{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T18:22:55Z","timestamp":1790706175249,"version":"4.1.0"},"reference-count":71,"publisher":"MDPI AG","issue":"11","license":[{"start":{"date-parts":[[2020,5,26]],"date-time":"2020-05-26T00:00:00Z","timestamp":1590451200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Innovation Fund coordinated by the Innovation Committee of the Federal Joint Committee (G-BA)","award":["01VSF16043"],"award-info":[{"award-number":["01VSF16043"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>Emergency department (ED) visits and hospital admissions are common among nursing home residents (NHRs). Little is known about the perspectives of emergency medical services (EMS) which are responsible for hospital transports. The aim of this study was to explore paramedics\u2019 experiences with transfers from nursing homes (NHs) and their ideas for possible interventions that can reduce transfers. We conducted three focus groups following a semi-structured question guide. The data were analyzed by content analysis using the software MAXQDA. In total, 18 paramedics (mean age: 33 years, male n = 14) participated in the study. Paramedics are faced with complex issues when transporting NHRs to hospital. They mainly reported on structural reasons (e.g., understaffing or lacking availability of physicians), which led to the initiation of an emergency call. Handovers were perceived as poorly organized because required transfer information (e.g., medication lists, advance directives (ADs)) were incomplete or nursing staff was insufficiently prepared. Hospital transfers were considered as (potentially) avoidable in case of urinary catheter complications, exsiccosis\/infections and falls. Legal uncertainties among all involved professional groups (nurses, physicians, dispatchers, and paramedics) seemed to be a relevant trigger for hospital transfers. In paramedics\u2019 point of view, emergency standards in NHs, trainings for nursing staff, the improvement of working conditions and legal conditions can reduce potentially avoidable hospital transfers from NHs.<\/jats:p>","DOI":"10.3390\/ijerph17113778","type":"journal-article","created":{"date-parts":[[2020,5,27]],"date-time":"2020-05-27T05:35:52Z","timestamp":1590557752000},"page":"3778","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":30,"title":["Paramedics\u2019 Perspectives on the Hospital Transfers of Nursing Home Residents\u2014A Qualitative Focus Group Study"],"prefix":"10.3390","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7997-6668","authenticated-orcid":false,"given":"Alexandra","family":"Pulst","sequence":"first","affiliation":[{"name":"Department for Health Services Research, Institute of Public Health and Nursing Research, University of Bremen, Grazer Stra\u00dfe 4, 28359 Bremen, Germany"},{"name":"Health Sciences Bremen, University of Bremen, 28359 Bremen, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9456-2546","authenticated-orcid":false,"given":"Alexander Maximilian","family":"Fassmer","sequence":"additional","affiliation":[{"name":"Department of Health Services Research, School VI - Medicine and Health Sciences, Carl von Ossietzky University of Oldenburg, Ammerl\u00e4nder Heerstra\u00dfe 114-118, 26129 Oldenburg, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0182-5373","authenticated-orcid":false,"given":"Falk","family":"Hoffmann","sequence":"additional","affiliation":[{"name":"Department of Health Services Research, School VI - Medicine and Health Sciences, Carl von Ossietzky University of Oldenburg, Ammerl\u00e4nder Heerstra\u00dfe 114-118, 26129 Oldenburg, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Guido","family":"Schmiemann","sequence":"additional","affiliation":[{"name":"Department for Health Services Research, Institute of Public Health and Nursing Research, University of Bremen, Grazer Stra\u00dfe 4, 28359 Bremen, Germany"},{"name":"Health Sciences Bremen, University of Bremen, 28359 Bremen, Germany"},{"name":"Department Institute for General Practice, Hannover Medical School, 30625 Hannover, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2020,5,26]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"97","DOI":"10.1093\/ageing\/aft077","article-title":"Health status of UK care home residents: A cohort study","volume":"43","author":"Gordon","year":"2014","journal-title":"Age Ageing"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"940","DOI":"10.1016\/j.jamda.2015.06.025","article-title":"Prevalence of Frailty in Nursing Homes: A Systematic Review and Meta-Analysis","volume":"16","author":"Kojima","year":"2015","journal-title":"J. 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