Non-pharmacologic interventions improve comfort and experience among older adults in the Emergency Department.

Autor: Lichen IM; Department of Emergency Medicine, Mayo Clinic, Rochester, MN, USA. Electronic address: isabella.m.lichen.22@dartmouth.edu., Berning MJ; Department of Emergency Medicine, Mayo Clinic, Rochester, MN, USA., Bower SM; Department of Emergency Medicine, Mayo Clinic, Rochester, MN, USA; Department of Nursing, Mayo Clinic, Rochester, MN, USA. Electronic address: Bower.Susan@mayo.edu., Stanich JA; Department of Emergency Medicine, Mayo Clinic, Rochester, MN, USA. Electronic address: Stanich.Jessica@mayo.edu., Jeffery MM; Department of Emergency Medicine, Mayo Clinic, Rochester, MN, USA; Department Health Science Research, Division of Health Care Policy and Research, Mayo Clinic, Rochester, MN, USA. Electronic address: Jeffery.Molly@mayo.edu., Campbell RL; Department of Emergency Medicine, Mayo Clinic, Rochester, MN, USA. Electronic address: campbell.ronna@mayo.edu., Walker LE; Department of Emergency Medicine, Mayo Clinic, Rochester, MN, USA. Electronic address: Walker.Laura@mayo.edu., Bellolio F; Department of Emergency Medicine, Mayo Clinic, Rochester, MN, USA; Department Health Science Research, Division of Health Care Policy and Research, Mayo Clinic, Rochester, MN, USA. Electronic address: bellolio.fernanda@mayo.edu.
Jazyk: angličtina
Zdroj: The American journal of emergency medicine [Am J Emerg Med] 2021 Jan; Vol. 39, pp. 15-20. Date of Electronic Publication: 2020 May 04.
DOI: 10.1016/j.ajem.2020.04.089
Abstrakt: Objective: Determine if a comfort cart would improve older adults' comfort and facilitate communication during Emergency Department (ED) visits.
Methods: A comfort cart containing low-cost, non-pharmacological interventions to improve patient comfort and ability to communicate (e.g., hearing amplifiers, reading glasses) were made available to patients aged ≥65 years. Patients and clinicians were surveyed to assess effectiveness. We followed the Standards for Quality Improvement Reporting Excellence: SQUIRE 2.0 guidelines.
Results: Three hundred patients and 100 providers were surveyed. Among patients, 98.0%, 95.1%, and 67.5% somewhat or strongly agreed that the comfort cart improved comfort, overall experience, and independence, respectively. Among providers, 97.0%, 95.0%, 87.0%, and 83% somewhat or strongly agreed that the comfort cart provided comfort, improved patient satisfaction, increased ability to give compassionate care, and increased patient orientation.
Conclusion: The comfort cart was an affordable and effective intervention that improved patients' comfort by facilitating communication, wellbeing, and compassionate care delivery.
(Copyright © 2020 The Authors. Published by Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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