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  1. Article ; Online: The development of a modified comprehensive geriatric assessment for use in the emergency department using a RAND/UCLA appropriateness method.

    Taylor, Andrea / Broadbent, Marc / Gurung, Apil / Wallis, Marianne

    International emergency nursing

    2020  Volume 55, Page(s) 100847

    Abstract: Background: The universal screening and comprehensive assessment of older persons presenting to the emergency department is considered useful, yet is difficult to embed. A number of assessment instruments exist however they are not widely used and there ...

    Abstract Background: The universal screening and comprehensive assessment of older persons presenting to the emergency department is considered useful, yet is difficult to embed. A number of assessment instruments exist however they are not widely used and there is a lack of agreement between clinicians as to which tools are best suited to the emergency department. The aim of this study was to develop a modified comprehensive geriatric assessment using consensus methodology for use by the multidisciplinary team in the emergency department.
    Method: The modified comprehensive geriatric assessment was formulated using the RAND/UCLA appropriateness methodology incorporating consensus opinion from an expert group of clinicians and the best scientific evidence available. A series of pre and post survey and expert group meetings were held with expert multidisciplinary clinicians. Emphasis was placed on a pragmatic approach to the development of a document which reflected consensus opinion.
    Results: Between nine and 15 expert group members participated in the stages of the process. A tiered approach incorporating different aspects of screening and/or assessments was considered optimal to reflect the stages of decision-making in the emergency department process.
    Conclusion: A unique approach to the screening and assessment of the frail older person was developed using consensus methodology to develop a modified comprehensive geriatric assessment for use in the emergency department. Associated actions and interventions are an important next step, with pilot site testing.
    MeSH term(s) Aged ; Aged, 80 and over ; Consensus ; Emergency Service, Hospital ; Geriatric Assessment ; Humans ; Research Design
    Language English
    Publishing date 2020-03-20
    Publishing country England
    Document type Journal Article
    ZDB-ID 2420747-0
    ISSN 1878-013X ; 1755-599X
    ISSN (online) 1878-013X
    ISSN 1755-599X
    DOI 10.1016/j.ienj.2020.100847
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 3822: Show issues Location:
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    ab Jg. 2022: Lesesaal (EG)

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  2. Article ; Online: The enigma: Decision-making to transfer residents to the emergency department; communication and care delivery between emergency department staff and residential aged care facilities' nurses.

    Gurung, Apil / Romeo, Michele / Clark, Sean / Hocking, Julia / Dhollande, Shannon / Broadbent, Marc

    Australasian journal on ageing

    2022  Volume 41, Issue 4, Page(s) e348–e355

    Abstract: Objective: To investigate the experience of nurses involved in decision-making to transfer residents from a residential aged care facility (RACF) to their local hospital emergency department. This paper reports on the findings of the second phase of a ... ...

    Abstract Objective: To investigate the experience of nurses involved in decision-making to transfer residents from a residential aged care facility (RACF) to their local hospital emergency department. This paper reports on the findings of the second phase of a two-phase study.
    Methods: Qualitative semi-structured interviews with 19 aged care nurses were conducted. Interviews were audio-taped and transcribed verbatim, and a thematic analysis was carried out.
    Results: The analysis revealed five major themes that influenced decision-making in relation to the transfer of a resident from the residential aged care facility to the emergency department: conflict with key stakeholders; knowledge and experience; policy and process; stakeholder perception; and recognition and support.
    Conclusions: Robust outreach programs, support from other health-care professionals, and improving interdisciplinary understanding and communication between aged care nurses, paramedics and the emergency department would be advantageous to ensure effective care delivery and decision-making.
    MeSH term(s) Humans ; Aged ; Patient Transfer ; Emergency Service, Hospital ; Communication
    Language English
    Publishing date 2022-02-20
    Publishing country Australia
    Document type Journal Article
    ZDB-ID 1457406-8
    ISSN 1741-6612 ; 0726-4240 ; 1440-6381
    ISSN (online) 1741-6612
    ISSN 0726-4240 ; 1440-6381
    DOI 10.1111/ajag.13044
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    In stock of ZB MED Cologne/Königswinter

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  3. Article: Understanding socio-cultural influences on food intake in relation to overweight and obesity in a rural indigenous community of Fiji Islands.

