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      • The discrepancies of perspectives in emergency transfer between the family of residents and staff in a nursing home

        Keigo Takiue,Aya Tanaka,Hideki Ikuta,Huiting Wang,Eriko Kojiya,Yasushi Takeya,Miyae Yamakawa 한국간호과학회 2021 한국간호과학회 학술대회 Vol.2021 No.10

        Aim: The purpose of this study was to identify discrepancies of perspectives in emergency transfer between the family of residents who experienced emergency transfer from a nursing home (NH) and the staff of the NH to an emergency department (ED). Method: This was a qualitative study using inductive qualitative content analysis. We conducted semistructured individual interviews between January and May 2021 at an NH in Osaka, Japan. Qualitative data focused on the appropriateness of emergency transfer. This study was approved by the Institutional Review Board of the institution to which we belong. Results: We selected four cases (swelling of the left greater trochanter, frequent bleeding, oral bleeding, and symptomatic epilepsy) of emergency transfers and interviewed the families (two daughters and two sisters) of the residents and the NH staff. The reason for the small number of cases is that the research was being conducted in real-time. The families and staff differed in perspectives on emergency transfer. Conflict two factors included “peaceful end of life” for the families and “transfer just in case” for the NH staff. The families hoped the residents would have a peaceful end of life. Meanwhile, NH staff stated that they often make transfer decisions just in case, against their best clinical judgment, because of convincing the family feeling anxiety. Conclusion: The discrepancies of perspectives on emergency transfer between families and staff were clarified. We plan to increase the number of cases in the future to further clarify the appropriateness of the emergency transfer from NH to the ED.

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