Table 5 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 | |