Geriatric Emergency Nurses: Addressing the Needs of an Aging Population

Baumbusch, Jennifer; Shaw, Maureen

doi:10.1016/j.jen.2010.04.013

Cited by 20 publications

(19 citation statements)

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“…Specialist geriatric nursing knowledge is also needed, particularly in differentiating acute illness symptoms from other symptoms that older people might be experiencing (Parke & McCusker, ). The addition of specialized geriatric assessment teams and emergency units have shown promise in initial evaluations (Baumbusch & Shaw, ; Conroy et al ., ).…”

Section: Discussionmentioning

confidence: 99%

Emergency department nurses’ perceptions and experiences of providing care for older people

Gallagher

Fry

Chenoweth

et al. 2014

Nursing & Health Sciences

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Emergency department nurses are challenged to provide safe, quality care to older people; however, nurses' perceptions of their role and experiences are seldom investigated. This focus-group study investigated emergency department nurses' perceptions and experiences of caring for older people, using four focus groups of nurses with a minimum three months' experience in the emergency department and a demographic survey. Data were thematically analyzed. Two themes emerged. The first was the clash of expectations between nurses and family/carers related to safety and quality of nursing care. Older people were perceived to be vulnerable in the emergency department, and nurses were frustrated that competing priorities decreased their ability to ensure them safe and quality care. Nurses felt family/carers were disappointed with care provided, and might not empathize with or understand their predicament. The second theme concerned nurses' perception that family/carers could provide a safety net for the older person in the emergency department in times of high workload. Nurses need support to care for older people in the emergency department to ensure safe and optimal care, and a shared understanding of care provision between nurses and family needs development.

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Section: Discussionmentioning

confidence: 99%

Emergency department nurses’ perceptions and experiences of providing care for older people

Gallagher

Fry

Chenoweth

et al. 2014

Nursing & Health Sciences

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“…Thus, care priorities must be continually rethought 13 as admission to the emergency sector exposes these patients to the risk of functional decline and incidents arising from the care itself 7,15 . Unfavorable outcomes such as delirium and death may increase when the hospitalization of elderly patients occurs in non-specialized settings 16 .…”

Section: Challenges/difficulties In Care For the Elderlymentioning

confidence: 99%

“…However, the transfer of patient care information between services usually fails to happen, resulting in the elderly person being returned to emergency departments and leading to further hospitalizations and the occurrence of adverse events 7,15,20 . The implementation of instruments that enable the transfer of patient information is of great importance if continuity of care is to be ensured.…”

Section: Challenges/difficulties In Care For the Elderlymentioning

confidence: 99%

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Elderly care in the emergency department: an integrative review

Andrade

Santos

Corpolato

et al. 2018

Rev. bras. geriatr. gerontol.

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Objective: To identify the care practices of nurses for the elderly in emergency departments. Method: An integrative review was carried out in the CAPES database, selecting publications in English, Portuguese and Spanish published between January 2011 and October 2016. The descriptors used were: "Emergency nursing"; "Geriatric nursing"; "Health services for the elderly"; "Elderly person"; "Nursing care". Results: Sixteen articles were analyzed in English, the majority of which had a qualitative approach (56.2%). Australia had the largest number of publications (31.2%). After reading the studies in full, the common themes were organized and classified into three categories: Challenges/difficulties in the care of the elderly in the emergency department, Positive experiences of elderly care in the emergency department and The emergency department as a space of death and dying. Conclusion: The care practices of nurses are focused on identifying the main problems regarding elderly care, adaptation and the planning of their work routine. Another strategy is the implementation of instruments of evaluation specific to elderly patients and the involvement of the family in all stages of care.

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“…These co-morbidities include: decreased quality of life, depression, delirium, social isolation, and ability to complete activities of daily life [4][5][6][7]. Perhaps more importantly, many older adults feel unsafe in their homes due to the inability to hear warning alarms, doorbells, and the phone ringing [8,9].…”

Section: Literature Reviewmentioning

confidence: 99%