Nursing home leaders' and nurses' experiences of resources, staffing and competence levels and the relation to hospital readmissions - a case study.
Malin Knutsen GletteOlav RøiseTone KringelandKate ChurrucaJeffrey BraithwaiteSiri WiigPublished in: BMC health services research (2018)
Several factors related to nurses' and leaders' experience of the resource situation, staffing and competence level were suggested to affect hospital readmissions and the municipalities were similar in their answers regarding these factors. Patients were perceived as more complex with higher patient mortality forcing long-term nursing homes to shift towards an acute care or palliative function, and short-term nursing homes to function as "small hospitals", requiring higher nurse competence. Staffing, competence and physician coverage did not seem to have adjusted to the new patient group in some nursing homes.
Keyphrases
- acute care
- healthcare
- mental health
- primary care
- end stage renal disease
- case report
- ejection fraction
- chronic kidney disease
- emergency department
- depressive symptoms
- prognostic factors
- cardiovascular events
- palliative care
- social support
- type diabetes
- coronary artery disease
- cardiovascular disease
- patient reported outcomes
- risk factors