The interface of acute and aged care: the role of the nurse in a provincial area

Hegney, Desley and McCarthy, Alexandra and De La Rue, Mary Beth and Gorman, Don and Martin-McDonald, Kris and Fahey, Paul and Pretty, Grace (2003) The interface of acute and aged care: the role of the nurse in a provincial area. Australasian Journal on Ageing, 22 (2). pp. 85-90. ISSN 1440-6381


Objective: This study was to investigate issues that arose from pre-admission to post-discharge, for people in Toowoomba, Queensland over the age of 65 admitted to an acute facility. This paper concentrates on a significant concern that emerged from the large amount of data collected during this project, that is, the role of the nurse in the continuum of health care involving elderly people.
Method: The study involved a multi-site, multi-agency, and multi-method (qualitative and quantitative) approach. Data was collected from regional service providers, the Department of Health and Aged Care(DHAC), the Australian Bureau of Statistics (ABS),Home and Community Care (HACC), the Aged Care Assessment Team (ACAT), elderly people who
had been discharged from regional hospitals and their carers, residents of regional aged care facilities, area
health professionals and elderly regional hospital
Results: The data indicated that nurses in this provincial area currently play a limited role in preadmission
planning, being mostly concerned with elective surgery, especially joint replacements. While nurses deliver the majority of care during hospitalisation, they do not appear to be cognizant of the needs of the elderly regarding post-acute discharge.
Conclusion: The recent introduction of the model of nurse case management in the acute sector appears to be a positive development that will streamline and optimise the health care of the elderly across the continuum in the Toowoomba area. The paper recommends some strategies such as discharge liaison nurses based in Emergency Departments and the expansion of the nurse case management role, which
would optimise care for the elderly person at the interface of care.

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Item Type: Article (Commonwealth Reporting Category C)
Refereed: Yes
Item Status: Live Archive
Additional Information: Author's version unavailable.
Faculty / Department / School: Historic - Faculty of Sciences - Department of Nursing
Date Deposited: 11 Oct 2007 00:27
Last Modified: 19 Sep 2013 04:44
Uncontrolled Keywords: interface; accute care; aged care; elderly; health care; nurses; nurse; nursing; provincial area; Toowoomba
Fields of Research : 16 Studies in Human Society > 1608 Sociology > 160804 Rural Sociology
11 Medical and Health Sciences > 1117 Public Health and Health Services > 111702 Aged Health Care
11 Medical and Health Sciences > 1110 Nursing > 111001 Aged Care Nursing
Socio-Economic Objective: C Society > 92 Health > 9202 Health and Support Services > 920210 Nursing
Identification Number or DOI: 10.1111/j.1741-6612.2003.tb00472.x

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