Care of the Older Adult in the Emergency Department
Content
Care of the older adult in the emergency department: nurses
views of the pressing issues.
Boltz M, Parke B, Shuluk J, Capezuti E, Galvin JE.
Source
New York University College of Nursing, 726 Broadway, 10th Floor, New York, NY 10003-6677, USA.
[email protected]
Abstract
PURPOSE:
The purpose of the study was to describe nurses' views of the issues to be addressed to improve care of
the older adult in the emergency department (ED).
DESIGN AND METHODS:
An exploratory content analysis examined the qualitative responses of 527 registered nurses from 49 U.S.
hospitals who completed the Geriatric Institutional Profile.
RESULTS:
5 central themes emerged from the analysis, representing a lack of older person hospital environment fit
in the ED: (a) respect for the older adult and carers, (b) correct and best procedures and treatment, (c)
time and staff to do things right, (d) transitions, and (e) a safe and enabling environment. The nurses
offered solutions to address lack of fit, including modifications to the social climate, policies and
procedures, care systems and processes, and physical design.
IMPLICATIONS:
The nurses' descriptions of the pressing issues surrounding care of older adults in the ED provide useful
information to consider when developing a senior-friendly ED. Results also illuminate solutions that can
be taken to address issues. These solutions give direction for future intervention research.
PMID:
23442380
[PubMed - indexed for MEDLINE]
PMCID:
PMC3635857
[Available on 2014/6/1]
views of the pressing issues.
Boltz M, Parke B, Shuluk J, Capezuti E, Galvin JE.
Source
New York University College of Nursing, 726 Broadway, 10th Floor, New York, NY 10003-6677, USA.
[email protected]
Abstract
PURPOSE:
The purpose of the study was to describe nurses' views of the issues to be addressed to improve care of
the older adult in the emergency department (ED).
DESIGN AND METHODS:
An exploratory content analysis examined the qualitative responses of 527 registered nurses from 49 U.S.
hospitals who completed the Geriatric Institutional Profile.
RESULTS:
5 central themes emerged from the analysis, representing a lack of older person hospital environment fit
in the ED: (a) respect for the older adult and carers, (b) correct and best procedures and treatment, (c)
time and staff to do things right, (d) transitions, and (e) a safe and enabling environment. The nurses
offered solutions to address lack of fit, including modifications to the social climate, policies and
procedures, care systems and processes, and physical design.
IMPLICATIONS:
The nurses' descriptions of the pressing issues surrounding care of older adults in the ED provide useful
information to consider when developing a senior-friendly ED. Results also illuminate solutions that can
be taken to address issues. These solutions give direction for future intervention research.
PMID:
23442380
[PubMed - indexed for MEDLINE]
PMCID:
PMC3635857
[Available on 2014/6/1]
