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A structure and process evaluation of the Geriatric Emergency Department Intervention model
Elizabeth J Marsden1, Andrea Taylor1, Marianne Wallis2
1Nambour Emergency Department, Sunshine Coast and Hospital Health Service, Hospital Rd, Nambour, QLD 4560, Australia; School of Nursing, Midwifery and Paramedicine, University of the Sunshine Coast, 90 Sippy Downs Drive, Sippy Downs, QLD 4556, Australia.
Australasian Emergency Care
|July 8, 2020
Summary
The Geriatric Emergency Department Intervention (GEDI) model improves care for frail older adults. Key structures like physician champions and processes such as patient-centered assessment are vital for its successful implementation in emergency departments.
Area of Science:
- Gerontology
- Emergency Medicine
- Healthcare Management
Background:
- The Geriatric Emergency Department Intervention (GEDI) model has demonstrated positive impacts on the health outcomes of frail older adults.
- Effective implementation strategies for the GEDI model require a thorough understanding of its essential structural and process components.
Purpose of the Study:
- To describe and evaluate the necessary structures and processes for effective GEDI model delivery.
- To inform the potential translation of the GEDI model into emergency departments in Australia and internationally.
Main Methods:
- A descriptive qualitative study design was employed.
- Twenty-four semi-structured interviews were conducted with emergency department staff, GEDI doctors, and nurses at a regional Australian hospital.
- An a priori framework guided the interview questions and subsequent data analysis.
Main Results:
- Essential structures include an emergency department physician champion, nurses with gerontology expertise, sufficient funding, and geriatric-specific resources.
- Fundamental processes involve a targeted assessment approach, patient-centered care, and effective inter-facility, intra-facility, and interpersonal communication skills among staff.
- Successful GEDI model deployment relies on these identified structural and process elements.
Conclusions:
- The GEDI model effectively addresses the unique healthcare needs of the aging population.
- Identifying and acknowledging key structures and processes is crucial for optimizing the GEDI model's performance.
- Qualitative research methodologies are indispensable for the successful translation and integration of emergency department care models.
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