Fry Margaret, Gallagher Robyn, Chenoweth Lynne, Stein-Parbury Jane
Faculty of Health, University of Technology, Sydney, Australia.
Int Emerg Nurs. 2014 Jan;22(1):31-6. doi: 10.1016/j.ienj.2013.03.007. Epub 2013 May 6.
Older people are often accompanied by family/carers to the emergency department (ED). Few studies investigate nurses' experiences of interacting with these family/carers.
This study was an exploration of the experiences and expectations that ED nurses have of family and carers accompanying the older adult patient.
Focus group interviews (four, n = 27) were conducted and interviews were audio-taped, transcribed and then thematically analysed.
Three themes emerged relating to the way nurses judged family/carers of the older person, with the main theme the importance of time. Family/carers were evaluated as supportive and helpful when they saved nurses time and demanding and obstructive when they cost nurses time. A second theme was the family/carer as a knowledge resource. Nurses evaluated family/carers according to whether they could provide timely and useful information on the older patient. The third theme centred on nurses' evaluations of family/carers getting in the way of assessing or treating the patient, by their physical presence and demands and by limiting open communication with the patient.
Emergency nurses have clear expectations of older patients' families and/or carers. Future research must determine how nursing roles can sustain positive interactions with older patients' families and/or carers in the ED.
老年人前往急诊科就诊时通常有家人/护理人员陪同。很少有研究调查护士与这些家人/护理人员互动的经历。
本研究旨在探索急诊科护士对陪同老年患者的家人及护理人员的经历和期望。
进行了焦点小组访谈（共4组，n = 27），访谈进行了录音、转录，然后进行主题分析。
出现了与护士评判老年人的家人/护理人员方式相关的三个主题，主要主题是时间的重要性。当家人/护理人员为护士节省时间时，他们被评价为支持且有帮助；当他们耗费护士时间时，则被评价为苛刻且碍事。第二个主题是家人/护理人员作为知识资源。护士根据家人/护理人员能否提供有关老年患者的及时且有用信息来对其进行评价。第三个主题集中在护士对家人/护理人员妨碍评估或治疗患者的评价上，包括他们的实际在场和要求，以及限制与患者的开放式沟通。
急诊科护士对老年患者的家人和/或护理人员有明确期望。未来研究必须确定护理角色如何在急诊科与老年患者的家人和/或护理人员维持积极互动。
