TY - JOUR
T1 - Care of the older adult in the emergency department
T2 - Nurses views of the pressing issues
AU - Boltz, Marie
AU - Parke, Belinda
AU - Shuluk, Joseph
AU - Capezuti, Elizabeth
AU - Galvin, James E.
N1 - Funding Information:
Dr. Boltz was supported by Grant UL1 TR000038 from the National Center for the Advancement of Translational Science (NCATS), National Institutes of Health.
PY - 2013/6
Y1 - 2013/6
N2 - 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 49U.S. hospitals who completed the Geriatric Institutional Profile. Results: 5 central themes emerged from the analysis, representing a lack of older personhospital 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.
AB - 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 49U.S. hospitals who completed the Geriatric Institutional Profile. Results: 5 central themes emerged from the analysis, representing a lack of older personhospital 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.
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U2 - 10.1093/geront/gnt004
DO - 10.1093/geront/gnt004
M3 - Review article
C2 - 23442380
AN - SCOPUS:84877721796
SN - 0016-9013
VL - 53
SP - 441
EP - 453
JO - Gerontologist
JF - Gerontologist
IS - 3
ER -