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Reducing avoidable emergency department attendances through bespoke education.

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Summary
This summary is machine-generated.

A nursing home education program in Northern Ireland significantly reduced emergency department visits by 31%. This initiative improved resident health and reduced healthcare costs, highlighting the value of trust and care home partnerships.

Keywords:
care homescare homes partnershipenhanced skillsimproved resident experiencelearning and developmentolder peopletrust and independent sector collaborative

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Area of Science:

  • Healthcare Management
  • Nursing Education
  • Public Health

Background:

  • Nursing homes face challenges in managing resident health and preventing unnecessary emergency department (ED) visits.
  • Effective collaboration between healthcare trusts and care home staff is crucial for improving patient outcomes.
  • Northern Ireland's healthcare system seeks innovative solutions to enhance care quality in long-term facilities.

Purpose of the Study:

  • To establish an educational and partnership program between a healthcare trust and nursing home staff in Northern Ireland.
  • To enhance the clinical competencies of care home nurses through specialized training.
  • To reduce avoidable emergency department attendances from care home residents.

Main Methods:

  • A bespoke Responsive Education and Collaborative Health program was delivered to twenty care home nurse champions.
  • A practice development facilitator from the trust supported care home staff in developing clinical skills.
  • Data on residents' emergency department attendance trends were monitored before and after the program implementation.

Main Results:

  • Avoidable emergency department attendances decreased by 31% (309 cases) compared to the previous year.
  • A cost reduction of £314,340 per capita was achieved.
  • There was a reduced reliance on community nursing services.
  • The overall health and experience of the care home population showed improvement.

Conclusions:

  • The implemented education and partnership program led to a significant reduction in avoidable emergency department attendances.
  • The study underscores the financial benefits and improved patient care resulting from the program.
  • Continued collaboration, training, and facilitation between the trust and the independent care sector are essential.