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  11. Notice-ed: Nurse Or Technician Insights Into Cognitive Evaluations In The Emergency Department

NOTICE-ED: Nurse or Technician Insights Into Cognitive Evaluations in the Emergency Department

Sarah J Nessen1, Anita N Chary2,3,4, Annika R Bhananker4

  • 1Perelman School of Medicine, Penn Center for Emergency Care and Policy Research, University of Pennsylvania, Philadelphia, Pennsylvania, USA.

Journal of the American Geriatrics Society
|June 14, 2025

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View abstract on PubMed

Summary
This summary is machine-generated.

Emergency department nurses and technicians support cognitive impairment screening. Optimization of screening tools and clinical teams is key for feasible implementation in emergency departments.

Area of Science:

  • Gerontology
  • Emergency Medicine
  • Health Services Research

Background:

  • Chronic cognitive impairment (CI) screening in emergency departments (EDs) is a growing area of focus.
  • Existing strategies for CI screening in the ED require assessment for feasibility and acceptability.

Purpose of the Study:

  • To evaluate the feasibility and acceptability of implementing CI screening tools and strategies from the perspective of ED registered nurses and technicians.
  • To explore the potential of machine learning (ML) tools for identifying high-risk patients for targeted CI screening.

Main Methods:

  • A qualitative study utilizing semi-structured interviews with ED nurses and technicians at an urban academic hospital.
  • Interviews explored opinions on screening feasibility, acceptability, and the use of ML, tablet-based screenings, and specific tools (Ottawa 3DY, Short Blessed Test).
Keywords:
cognitive impairmentemergency medicinemachine learningqualitative research

Related Experiment Videos

  • The Consolidated Framework for Implementation Research (CFIR) guided the interview process and rapid analysis.

    • Main Results:

    • Four themes emerged: benefits of CI screening, integration into workflows, professional role limitations, and implementation needs.
    • Shorter screenings (e.g., Ottawa 3DY) were feasible during triage; longer screenings (e.g., Short Blessed Test) were more suitable for roomed care.
    • Electronic health record integration and dedicated screening teams are crucial for successful implementation.

    Conclusions:

    • ED nurses and technicians are supportive of CI screening initiatives.
    • Successful implementation hinges on optimizing screening methods and clinical team structures to ensure workflow feasibility.
    screening