    Singh, Kamal Nand / Sendall, Marguerite C / Gurung, Apil / Carne, Phil

    Health promotion journal of Australia : official journal of Australian Association of Health Promotion Professionals

    2020  Volume 32 Suppl 2, Page(s) 301–307

    Abstract: Issue addressed: Obesity and non-communicable diseases (NCDs) are largely preventable by understanding the connection between socio-cultural knowledge, yet intervention effectiveness may hinder changes in lifestyles and behaviours in Indigenous health. ... ...

    Abstract Issue addressed: Obesity and non-communicable diseases (NCDs) are largely preventable by understanding the connection between socio-cultural knowledge, yet intervention effectiveness may hinder changes in lifestyles and behaviours in Indigenous health. This study performed to understand the social and cultural components, which contribute to obesity in rural areas of the Indigenous Fijian.
    Methods: This study is a Community-Based Participatory Research (CBPR) project, which engaged community members from a rural iTaukei village in the Fiji Islands. Data collection was carried out through community consultation and semi-structured interviews. The data were analysed using descriptive thematic analysis.
    Results: Food intake was associated with socio-cultural, economic, political and physical environmental factors. Participants reveal previous health promotion programs did not incorporate the cultural values, cultural competence beliefs and traditional ways of rural Indigenous Fijian community.
    Conclusion: The health care providers and policymakers need to be involved in recognising iTaukei community culture and appreciate traditional methods to promote equitable community participation in decision-making for health promotion. SO WHAT?: Community-wide lifestyle interventions, conceptual approaches based on communal perceptions of the problem at hand can also be the basis for future research on identifying socio-cultural factors, for example, the community and family support that can help shape behaviours.
    MeSH term(s) Eating ; Fiji/epidemiology ; Humans ; Islands ; Obesity/epidemiology ; Overweight/epidemiology
    Language English
    Publishing date 2020-08-21
    Publishing country Australia
    Document type Journal Article
    ZDB-ID 2250864-8
    ISSN 2201-1617 ; 1036-1073
    ISSN (online) 2201-1617
    ISSN 1036-1073
    DOI 10.1002/hpja.397
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    Zs.A 6384: Show issues Location:
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  4. Article ; Online: Understanding registered nurse decision-making, communication and care delivery between emergency departments and residential aged care facilities: A research protocol.

    Gurung, Apil / Broadbent, Marc / Bakon, Shannon / Hocking, Julia / Glenwright, Amanda / Shaw, Christine / Tweddell, Sheryl / Clark, Sean

    Australasian journal on ageing

    2019  Volume 39, Issue 3, Page(s) 277–282

    Abstract: Objectives: Nursing staff in residential aged care facilities (RACF)s often make decisions about the transfer of residents to the emergency department (ED). This paper describes the protocol of a study that aims to understand decision-making process ... ...

    Abstract Objectives: Nursing staff in residential aged care facilities (RACF)s often make decisions about the transfer of residents to the emergency department (ED). This paper describes the protocol of a study that aims to understand decision-making process utilised by RACF registered nurses (RNs) and to explore the perceptions of RNs about the decision and communication process between RACF and ED.
    Methods: The proposed mixed-method study will survey and interview RACF RNs to understand their decision to transfer a resident and collect information about older people referred to the ED. Data collection will involve telephone survey, ED information system (EDIS) data and semistructured interviews.
    Results: The project outcomes will provide an understanding of existing ED service provision, communication between facilities and the reasons for transfer of older person to ED. This may inform redesign in communication processes between the ED and local RACFs and outreach care from the ED to RACFs.
    MeSH term(s) Aged ; Communication ; Emergency Medical Services ; Emergency Service, Hospital ; Homes for the Aged ; Humans ; Nurses
    Language English
    Publishing date 2019-11-28
    Publishing country Australia
    Document type Journal Article
    ZDB-ID 1457406-8
    ISSN 1741-6612 ; 0726-4240 ; 1440-6381
    ISSN (online) 1741-6612
    ISSN 0726-4240 ; 1440-6381
    DOI 10.1111/ajag.12758
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

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