title: [The development and validation of a standardised transfer sheet for care transitions between residential and acute care settings in Leuven, Belgium].
abstract: BACKGROUND
  When elderly patients are transferred from a residential to an acute care setting, important information regarding their health care can be lost. Over the past years, the concept of advance care planning has also been given a more prominent place in the care for the elderly. However it remains a challenge to communicate the results achieved by this process when patients are referred to another health care setting. Developing a sound method for transferring information is a key element in the transitional care for the elderly patient.
  
  
  OBJECTIVE
  In collaboration with the residential and acute care settings in Leuven, Flemish Brabant, Belgium this study aimed to develop a validated, standardized transfer-sheet.
  
  
  METHODS
  After a literature search a topic list was generated to be used as the basis for a Delphi-procedure in which 16 experts from both the acute and the residential care settings participated. The transfer-sheet was then evaluated for content validity by an expert-panel (n = 9) from the acute and residential care settings. Face validity was assessed by two nurses and two doctors, randomly selected from the above settings.
  
  
  RESULTS
  All 44 subthemes in the transfer-sheet showed excellent content validity. The scale content validity universal agreement (S CVIUA) for the entire transfer-sheet was 0.68. The average scale content validity (S CVIAve) was 0.96. After a second and final Delphi-round a final transfer-sheet was constructed consisting of 8 themes and 50 sub-themes.
  
  
  CONCLUSIONS
  Based on these results standardized transfer-sheet was developed and validated.
authors.affiliation: Dienst Geriatrie, UZ Leuven campus Gasthuisberg, Herestraat 49, 3000, Leuven, Belgium. maartje.wils@uzleuven.be.
authors.forename: Maartje
authors.initials: M
authors.lastname: Wils
authors.affiliation: Dienst Geriatrie, UZ Leuven en Centrum voor Ziekenhuis- en Verplegingswetenschap, Departement Maatschappelijke Gezondheidszorg en Eerstelijnszorg, KU Leuven, Leuven, Belgium.
authors.forename: Els
authors.initials: E
authors.lastname: Devriendt
authors.affiliation: Dienst Geriatrie, UZ Leuven en Centrum voor Ziekenhuis- en Verplegingswetenschap, Departement Maatschappelijke Gezondheidszorg en Eerstelijnszorg, KU Leuven, Leuven, Belgium.
authors.forename: Koen
authors.initials: K
authors.lastname: Milisen
authors.affiliation: Dienst Geriatrie, UZ Leuven en Departement Klinische en Experimentele Geneeskunde, KU Leuven, Leuven, Belgium.
authors.forename: Johan
authors.initials: J
authors.lastname: Flamaing
mesh_terms: D001530:Belgium; D004282:Documentation / Q000592:standards*; D006801:Humans; D010360:Patient Transfer / Q000592:standards*; D015203:Reproducibility of Results; D011795:Surveys and Questionnaires
keywords: advance care planning; geriatrics; transitional care.