Kelli E Canada, Amy A Vogelsmeier, Lori L Popejoy, Kimberly Powell, Lea Brandt, Marilyn Rantz
{"title":"Exploring Hospital Transfers for Long-Stay Nursing Home Residents With End-Stage Renal Disease.","authors":"Kelli E Canada, Amy A Vogelsmeier, Lori L Popejoy, Kimberly Powell, Lea Brandt, Marilyn Rantz","doi":"10.1097/NCQ.0000000000000758","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Nursing home residents with end-stage renal disease (ESRD) are an understudied, yet growing population within nursing homes.</p><p><strong>Purpose: </strong>To describe hospital transfers for nursing home residents diagnosed with ESRD and receiving hemodialysis.</p><p><strong>Methods: </strong>Data were analyzed for residents with ESRD transferred to the hospital between October 2016 and September 2020 (n = 219). Descriptive statistics, bivariate analyses, logistic regression, and content analysis were used for analysis.</p><p><strong>Results: </strong>Clinical factors associated with transfers included abnormal vitals, altered mental state, and pain. Other factors included lack of care planning and advance directives, provider communication, resident/family preferences, missing/refusing dialysis, and facility resources. The odds of an observation/emergency department only visit was 2.02 times larger when transferred from the dialysis clinic.</p><p><strong>Conclusions: </strong>Advance care planning and coordinated care between nursing home and dialysis clinics are needed along with proactive planning when residents miss dialysis or experience a condition change at the dialysis clinic.</p>","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":" ","pages":"232-238"},"PeriodicalIF":1.2000,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of nursing care quality","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1097/NCQ.0000000000000758","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/1/10 0:00:00","PubModel":"Epub","JCR":"Q3","JCRName":"NURSING","Score":null,"Total":0}
引用次数: 0
Abstract
Background: Nursing home residents with end-stage renal disease (ESRD) are an understudied, yet growing population within nursing homes.
Purpose: To describe hospital transfers for nursing home residents diagnosed with ESRD and receiving hemodialysis.
Methods: Data were analyzed for residents with ESRD transferred to the hospital between October 2016 and September 2020 (n = 219). Descriptive statistics, bivariate analyses, logistic regression, and content analysis were used for analysis.
Results: Clinical factors associated with transfers included abnormal vitals, altered mental state, and pain. Other factors included lack of care planning and advance directives, provider communication, resident/family preferences, missing/refusing dialysis, and facility resources. The odds of an observation/emergency department only visit was 2.02 times larger when transferred from the dialysis clinic.
Conclusions: Advance care planning and coordinated care between nursing home and dialysis clinics are needed along with proactive planning when residents miss dialysis or experience a condition change at the dialysis clinic.
期刊介绍：
Journal of Nursing Care Quality (JNCQ) is a peer-reviewed journal that provides practicing nurses as well as nurses who have leadership roles in nursing care quality programs with useful information regarding the application of quality principles and concepts in the practice setting. The journal offers a forum for the scholarly discussion of “real world” implementation of quality activities.
京公网安备 11010802042870号
京ICP备2023020795号-1
分享
求助内容：
应助结果提醒方式：
扫码关注我们
