| Summary: | Thesis (M.S.W.)--Memorial University of Newfoundland, 2008. Social Work Includes bibliographical references (leaves 63-75) There are approximately 1000 publicly funded nursing home beds in St. John's, and admission to all of them is administered through a Single Entry System, which maintains a waitlist and prioritizes admissions based on greatest need. Approximately one third of admissions to nursing homes in St. John's come from acute care, with the remaining two thirds coming from the community and Personal Care Homes. This study focuses on the one third coming from acute care. Over the past years, various policies and procedures have been put in place to facilitate timely and equitable movement of individuals into and around the nursing home system, particularly from acute care. These policies are the First Available Bed Policy, the Internal Transfer Policy, and the Transition Unit Policy. -- Each of these policies stood on their own merit at the time they were enacted. However, there has not been a previous review of how these policies function in concert, and what impacts (positive or negative) they are having on long term care clients and their families. This thesis provides a research-based critical analysis of these policies from an individual and systems perspective.
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