TY - JOUR
AU - M. Karam
AU - C. Hudon
AU - M. C. Chouinard
AU - L. Vermeulen
AU - A. Duhoux
A1 - 
AB - This study aimed to examine the care coordination processes and challenges between emergency department and primary care interdisciplinary teams, with a focus on the role of nurses in ensuring safe transitions for older adults. A case study was conducted within an Integrated Health and Social Services Centre in Quebec. Two types of data were used: documents and semi-structured interviews with 15 professionals involved in the transition. The Transitional Care Model guided the study. Several challenges were identified, namely establishing trust and continuity with older adults, balancing their wish to return home with ensuring their safety, the limited training of nurses to fulfill this role, the lack of communication across care levels, and the shortage of resources within primary care level. Given the aging population and its complex needs, it is urgent to move away from hospital-centrism and to strengthen primary care to enable older adults to age healthily in their community.
AD - Faculty of Nursing. Université de Montréal. Building Marguerite-d'Youville. 2375, chemin de la Côte Sainte-Catherine. Room 5087, Montréal, QC, H3T 1A8, Canada. Electronic address: marlene.karam.1@umontreal.ca.; Department of Family Medicine and Emergency Medicine, Université de Sherbrooke, 3001 12e Avenue N - Salle Z7-3007, Sherbrooke, QC J1H 5N4, Canada. Electronic address: catherine.hudon@USherbrooke.ca.; Faculty of Nursing, Université de Montréal, 2375, chemin de la Côte Sainte-Catherine. Room 5088, Montréal, QC, H3T 1A8, Canada. Electronic address: maud.christine.chouinard@umontreal.ca.; Master's student in Health Services administration (HSA), Université de Montréal, 2900 Bd Édouard-Montpetit, Montréal, QC H3T 1J4, Canada. Electronic address: loic.vermeulen@umontreal.ca.; Faculty of Nursing, Université de Montréal, 2375, chemin de la Côte Sainte-Catherine. Room, Montréal, QC, H3T 1A8, Canada. Electronic address: arnaud.duhoux@umontreal.ca.
AN - 40930034
BT - Geriatr Nurs
C5 - Healthcare Disparities; Education & Workforce
CP - Pt B
DA - Nov-Dec
DO - 10.1016/j.gerinurse.2025.103611
DP - NLM
ET - 20250909
IS - Pt B
JF - Geriatr Nurs
LA - eng
N2 - This study aimed to examine the care coordination processes and challenges between emergency department and primary care interdisciplinary teams, with a focus on the role of nurses in ensuring safe transitions for older adults. A case study was conducted within an Integrated Health and Social Services Centre in Quebec. Two types of data were used: documents and semi-structured interviews with 15 professionals involved in the transition. The Transitional Care Model guided the study. Several challenges were identified, namely establishing trust and continuity with older adults, balancing their wish to return home with ensuring their safety, the limited training of nurses to fulfill this role, the lack of communication across care levels, and the shortage of resources within primary care level. Given the aging population and its complex needs, it is urgent to move away from hospital-centrism and to strengthen primary care to enable older adults to age healthily in their community.
PY - 2025
SN - 0197-4572
SP - 103611
ST - Transitions of older adults between emergency departments and community care in Quebec: a case study
T1 - Transitions of older adults between emergency departments and community care in Quebec: a case study
T2 - Geriatr Nurs
TI - Transitions of older adults between emergency departments and community care in Quebec: a case study
U1 - Healthcare Disparities; Education & Workforce
U3 - 10.1016/j.gerinurse.2025.103611
VL - 66
VO - 0197-4572
Y1 - 2025
ER -