Table 4 Delphi survey on transfers between nursing homes and emergency care facilities in Norway
Delphi factor | First round | Second Round | Third Round | |||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
% of score ≥ 7 | IQR | Consensus Level | % of score ≥ 7 | IQR | Consensus Level | Stability | % of score ≥ 7 | IQR | Consensus Level | Stability | P-value < 0.05 | |
Transfer should not happen when: | ||||||||||||
It reduces residents expected lifetime significantly | 94% | 0 | Very high | 97% | 0 | Very high | Yes | 100% | 0 | Very High | Yes | |
It reduces life quality in the long run | 87% | 1 | High | 95% | 0 | Very high | Yes | 95% | 1 | High | Yes | |
Non-transfer preference in preliminary talk | 98% | 1 | High | 97% | 1 | High | Yes | 98% | 1 | High | Yes | |
Significant delirium risk attached | 75% | 3 | Moderate | 86% | 2 | High | No | 75% | 2 | Moderate | No | Gen (1,3) (-) |
MD (3)(-) | ||||||||||||
Resident expresses transfer is not wanted | 87% | 1 | High | 94% | 1 | High | Yes | 96% | 1 | High | Yes | |
Next-of-kin expresses transfer not wanted | 73% | 3 | Low | 77% | 1 | Low | No | 63% | 1 | Low | No | |
Resident is in a palliative state | 96% | 0 | Very high | 97% | 0 | Very high | Yes | 98% | 0 | Very High | Yes | |