New York University College of Nursing, 726 Broadway, 10th Floor, New York, NY 10003-6677, USA.
Gerontologist. 2013 Jun;53(3):441-53. doi: 10.1093/geront/gnt004. Epub 2013 Feb 26.
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).
An exploratory content analysis examined the qualitative responses of 527 registered nurses from 49 U.S. hospitals who completed the Geriatric Institutional Profile.
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.
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.
本研究旨在描述护士对改善急诊部门（ED）老年患者护理问题的看法。
采用探索性内容分析方法，对来自美国 49 家医院的 527 名注册护士进行了分析，这些护士完成了老年机构概况调查。
分析结果得出了 5 个中心主题，代表了 ED 中老年人医院环境不匹配的问题：（a）尊重老年人及其照顾者，（b）正确和最佳的程序和治疗，（c）有足够的时间和人员来正确完成工作，（d）过渡，（e）安全且有利的环境。护士们提出了解决不匹配问题的方案，包括对社会氛围、政策和程序、护理系统和流程以及物理设计进行修改。
护士对 ED 中照顾老年人的紧迫问题的描述，为开发适合老年人的 ED 提供了有用的信息。研究结果还阐明了解决问题的方法。这些解决方案为未来的干预研究提供了方向。
