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Evid Based Nurs 9:90 doi:10.1136/ebn.9.3.90
  • Treatment

Moving elderly inpatients to a transitional care facility reduced hospital stay but increased time to transfer to long term care


 
 Q What are the effects of moving elderly inpatients waiting for a long term care bed to a transitional care facility (TCF)?

METHODS

GraphicDesign:

randomised controlled trial.

GraphicAllocation:

{concealed}.*

GraphicBlinding:

blinded {data collectors and outcome assessors}.*

GraphicFollow up period:

4 months.

GraphicSetting:

3 public hospitals in southern Adelaide, Australia.

GraphicPatients:

320 patients in acute care hospital beds who were to be transferred to long term care, had completed assessments, and were medically stable and ready for hospital discharge; patients with dementia and behavioural problems were included if no additional nursing staff would be required for their care.

GraphicIntervention:

212 patients were allocated to be moved to an off-site TCF, which was run by the 3 hospitals and a private provider. Care was based on a medical rehabilitation model that included setting goals, early multidisciplinary assessment, weekly case conferences, and family meetings. A hospital based transitional care nurse coordinator liaised …

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