Univ.-Prof. Dr Rudolf Likar Univ.-Prof. Dr Karl Cernic Dr Georg Pinter Dr Reducing Avoidable Hospital Transfers From Nursing Homes in Austria Gerontology and Geriatric Medicine |
| title | Reducing Avoidable Hospital Transfers From Nursing Homes in Austria |
| title_full | Reducing Avoidable Hospital Transfers From Nursing Homes in Austria |
| title_fullStr | Reducing Avoidable Hospital Transfers From Nursing Homes in Austria |
| title_full_unstemmed | Reducing Avoidable Hospital Transfers From Nursing Homes in Austria |
| title_short | Reducing Avoidable Hospital Transfers From Nursing Homes in Austria |
| title_sort | reducing avoidable hospital transfers from nursing homes in austria |
| url | https://doi.org/10.1177/2333721417696671 |
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