Background the perceptions and experiences of care home residents and their families are important for understanding and improving the quality of emergency care. Methods we conducted a systematic review and metasynthesis to understand the perceptions and experiences of care home residents and their family members who experienced medical emergencies in a care home setting. The review protocol was registered in PROSPERO (CRD42020167018). We searched five electronic databases, MEDLINE, CINAHL, PubMed, Cochrane Library and PsycINFO, supplemented with internet searches and forward and backward citation tracking from included studies and review articles. Data were synthesised thematically following the Thomas and Harden approach. The Critical Appraisal Skills Programme qualitative checklist was used to assess the quality of studies included in this review. Results of the 6,140 references retrieved, 10 studies from four countries (Australia, Canada, UK and USA) were included in the review and metasynthesis. All the included studies were assessed as being of good quality. Through an iterative approach, we developed six analytical themes: (i) infrastructure and process requirements in care homes to prevent and address emergencies; (ii) the decision to transfer to hospital; (iii) experiences of transfer and hospitalisation for older patients; (iv) good communication is vital for desirable outcomes; (v) legal, regulatory and ethical concerns and (vi) trusting relationships enabled residents to feel safe. Conclusions the emergency care experience for care home residents can be enhanced by ensuring resources, staff capacity and processes for high quality care and trusting relationships between staff, patients and relatives, underpinned by good communication and attention to ethical practice.

中文翻译：

---

养老院紧急情况的居民和亲属的看法和经历：定性研究的系统回顾和综合

背景 疗养院居民及其家人的看法和经历对于理解和提高紧急护理质量非常重要。方法 我们进行了系统回顾和综合分析，以了解在疗养院环境中经历医疗紧急情况的疗养院居民及其家庭成员的看法和经历。审查方案已在 PROSPERO (CRD42020167018) 中注册。我们搜索了五个电子数据库，MEDLINE、CINAHL、PubMed、Cochrane 图书馆和 PsycINFO，并辅以互联网搜索以及纳入研究和评论文章的前向和后向引文跟踪。数据按照 Thomas 和 Harden 方法进行主题合成。批判性评估技能计划定性检查表用于评估本综述中包含的研究质量。检索到的 6,140 篇参考文献的结果，来自四个国家（澳大利亚、加拿大、英国和美国）的 10 项研究被纳入审查和综合综合。所有纳入的研究均被评估为质量良好。通过迭代方法，我们制定了六个分析主题：（i）养老院的基础设施和流程要求，以预防和应对紧急情况；(ii) 转院的决定；(iii) 老年患者的转院和住院经历；(iv) 良好的沟通对于取得理想的结果至关重要；(v) 法律、监管和道德问题以及 (vi) 信任关系使居民感到安全。