Appropriateness of Nursing Home to Emergency Department Transitional Care for Older Adults With Dementia: A Scoping Review.

IF 1.1 4区医学 Q4 GERIATRICS & GERONTOLOGY Journal of gerontological nursing Pub Date : 2024-09-01 DOI:10.3928/00989134-20240809-08

Huiting Wang, Keigo Takiue, Xiaoji Liu, Eriko Koujiya, Yasushi Takeya, Miyae Yamakawa

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Abstract

Purpose: To systematically identify knowledge patterns and gaps in the appropriateness of nursing home (NH) to emergency department (ED) transitional care for older adults with dementia.

Method: A systematic search of multiple information sources was performed from July to August 2023 using predesigned search strategies.

Results: From 13 articles, 54 identified pieces of specific care evidence were grouped into six major care domains: (1) Resource Support for Assessing Transfer Needs and Patient Status; (2) Resource Support, Shared Decision Making, and Early Advance Care Planning; (3) Standardized Multimodal Information Transfer; (4) Designated ED and NH Transition Coordinators; (5) Enhanced Interfacility Collaboration; and (6) Appropriate Transitional Care Education, Research, and Policy Beyond the Transfer Interface.

Conclusion: A comprehensive, consensus-based body of evidence is lacking. Despite person-centered, standardized, and professional resources supporting transitional care, reorienting NH cultural models remains unclear. Gaps include evidence tailored to diverse participants and contexts. Thus, a focus on policies, education, and research is required. [Journal of Gerontological Nursing, 50(9), 37-45.].

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痴呆症老年人从疗养院到急诊科过渡护理的适宜性：范围审查。

目的：系统地确定痴呆症老年人从疗养院（NH）到急诊科（ED）过渡护理的适宜性方面的知识模式和差距：方法：采用预先设计的检索策略，于 2023 年 7 月至 8 月对多种信息来源进行了系统检索：结果：从13篇文章中，54项确定的具体护理证据被归类为6个主要护理领域：（1）评估转院需求和患者状态的资源支持；（2）资源支持、共同决策和早期预先护理规划；（3）标准化多模式信息传输；（4）指定的急诊科和新罕布什尔州转院协调员；（5）加强机构间合作；以及（6）转院界面之外的适当过渡护理教育、研究和政策：结论：目前还缺乏全面的、基于共识的证据。尽管以人为本、标准化和专业化的资源支持过渡性护理，但对北卡罗来纳州文化模式的重新定位仍不明确。差距包括针对不同参与者和背景的证据。因此，需要将重点放在政策、教育和研究上。[老年护理杂志》，50（9），37-45。］

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来源期刊

Journal of gerontological nursing 医学-护理

CiteScore

2.00

自引率

7.70%

发文量

审稿时长

6-12 weeks

期刊介绍： The Journal of Gerontological Nursing is a monthly, peer-reviewed journal publishing clinically relevant original articles on the practice of gerontological nursing across the continuum of care in a variety of health care settings, for more than 40 years.