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Geriatr Nurs. 2017 Nov - Dec;38(6):505-509. doi: 10.1016/j.gerinurse.2017.03.012. Epub 2017 Apr 24.

Factors affecting nursing staff use of a communication tool to reduce potentially preventable acute care transfers in long-term care.

Author information

1
Donald Berman Maimonides Geriatric Centre for Research in Aging, 5795 Avenue Caldwell, Montreal, QC, H4W 1W3, Canada; Department of Family Medicine, McGill University, 5858 Chemin de la Côte-des-Neiges, 3rd Floor, Suite 300, Montreal, QC, H3S 1Z1, Canada.
2
Donald Berman Maimonides Geriatric Centre for Research in Aging, 5795 Avenue Caldwell, Montreal, QC, H4W 1W3, Canada; Département de psychiatrie, Université de Montréal, Pavillon Roger-Gaudry, C.P. 6128, succursale Centre-ville, Montreal, QC, H3C 3J7, Canada; Centre de recherche de l'Institut universitaire de gériatrie de Montréal, 4565 Chemin Queen-Mary, Montréal, QC, H3W 1W5, Canada.
3
Faculté des Sciences Infirmières, Université de Laval, 1050 Rue de la Médecine, Pavillon Ferdinand-Vandry, Office 3445, Québec City, QC, G1V 0A6, Canada.
4
Donald Berman Maimonides Geriatric Centre for Research in Aging, 5795 Avenue Caldwell, Montreal, QC, H4W 1W3, Canada; Jewish Eldercare Centre, 5725 Victoria Avenue, Montreal, QC, H3W 3H6, Canada.
5
Jewish Eldercare Centre, 5725 Victoria Avenue, Montreal, QC, H3W 3H6, Canada; Division of Geriatric Medicine, Jewish General Hospital, 5757 Rue Légaré St., Pavillon E, Office 0026, Montreal, QC, H3S 1X9, Canada.
6
Donald Berman Maimonides Geriatric Centre for Research in Aging, 5795 Avenue Caldwell, Montreal, QC, H4W 1W3, Canada; St. Mary's Research Centre, Hayes Pavilion, 3830 Lacombe Avenue, Montreal, QC, H3T 1M5, Canada.
7
Donald Berman Maimonides Geriatric Centre for Research in Aging, 5795 Avenue Caldwell, Montreal, QC, H4W 1W3, Canada.
8
Donald Berman Maimonides Geriatric Centre for Research in Aging, 5795 Avenue Caldwell, Montreal, QC, H4W 1W3, Canada; Department of Family Medicine, McGill University, 5858 Chemin de la Côte-des-Neiges, 3rd Floor, Suite 300, Montreal, QC, H3S 1Z1, Canada; Division of Geriatric Medicine, McGill University, 3755 Cote St. Catherine Road, Montreal, QC, H3T 1E2, Canada; Centre for Clinical Epidemiology, Lady Davis Institute for Medical Research, Jewish General Hospital, 3755 Cote Ste-Catherine, H-461, Montreal, QC, H3T 1E2, Canada. Electronic address: machelle.wilchesky@mcgill.ca.

Abstract

Although specialized communication tools can effectively reduce acute care transfers, few studies have assessed the factors that may influence the use of such tools by nursing staff at the individual level. We evaluated the associations between years of experience, tool-related training, nursing attitudes, and intensity of use of a communication tool developed to reduce transfers in a long-term care facility. We employed a mixed methods design using data from medical charts, electronic records, and semi-structured interviews. Experienced nurses used the tool significantly less than inexperienced nurses, and training had a significant positive impact on tool use. Nurses found the purpose of the tool to be confusing. No significant differences in attitude were observed based on years of experience or intensity of use. Project findings indicate that focused efforts to enrich training may increase intervention adherence. Experienced nurses in particular should be made aware of the benefits of utilizing communication tools.

KEYWORDS:

Adherence to interventions; Communication tool; Interprofessional communication; Long-term care; Mixed methods; Nursing home quality

PMID:
28449944
DOI:
10.1016/j.gerinurse.2017.03.012
[Indexed for MEDLINE]

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