El Hussein Mohamed, Sheehan Dawson
Faculty of Health, Community and Education, School of Nursing and Midwifery, Mount Royal University, Calgary, Canada.
Faculty of Nursing, University of Alberta, Calgary, Canada.
J Adv Nurs. 2025 Jun;81(6):2946-2963. doi: 10.1111/jan.16650. Epub 2024 Dec 1.
Identify and describe nurse-administered screening tools used in emergency departments (ED) to detect elder abuse.
A scoping review of literature published between 1999 and 2024 was conducted following the guidance of the Joanna Briggs Institute Manual for Evidence Synthesis and a methodological framework for scoping studies.
Two reviewers, an academic faculty member and a senior undergraduate, conducted the screening and data extraction, aiming to identify studies using a nurse-administered screening tool in the ED to detect elder abuse.
The final search was conducted on 24 April 2024, using the CINAHL, MEDLINE, PsycINFO, and Cochrane Review databases.
Ten studies out of 145 met the inclusion criteria, identifying six screening tools that assist healthcare providers, such as nurses, in detecting elder abuse in EDs. The results were summarised and presented according to each screening tool.
Nurses in EDs are well-positioned to identify elder abuse due to the significant time spent observing and interacting with patients. The implementation of a screening tool can support nurses in detecting elder abuse and initiating appropriate interventions.
Elder abuse is a widespread public health issue projected to increase continuously with the rapidly ageing population. Incorporating nurse-administered screening tool into EDs has demonstrated practicality and usefulness in identifying elder abuse cases. Various tools exist; however, these instruments are underutilised due to limited reliability and feasibility testing, with no definitive screening tool identified as the "gold standard" for elder abuse detection. Without formal screening, elder abuse is likely to remain undetected, leaving victims vulnerable to harmful consequences. Due to the limited testing and evaluation of a reliable ED screening tool for elder abuse, future research should focus on developing and validating a new screening tool intended specifically for use by nurses in EDs.
The EQUATOR guidelines for PRISMA were met.
No patient or public contributions.
识别并描述急诊科用于检测老年人虐待情况的护士管理筛查工具。
按照乔安娜·布里格斯循证综合手册及范围综述方法框架的指导，对1999年至2024年发表的文献进行范围综述。
两名评审员，一名学术教员和一名高年级本科生，进行筛选和数据提取，旨在识别在急诊科使用护士管理筛查工具检测老年人虐待情况的研究。
最终检索于2024年4月24日进行，使用CINAHL、MEDLINE、PsycINFO和Cochrane综述数据库。
145项研究中有10项符合纳入标准，识别出6种筛查工具，可协助医护人员（如护士）在急诊科检测老年人虐待情况。根据每种筛查工具对结果进行了总结和呈现。
急诊科护士因花费大量时间观察患者并与患者互动，处于识别老年人虐待情况的有利位置。实施筛查工具可帮助护士检测老年人虐待情况并启动适当干预措施。
老年人虐待是一个普遍存在的公共卫生问题，预计随着人口快速老龄化将持续增加。将护士管理的筛查工具纳入急诊科已证明在识别老年人虐待病例方面具有实用性和有效性。现有各种工具；然而，由于可靠性和可行性测试有限，这些工具未得到充分利用，没有确定的筛查工具被确定为老年人虐待检测的“金标准”。如果没有正式筛查，老年人虐待很可能仍未被发现，使受害者容易受到有害后果的影响。由于用于老年人虐待的可靠急诊科筛查工具的测试和评估有限，未来研究应专注于开发和验证一种专门供急诊科护士使用的新筛查工具。
符合PRISMA的EQUATOR指南。
无患者或公众贡献。
