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Geriatr Nurs. 2019 Aug 22. pii: S0197-4572(19)30263-0. doi: 10.1016/j.gerinurse.2019.08.005. [Epub ahead of print]

Care workers' view on factors leading to unplanned hospitalizations of nursing home residents: A cross-sectional multicenter study.

Author information

1
Nursing Science (INS), Department Public Health (DPH), Faculty of Medicine, University of Basel, Bernoullistrasse 28, Basel 4056, Switzerland. Electronic address: giger.max@bluewin.ch.
2
Alterszentrum Wiesendamm, Wiesendamm 20, Basel 4057, Switzerland. Electronic address: nina.voneschen@az-wiesendamm.ch.
3
Nursing Science (INS), Department Public Health (DPH), Faculty of Medicine, University of Basel, Bernoullistrasse 28, Basel 4056, Switzerland. Electronic address: thekla.brunkert@unibas.ch.
4
Nursing Science (INS), Department Public Health (DPH), Faculty of Medicine, University of Basel, Bernoullistrasse 28, Basel 4056, Switzerland. Electronic address: franziska.zuniga@unibas.ch.

Abstract

Nursing home residents have a high risk of adverse events during hospitalizations. Since up to two-thirds of hospitalizations of nursing home residents are rated as potentially preventable, this study aimed to describe factors related to unplanned hospitalizations and to describe rates of unplanned hospitalizations, comparing differences between high- and low-hospitalization nursing homes. This cross-sectional multicenter study was conducted in 19 Swiss nursing homes and used questionnaire surveys of ward supervisors (n = 33) and nursing staff (n = 146) and retrospectively assessed hospitalization data. The study revealed several issues regarding unplanned hospitalizations, mostly concerning limitations regarding physicians' availability, lack of acquaintance of on-call physicians with the residents, and health professionals' lack of knowledge about the residents' wishes concerning therapeutic decisions. Our findings suggest that standardizing advance care planning processes and better physician availability might further reduce hospitalizations and improve quality of care in nursing homes.

KEYWORDS:

Advance care planning; Cross-sectional studies; Hospitalizations; Nursing homes

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