Front-line emergency department nurses' and physicians' assessments of processes of elder-friendly care for quality improvement.
Int Emerg Nurs
; 58: 101049, 2021 Sep.
Article
em En
| MEDLINE
| ID: mdl-34509169
ABSTRACT
INTRODUCTION:
Geriatric emergency department (ED) care has gained increasing importance and interest due to increasing visits in seniors.AIM:
Among ED front-line nurses and physicians, to assess and compare ratings of elder-friendly care process indicators, variability in ratings, and concurrent validity of ratings.METHODS:
Four Quebec EDs' full-time registered nurses and physicians rated their geriatric care using 9 subscales. Nurse and physician subscale scores were compared. Inter-rater variability within disciplines and variability between nurses and physicians were measured. Associations between the subscale scores and perceived overall quality of care were tested.RESULTS:
38 nurses and 36 physicians completed the survey (83% of 89 eligible). Scores differed by discipline for 3 of 9 subscales computed; nurses had higher mean scores on Protocols, Family-Centered Discharge, and Staff Education. Very high variation for Staff Education was found within disciplines. Variations for Family-Centered Discharge differed significantly between nurses and physicians. Almost all subscale scores were significantly positively associated with perceived overall quality of care.CONCLUSIONS:
ED nurses and physicians rate geriatric care components similarly except for protocols, discharge processes, and continuing education. The subscales have concurrent validity. Results suggest a need for improvement in continuing educational strategies with a particular attention to discharge processes.Palavras-chave
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Base de dados:
MEDLINE
Assunto principal:
Médicos
/
Enfermeiras e Enfermeiros
Limite:
Aged
/
Humans
Idioma:
En
Ano de publicação:
2021
Tipo de documento:
Article