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Table 1 Themes and Sub-themes from Family Member Interviews

From: The experiences of family members in the nursing home to hospital transfer decision

Family perceptions of nursing home capacity to provide needed medical care

 Perception of low level care and/or services in nursing home

 Perception of lack of physician presence in nursing home

 Perception that more care is available in the hospital

 Belief that the nursing home does not notice changes quickly enough

 Perception of staff member supporting transfer

 Nursing home staff is familiar with resident (benefit)

Resident and family choices

 Advance directives

 Resident desire to remain in the nursing home

 Quality of life

 The challenge of end of life decisions

Issues at hand-off and at hospital

 Poor communication between nursing home and hospital

 Low satisfaction with hospital care