"They Don't Trust Us": The Influence of Perceptions of Inadequate Nursing Home Care on Emergency Department Transfers and the Potential Role for Telehealth.
"They Don't Trust Us": The Influence of Perceptions of Inadequate Nursing Home Care on Emergency Department Transfers and the Potential Role for Telehealth.
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DOI：
10.1177/1054773819835015
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发表时间：
2020-03
影响因子：
1.7
通讯作者：
Ritchie, Christine S.
中科院分区：
文献类型：
--
作者：
Stephens, Caroline E.;Halifax, Elizabeth;David, Daniel;Bui, Nhat;Lee, Sei J.;Shim, Janet;Ritchie, Christine S.
在这项描述性、定性研究中，我们对不同的非正式和正式护理人员进行了八个焦点小组，以探索他们从疗养院（NH）到急诊室（艾德）转移的经验/挑战，以及远程医疗是否能够缓解其中一些问题。访谈记录和分析使用扎根理论的方法。转移通常被视为是由一个感知缺乏信任的NH护理/能力的影响，并由四个主要因素驱动：质疑NH护士的评估质量，医生缺席NH的看法，对NH和ED能力的误解，以及对医疗需求的反应是不够的看法。与会者认为，技术可以提供“视觉的力量”，允许虚拟评估的非现场医生，验证护理评估，“真实的时间”保证居民和家庭，更好的目标护理讨论与多方在不同的位置，和家庭的能力说再见。
In this descriptive, qualitative study, we conducted eight focus groups with diverse informal and formal caregivers to explore their experiences/challenges with nursing home (NH) to emergency department (ED) transfers and whether telehealth might be able to mitigate some of those concerns. Interviews were transcribed and analyzed using a grounded theory approach. Transfers were commonly viewed as being influenced by a perceived lack of trust in NH care/capabilities and driven by four main factors: questioning the quality of NH nurses’ assessments, perceptions that physicians were absent from the NH, misunderstandings of the capabilities of NHs and EDs, and perceptions that responses to medical needs were inadequate. Participants believed technology could provide “the power of the visual” permitting virtual assessment for the off-site physician, validation of nursing assessment, “real time” assurance to residents and families, better goals of care discussions with multiple parties in different locations, and family ability to say goodbye.
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DOI：
10.1016/j.ijmedinf.2009.02.009
发表时间：
2009-07-01
影响因子：
4.9
作者：
Chang, Jun-Yih;Chen, Liang-Kung;Chang, Chia-Ching
通讯作者：
Chang, Chia-Ching
影响因子：
2.8
作者：
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通讯作者：
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影响因子：
4.3
作者：
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通讯作者：
Jayasekara, Rasika S.
影响因子：
8.6
作者：
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通讯作者：
Dorsey, E. Ray
影响因子：
120.7
作者：
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通讯作者：
Asch, DA