Using advance and emergency care plans during transfer decisions: A grounded theory interview study with care home staff.

ABSTRACT:

Background

Advance care planning has been identified as one of few modifiable factors that could reduce hospital transfers from care homes. Several types of documents may be used by patients and clinicians to record these plans. However, little is known about how plans are perceived and used by care home staff at the time of deterioration.

Aim

To describe care home staff experiences and perceptions of using written plans during in-the-moment decision-making about potential resident hospital transfers.

Design

Qualitative semi-structured interviews analysed using the Straussian approach to grounded theory.

Setting/participants

Thirty staff across six care homes (with and without nursing) in the East and West Midlands of England.

Results

Staff preferred (in

SUBMITTER: Harrad-Hyde F 

PROVIDER: S-EPMC8796154 | biostudies-literature | 2022 Jan

REPOSITORIES: biostudies-literature