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Reducing avoidable emergency department attendances through bespoke education.

Nursing Older People 2017 November 31
AIM: To develop an education and partnership programme between the trust and nursing home staff in Northern Ireland.

METHODS: Twenty care home nurse champions participated in a bespoke Responsive Education and Collaborative Health programme provided by the trust. The trust's practice development facilitator supported care home staff to develop clinical competencies while observing residents' emergency department (ED) attendance trends.

RESULTS: After introduction of the programme, avoidable ED attendances were reduced by 31% ( n =309) compared with the previous year, cost per capita was reduced by £314,340, reliance on community nursing was reduced, and the health and experience of the care home population were improved.

CONCLUSION: ED attendances and reliance on community nursing reduced, identifying a compelling need for continuing partnership, training and facilitation between the trust and independent sector.

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