A structure and process evaluation of the Geriatric Emergency Department Intervention model
| Autor: | Marianne Wallis, Julia Crilly, Colleen Johnston-Devin, Alison Craswell, Marc Broadbent, Elizabeth Marsden, Andrea Taylor |
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| Rok vydání: | 2021 |
| Předmět: |
Adult
Male Population ageing Acknowledgement Emergency Nursing Interviews as Topic 03 medical and health sciences 0302 clinical medicine Intervention (counseling) medicine Emergency medical services Humans 030212 general & internal medicine Qualitative Research Quality of Health Care business.industry 030208 emergency & critical care medicine Emergency department Middle Aged medicine.disease Long-term care Outcome and Process Assessment Health Care Geriatrics Software deployment Female Queensland Medical emergency Emergency Service Hospital Psychology business Program Evaluation Qualitative research |
| Zdroj: | Australasian Emergency Care. 24:28-33 |
| ISSN: | 2588-994X |
| Popis: | Background The positive effect of the Geriatric Emergency Department Intervention (GEDI) model, on the outcomes of frail older adults, is established. This study aimed to describe and evaluate the structures and processes required for the effective delivery of the GEDI model to assist in its potential translation into emergency departments in Australia and overseas. Methods This was a descriptive qualitative study. Twenty-four semi-structured interviews were conducted with emergency department staff and GEDI doctors and nurses from a regional hospital in Queensland, Australia. An a priori framework guided interview questions and analysis. Results Structures required for successful model deployment included having an emergency department physician champion and nurses with gerontology experience, adequate funding, and geriatric specific resources. Processes identified as fundamental to the GEDI model included having a targeted approach to assessment, a patient-centred approach to care, and staff with inter-facility, intra-facility and inter-personal communication skills. Conclusions The GEDI model addresses the specific care needs of our aging population. For optimal performance of the model, key structures and processes require identification and acknowledgement. Research involving qualitative methodology is vital for successful translation and integration of emergency department models of care. |
| Databáze: | OpenAIRE |
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