Related Experiment Video
Updated: Nov 7, 2025
05:52
Prehospital Thrombolysis: A Manual from Berlin
Published on: November 26, 2013
22.1K
"… darum rufe ich jetzt den Rettungsdienst!"
Juliane Poeck1, Carsten Bretschneider1, Silke Freihoff2,3
1Institut für Allgemeinmedizin, Universitätsklinikum Jena.
Pflege
|April 29, 2021
Summary
Nursing home emergencies are complex, stemming from patient conditions and contextual factors like communication and workload. Addressing these requires understanding practitioners' perspectives and improving care environments.
Area of Science:
- Gerontology
- Healthcare Management
- Emergency Medicine
Background:
- Nursing homes experience frequent emergency medical services (EMS) utilization and emergency department visits.
- A comprehensive interprofessional perspective on nursing home emergencies remains understudied.
Purpose of the Study:
- To characterize, identify, and prioritize emergency scenarios in nursing homes based on relevance and frequency.
- To explore the interprofessional perspectives on emergency situations within nursing homes.
Main Methods:
- Qualitative study employing two multi-method, interprofessional group discussions with 18 participants (nursing, medicine, science).
- Discussions were audio-recorded, transcribed, and analyzed using Mayring's qualitative content analysis.
Main Results:
- Emergency scenarios result from interactions between person-related factors (falls, vital sign instability, abnormal behavior, neurological symptoms, lifelessness) and contextual conditions.
- Key contextual factors include organizational-structural, political-legal, and ethical aspects, with communication, staff uncertainty, living wills, and workload identified as highly relevant.
- Lack of communication, staff uncertainty, absent living wills, and increasing nursing workload were identified as critical contextual factors.
Conclusions:
- Emergencies in nursing homes are complex scenarios influenced by both individual patient factors and the surrounding environment.
- Contextual conditions significantly impact the management of nursing home emergencies.
- Future interventions should incorporate practitioners' viewpoints and address environmental factors to improve emergency care in nursing homes.
Keywords:
GeriatrieNotfälleNursing homesPflegeheimeemergenciesgeriatricsinterprofessional relationsinterprofessionelle Zusammenarbeitqualitative Methodenqualitative methodsMore Related Videos
Related Concept Videos
01:21Cardiopulmonary Resuscitation I: Adult
255
Cardiopulmonary resuscitation, or CPR, is a life-saving emergency procedure performed when a person's heart has stopped beating or they are no longer breathing. The foundation of CPR is Basic Life Support (BLS), which focuses on the early recognition of cardiac arrest, the immediate start of high-quality chest compressions, and the timely use of an automated external defibrillator (AED).Assessing Responsiveness and Checking the Carotid PulseWhen approaching an unresponsive person, first ensure...
255
01:23Cardiopulmonary Resuscitation III: AED Use
199
Introduction to AEDAn Automated External Defibrillator (AED) is a portable medical device that analyzes the heart's rhythm and, if necessary, delivers an electrical shock to help the heart re-establish an effective rhythm during sudden cardiac arrest (SCA). SCA occurs when the heart suddenly and unexpectedly stops beating, leading to a loss of blood flow to the brain and other vital organs. In such emergencies, time is of the essence, and using an AED, combined with Cardiopulmonary...
199
02:09Bystander Effect
9.9K
The discussion of bullying highlights the problem of witnesses not intervening to help a victim. This is a common occurrence, as the following well-publicized event demonstrates. In 1964, in Queens, New York, a 19-year-old woman named Kitty Genovese was attacked by a person with a knife near the back entrance to her apartment building and again in the hallway inside her apartment building. When the attack occurred, she screamed for help numerous times and eventually died from her stab wounds.
9.9K
01:26Pneumothorax-I
701
A pneumothorax is a condition where air builds up in the space between the lung and the chest wall, causing the lung to collapse. This condition arises when air enters the space between the parietal and visceral pleura, disrupting the negative pressure essential for lung inflation. This can lead to a partial or complete collapse of the lung.
Pneumothorax can be even further classified as spontaneous, traumatic, and tension pneumothorax.
Pneumothorax can be even further classified as spontaneous, traumatic, and tension pneumothorax.
701
01:23Oxygen Delivering System III: Tracheostomy and T-piece
3.3K
Oxygen delivery is critical in clinical care, especially for patients with respiratory disorders or those undergoing surgical procedures. Various systems, such as tracheostomy and the T-piece, deliver oxygen to the lungs, ensuring adequate arterial oxygenation.
Tracheostomy
A tracheostomy is a surgically created opening (stoma) in the anterior part of the trachea. It is used to establish a patient airway, bypass an upper airway obstruction, simplify the removal of secretions, permit long-term...
Tracheostomy
A tracheostomy is a surgically created opening (stoma) in the anterior part of the trachea. It is used to establish a patient airway, bypass an upper airway obstruction, simplify the removal of secretions, permit long-term...
3.3K
01:30Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques
214
Airway management is essential in emergency and surgical medicine, ensuring ventilation and oxygenation in patients who cannot maintain their own airway. Clinicians use a range of techniques and devices to secure the airway, depending on the patient’s condition and the clinical context. Key methods include endotracheal intubation, rapid sequence intubation (RSI), supraglottic airway devices, and advanced visualization aids. In cases where these approaches fail, surgical airway...
214