Issue addressed: Obesity and non-communicable diseases (NCDs) are largely preventable by understanding the connection between socio-cultural knowledge, yet intervention effectiveness may be hindered changes in lifestyles and behaviours in Indigenous health. This study performed to understand the social and cultural components, which contribute to obesity in rural areas of the Indigenous Fijian. Methods: This study is a Community Based Participatory Research (CBPR) project, which engaged community members from a rural iTaukei village in the Fiji Islands. Data collection was carried out through community consultation, and semi-structured interviews. The data was analysed using descriptive thematic analysis. Results: Food intake was associated with socio-cultural, economic, political and physical environmental factors. Participants reveal previous health promotion programs did not incorporate the cultural values, cultural competence beliefs and traditional ways of rural Indigenous Fijian community. Conclusion: The healthcare providers and policymakers need to be involved in recognising iTaukei community culture and appreciate traditional methods to promote equitable community participation in decision-making for health promotion. So what? Community-wide lifestyle interventions, conceptual approaches based on communal perceptions of the problem at hand can also be the basis for future research on identifying socio-cultural factors, for example, the community and family support that can help shape behaviours.

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Sampling Sites and Sample Size: This study was conducted in the Microbiology laboratory of St. Xavier's College from January to June 2017. Six different sites along the river (B 1-B 6) were allocated. Bagmati River from Baghdwar to Sundarijal, Gokarna to Jorpati, Guheshwori to Pashupati, Tilganga to Tinkune, Thapathali to Teku and Balkhu to Chobhar were specified as sites B 1 , B 2, B 3 , B 4 , B 5 and B 6 respectively. Four samples were collected from each site. Sample Collection and Transportation: Samples were collected in sterilized bottles with their mouth directed against the water current. Physicochemical parameters were determined at the site itself. Dilutions were made to those samples that were highly polluted and turbid. Samples for bacteriological analysis were taken to laboratory within 4 hours in an ice box and processed immediately. For less feasible sites, samples were processed within 24 hours [1].

Objectives: Nursing staff in residential aged care facilities (RACF)s often make decisions about the transfer of residents to the emergency department (ED). This paper describes the protocol of a study that aims to understand decision-making process utilised by RACF registered nurses (RNs) and to explore the perceptions of RNs about the decision and communication process between RACF and ED. Methods: The proposed mixed-method study will survey and interview RACF RNs to understand their decision to transfer a resident and collect information about older people referred to the ED. Data collection will involve telephone survey, ED information system (EDIS) data and semistructured interviews. Results: The project outcomes will provide an understanding of existing ED service provision, communication between facilities and the reasons for transfer of older person to ED. This may inform redesign in communication processes between the ED and local RACFs and outreach care from the ED to RACFs. K E Y W O R D S community health, decision-making, emergency services, medical, health services for the aged, nurses, residential facilities How to cite this article: Gurung A, Broadbent M, Bakon S, et al. Understanding registered nurse decisionmaking, communication and care delivery between emergency departments and residential aged care facilities: A research protocol.

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