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Research

Recognition and management of acute functional decline in older people living in care homes: a qualitative interview study with UK care home staff

Abigail Moore, Margaret Glogowska, Christopher Butler and Gail Hayward
BJGP Open 2025; 9 (3): BJGPO.2024.0252. DOI: https://doi.org/10.3399/BJGPO.2024.0252
Abigail Moore
1 Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK
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  • For correspondence: abigail.moore{at}phc.ox.ac.uk
Margaret Glogowska
1 Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK
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Christopher Butler
1 Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK
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Gail Hayward
1 Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK
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Article Figures & Data

Tables

    • View popup
    Table 1. Participant characteristics
    Characteristicn
    GenderFemale23
    Male2
    Job RoleWithout nursing qualificationCarer3
    Senior Carer3
    Manager7
    Other1
    With nursing qualificationNurse2
    Advanced nurse practitioner1
    Deputy manager2
    Manager6
    Years’ experience in care homes1-55
    6-105
    11-153
    16-205
    21-251
    >255
    Type of care homeResidential8
    Nursing9
    Combined residential and nursing7
    • View popup
    Table 2. Themes and subthemes
    ThemeSubtheme
    Recognising residents with acute functional decline within the care homeNoticing changes from normal
    Describing and communicating about the episode
    Feeling anxious about the resident
    Early response to residents with acute functional decline within the care homeSharing or shifting responsibility
    Assessing the resident
    Monitoring residents with acute functional decline within the care homeObserving residents
    Triggers for seeking additional clinical support
    Contacting GPs or other sources of clinical support
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Recognition and management of acute functional decline in older people living in care homes: a qualitative interview study with UK care home staff
Abigail Moore, Margaret Glogowska, Christopher Butler, Gail Hayward
BJGP Open 2025; 9 (3): BJGPO.2024.0252. DOI: 10.3399/BJGPO.2024.0252

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Recognition and management of acute functional decline in older people living in care homes: a qualitative interview study with UK care home staff
Abigail Moore, Margaret Glogowska, Christopher Butler, Gail Hayward
BJGP Open 2025; 9 (3): BJGPO.2024.0252. DOI: 10.3399/BJGPO.2024.0252
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Keywords

  • qualitative research
  • nursing homes
  • aged
  • urinary tract infections

More in this TOC Section

  • English general practice in a period of change: a mixed-methods study of staff and patient perspectives
  • Strengthening integration of pathways into general practice in Australia: a virtual workshop study with stakeholders
  • Ethnicity and clinical empathy in primary care consultations: a web-based experiment
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