Factors influencing decision-making processes for unwell residents in residential aged care: Hospital transfer or Residential InReach referral?

Abstract

Objective: To investigate decision-making around hospital transfer and/or referral of residents to a Residential InReach (RiR) service in north-eastern metropolitan Melbourne, Australia, from the perspectives of residential aged care facility (RACF) staff, general practitioners (GPs) and RiR registered nurses (RNs). Methods: Thirty-one staff from eight RACFs, five GPs and four RiR RNs participated in individual or group interviews. Results: Residential aged care facility staff and GPs valued and relied upon RiR to manage unwell residents. Thematic analysis identified RiR utilisation was driven by the following: (i) complexity of decision-making processes in RACFs; (ii) variability in facilit..