1 10 1 https://repository.horizon.ac.id/files/original/ed122fbfea0ca2fcaed31c11fd344591.pdf a76658631a122298ead587b9b6429a2b Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource International Emergency Nursing Text A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource A qualitative study on conveyance decision-making during emergency call outs to people with dementia: the HOMEWARD project Subject The topic of the resource Prehospital care, Emergency ambulance systems, Dementia, Geriatrics, Admission avoidance Description An account of the resource Background Paramedics are increasingly required to make complex decisions as to whether they should convey a patient to hospital or manage their condition at the scene. Dementia can be a significant barrier to the assessment process. However, to our knowledge no research has specifically examined the process of decision-making by paramedics in relation to people with dementia. This qualitative study was designed to investigate the factors influencing the decision-making process during Emergency Medical Services (EMS) calls to older people with dementia who did not require immediate clinical treatment. Methods This qualitative study used a combination of observation, interview and document analysis to investigate the factors influencing the decision-making process during EMS calls to older people with dementia. A researcher worked alongside paramedics in the capacity of observer and recruited eligible patients to participate in case studies. Data were collected from observation notes of decision-making during the incident, patient care records and post incident interviews with participants, and analysed thematically. Findings Four main themes emerged from the data concerning the way that paramedics make conveyance decisions when called to people with dementia: 1) Physical condition; the key factor influencing paramedics' decision�making was the physical condition of the patient. 2) Cognitive capacity; most of the participants preferred not to remove patients with a diagnosis of dementia from surroundings familiar to them, unless they deemed it absolutely essential. 3) Patient circumstances; this included the patient's medical history and the support available to them. 4) Professional influences; participants also drew on other perspectives, such as advice from colleagues or information from the patient's General Practitioner, to inform their decision-making. Conclusion The preference for avoiding unnecessary conveyance for patients with dementia, combined with difficulties in obtaining an accurate patient medical history and assessment, mean that decision-making can be particularly problematic for paramedics. Further research is needed to find reliable ways of assessing patients and accessing information to support conveyance decisions for EMS calls to people with dementia. Creator An entity primarily responsible for making the resource Sarah Voss, Janet Brandling, Katherine Pollard, Hazel Taylor, Sarah Black and Marina Buswell Source A related resource from which the described resource is derived : http://dx.doi.org/10.1186/s12873-020-0306-6 Publisher An entity responsible for making the resource available BioMed Central Ltd. Date A point or period of time associated with an event in the lifecycle of the resource Jan. 29, 2020 Contributor An entity responsible for making contributions to the resource Fajar Bagus W Format The file format, physical medium, or dimensions of the resource PDF Language A language of the resource Indonesia Type The nature or genre of the resource Text