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Determining emergency physicians' and nurses' views concerning older patients: a mixed-method study.
Hulya Bulut1, Gulay Yazici2, Ahmet Demircan3
1Department of Nursing, Faculty of Health Sciences, Gazi University, Besevler, Ankara, Turkey.
Emergency departments face challenges caring for older patients due to staff shortages and crowding. Staff recognize older patients
Area of Science:
- Gerontology
- Emergency Medicine
- Healthcare Management
Background:
- Increasing number of elderly patients in emergency services.
- Unique healthcare needs of older patients require tailored emergency care.
- Variability in the quality of emergency care for geriatric populations.
Purpose of the Study:
- To explore emergency service staff perspectives on aging and elderly patients.
- To identify barriers and facilitators in providing quality care to older adults in emergency settings.
Main Methods:
- Mixed-method study involving physicians and nurses in an adult emergency service.
- Data collection through questionnaires and focus group interviews.
- Quantitative data analyzed using frequency and percentages; qualitative data using thematic analysis.
Main Results:
- Staff perceive older patients as dependent individuals requiring healthcare.
- Nurses define good care by meeting physical, social, and psychological needs; physicians by improving quality of life.
- Key impediments include staff shortages, overcrowding, and inadequate training, leading to staff exhaustion.
Conclusions:
- Emergency department staff are aware of older patients' needs but face systemic challenges.
- Addressing environmental and training factors is crucial for improving geriatric emergency care.
- Staff well-being is impacted by the difficulties in caring for this growing patient demographic.
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