ABSTRACT

Care transitions (CT) are critical junctures in the healthcare delivery process. Effective transitions reduce the need for subsequent transfers between healthcare settings, including nursing homes. Understanding social services (SS) involvement in these processes in nursing homes is important from a quality and holistic care perspective. Using logistic regression, this study examines structural and relational factors identified with higher involvement of SS in care transitions and admissions. SS directors from 924 nursing homes were evaluated in relation to SS involvement in care transitions and admissions processes. Results suggest the level of SS involvement in care transitions and admissions are associated with structural factors such as size of facility, geographical location, ratio of FTE’s to beds, ownership status, and standalone SS departments, as well as relational factors, including perceptions and utilization of SS staff by facility leadership, coworkers, and family. Additionally, SS staff with higher levels of expertise and with social work degrees are less involved in admissions tasks.

摘要

护理转换 (CT) 是医疗保健提供过程中的关键时刻。有效的过渡减少了在医疗保健机构（包括疗养院）之间进行后续转移的需要。从质量和整体护理的角度来看，了解社会服务 (SS) 在疗养院中参与这些过程很重要。本研究使用逻辑回归分析了结构性和相关性因素，这些因素与 SS 在护理过渡和入院中的参与度较高有关。来自 924 家疗养院的 SS 主任接受了 SS 参与护理过渡和入院过程的评估。结果表明，SS 参与护理过渡和入院的程度与结构性因素有关，例如设施的规模、地理位置、FTE 与床位的比率、所有权状况、和独立的 SS 部门，以及相关因素，包括设施领导、同事和家人对 SS 员工的看法和利用。此外，具有较高专业知识和社会工作学位的 SS 工作人员较少参与招生任务。