Conference presentation
Deciding to transfer resident to emergency department: A phenomenographic examination of decision making in residential aged care
Disciplinary Knowledge and Necessary Conditions of Learning of the EARLI Special Interest Group 9 - Phenomenography and Variation Theory, 2014 (Oxford, United Kingdom, 01-Sep-2014 - 03-Sep-2014)
2014
Abstract
The use of emergency department (ED) services by the older population throughout the world (Hayes, 2000; Moons, Arnauts, & Delooz, 2003) including Australia is increasing (Moss et al., 2002; Shanley, Sutherland, Tumeth, Stott, & Whitmore, 2009) . The existing model of ED has been noted to be efficient in addressing the needs of acutely ill and injured patients but is struggling to cater for the needs of the older population, who have an array of co-morbidities (Adams & Gerson, 2003). This is further compounded by current issues like overcrowding in ED of the hospitals across the nation (Forero & Hillman, 2008). The nurses of residential aged care facility (RACF) play an important role in providing clinical care and making important decisions pertaining to resident care and well-being (Dwyer, 2011). Nurses are the key decision makers in RACF and they play a significant role in the transfer of resident from RACF to ED (Bottrell, O’Sullivan, Robbins, Mitty, & Mezey, 2001; Jablonski, Utz, Steeves, & Gray, 2007; Jones, Cheek, & Ballantyne, 2002). There is paucity in the literature that focuses on the nurse’s role in the transfer decision making process (Bottrell et al., 2001; Jablonski et al., 2007; Kapp, 1995; Levin et al., 1999). Thus, this research will focus on decision making by the nurses of RACF pertaining to transfer of resident from RACF to ED in order to contribute to the understanding of the full scope of the issue and to aid in the development of interventions and policies. Methodology and Methods The interpretive qualitative approach of phenomenography will inform this research, wherein understanding of decision to transfer residents to ED from RACF will be sought for. Phenomenography is underpinned by the understanding that people collectively experience and understand a particular phenomenon in a number of qualitatively different ways which are interrelated (Marton, 1986). The research approach of phenomenography is best suited for the research, as different understanding and collective experience of the research participants (nurses) will reveal better understanding of phenomenon of making decision to transfer resident to ED. Purposive sampling, which has been advocated for phenomenographic research (Patton, 2002) will be employed to recruit research participants, who will be the RACF nurses from Greater Brisbane region, south-east Queensland, Australia.
Details
- Title
- Deciding to transfer resident to emergency department: A phenomenographic examination of decision making in residential aged care
- Authors
- Apil Gurung (Author) - Queensland University of TechnologyAlan Barnard (Author) - Queensland University of TechnologyMarguerite C Sendall (Author) - Queensland University of Technology
- Conference details
- Disciplinary Knowledge and Necessary Conditions of Learning of the EARLI Special Interest Group 9 - Phenomenography and Variation Theory, 2014 (Oxford, United Kingdom, 01-Sep-2014 - 03-Sep-2014)
- Organisation Unit
- School of Nursing, Midwifery and Paramedicine - Legacy; University of the Sunshine Coast, Queensland; School of Health - Nursing
- Language
- English
- Record Identifier
- 99599408802621
- Output Type
- Conference presentation
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