File(s) under permanent embargo
Emergency nurses' knowledge and self-rated practice skills when caring for older patients in the emergency department
journal contribution
posted on 2017-11-01, 00:00 authored by Helen Rawson, Paul Bennett, Cherene OckerbyCherene Ockerby, Alison HutchinsonAlison Hutchinson, Julie ConsidineJulie ConsidineBACKGROUND: Older adults are high users of emergency department services and their care requirements can present challenges for emergency nurses. Although clinical outcomes for older patients improve when they are cared for by nurses with specialist training, emergency nurses' knowledge and self-assessment of care for older patients is poorly understood. AIM: To assess emergency nurses' knowledge and self-rating of practice when caring for older patients. METHODS: A cross-sectional self-report survey of emergency nurses (n=101) in Melbourne, Australia. RESULTS: Mean scores were 12.7 (SD 2.66) for the 25-item knowledge of older persons questionnaire, and 9.04 (SD 1.80) for the 15-item gerontic health related questions. Scores were unaffected by years of experience as a registered nurse or emergency nurse. More than 80% of nurses rated themselves as 'very good' or 'good' in assessing pain (94.9%), identifying delirium (87.8%), and identifying dementia (82.8%). Areas with a 'poor' ratings were identifying depression (46.5%), assessing polypharmacy (46.5%) and assessing nutrition (37.8%). CONCLUSIONS: There was variation in knowledge and self-rating of practice related to care of older patients. The relationship between knowledge and self-ratings of practice in relation to actual emergency nursing care of older people and patient outcomes warrants further exploration.
History
Journal
Australasian Emergency Nursing JournalVolume
20Issue
4Pagination
174 - 180Publisher
ElsevierLocation
London, Eng.Publisher DOI
ISSN
1574-6267Language
engPublication classification
C Journal article; C1 Refereed article in a scholarly journalCopyright notice
2017, College of Emergency Nursing AustralasiaUsage metrics
Categories
No categories selectedKeywords
AgedElderlyEmergency nursingEmergency serviceGeriatric nursingHealthcare deliveryAdultAustraliaClinical CompetenceCross-Sectional StudiesEmergency Service, HospitalFemaleHealth Knowledge, Attitudes, PracticeHumansMaleMiddle AgedSelf ReportSurveys and QuestionnairesScience & TechnologyLife Sciences & BiomedicineNursingPRACTICE ENVIRONMENTCAREADULTSATTITUDESPEOPLEPAININTERVENTIONSMEDICINEOUTCOMESPROGRAM
Licence
Exports
RefWorks
BibTeX
Ref. manager
Endnote
DataCite
NLM
DC