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Implication for practice and research
■ There are many different factors that contribute to the complexity of the decision to transfer a nursing home resident to the hospital.
■ This study suggests that strategies such as improving advance care planning (ACP) and collaboration between hospitals and nursing homes could reduce the number of residents who are transferred to the local hospital.
Numerous factors impact the decision to transfer a nursing home resident to the local hospital. Previous research has broadly defined these as residents' welfare, residents' preferences, providers' attitudes and the financial implications of …