Advance care planning has been identified as one of few modifiable factors that could reduce hospital transfers from care homes. Several types of documents may be used by patients and clinicians to record these plans. However, little is known about how plans are perceived and used by care home staff at the time of deterioration.

The aim of this study is to describe care home staff experiences and perceptions of using written plans during in-the-moment decision-making about potential resident hospital transfers.

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