Improving transitions between nursing homes and emergency departments: a qualitative study
Bibliographic record
Abstract
BACKGROUND: Nursing home residents with acute illnesses have complex healthcare needs that often require transitions across multiple organizations. This study explores the experiences of diverse healthcare professionals from organizations involved in transitions between nursing homes and emergency departments and identifies conditions necessary to improve this transitional process. METHODS: Eighteen qualitative interviews with healthcare professionals were conducted, and data were analyzed using thematic analysis based on the work of Braun & Clarke. This paper adheres to the Standards for Reporting Qualitative Research (SRQR) standards. RESULTS: Three themes were identified: (1) Inclusive and supportive engagement, emphasizing the importance of involving care recipients while providing support; (2) Operational readiness, indicating the structures and supports needed to ensure that staff can effectively respond to unexpected events; and (3) Cross-organizational collaboration, pinpointing that streamlined communication strategies across healthcare organizations facilitate a shared decision-making process among healthcare professionals and ensure that essential patient information is readily accessible at each transitional step. CONCLUSIONS: A comprehensive approach addressing these individual, operational, and systemic factors can enhance transitional care between nursing homes and emergency departments.
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How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.001 | 0.000 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.000 | 0.001 |
| Science and technology studies | 0.002 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.000 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one teacher head, not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".