In the rapidly evolving landscape of aged care, the ability of nurses to swiftly recognize and address clinical deteriorations in residents is paramount. The adaptation of established emergency nursing frameworks to this setting is essential to ensure comprehensive patient care. One such tool, the HIRAID® framework, originally designed for acute emergency settings, is now being tailored specifically for residential aged care. This adaptation aims to bridge the gap between emergency and aged care nursing, ensuring that nurses are equipped with the necessary skills to assess, document, and prioritize patient needs effectively.
Framework Adaptation Process
A real-time Delphi method facilitated the adaptation of the HIRAID® framework, enlisting the expertise of twelve seasoned clinical leaders with a deep understanding of patient assessment and aged care management. This method ensured that the framework was contextually relevant, meeting the specific needs of aged care settings. Through a rigorous consensus process, the panel agreed upon key modifications that would enhance the framework’s applicability and effectiveness in aged care environments.
Consensus Achieved
The expert panel reached consensus after two rounds of surveys. In the first round, a significant 88% of the proposed items gained acceptance. The subsequent round saw the remaining items evaluated, resulting in the acceptance of 20 additional items while nine were rejected. These outcomes reflect the panel’s commitment to refining the framework to better suit aged care practices. Notably, adjustments to the ‘History’ component emphasized the need for more comprehensive approaches, while ‘Interventions’ and ‘Diagnostics’ required alignment with the unique scope of aged care nursing.
Market access considerations are crucial in this adaptation, as the tailored framework could enhance the marketability of aged care services by demonstrating improved clinical outcomes and care quality. By aligning the framework with aged care needs, facilities may position themselves more competitively within the healthcare market.
Key Inferences
– The adaptation of HIRAID® signifies a pivotal shift towards integrating emergency care methodologies in aged care settings.
– Engaging expert panels ensures that frameworks are not only theoretically sound but practically applicable.
– The successful consensus highlights the importance of collaborative efforts in healthcare innovation.
The study underscores the potential of a multidisciplinary panel to effectively adapt emergency care frameworks for aged care. This collaborative approach has paved the way for developing educational resources that support learning and encourage practice change among aged care nurses. By integrating these adaptations, aged care facilities can enhance their service offerings and improve overall care quality.
Original Article: Australas J Ageing. 2024 Nov 29. doi: 10.1111/ajag.13387. Online ahead of print.
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