Table 4

Comparison between an identified programme feature and quantitative studies (exemplar case study)

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Identified programme featuresHullick et al18Fan et al12Connolly et al19Boyd et al20
  • Has readily available clinical expertise and advice for management of illnesses within the facility, such as telephone support line, adding external clinical resources to RACFs

  • Suggestions identified:

    • telephone support line to organise alternatives to hospital transfer such as a medical or nursing consultation in the nursing home or an urgent outpatient appointment the next day

  • Telephone advice to RACF staff; working with them to define the purpose of transfer and the goals of care

  • HINH allocates clinical staff to manage aged care residents with actual or potential acute symptoms in the RACF

  • HINH program manager assesses whether HINH or hospital admission was most appropriate.

  • Daily review of HINH patients

  • Developing individualised treatment plan for the patient in collaboration with the patient’s general practitioner and RACF nursing staff

  • Resident review by GNS. GNS’s time commitment was 20% across all intervention facilities (18 facilities)

  • Only 23% of residents were discussed in multidisciplinary team meetings

  • Regular, proactive bimonthly GNS visits

  • Telephone consultation and site visits as needed

  • GNS, gerontology nurse specialist; HINH, hospital in the nursing home; RACF, residential aged care facility.