Caring for older people with dementia in the emergency department.

Carers Dementia care Dementia patients' experiences Emergency care Relationship-centred nursing

Journal

British journal of nursing (Mark Allen Publishing)
ISSN: 0966-0461
Titre abrégé: Br J Nurs
Pays: England
ID NLM: 9212059

Informations de publication

Date de publication:
25 Jun 2020
Historique:
entrez: 25 6 2020
pubmed: 25 6 2020
medline: 28 7 2021
Statut: ppublish

Résumé

Admission to an emergency department (ED) may expose the older person with dementia to a range of negative consequences, including a deterioration in their behavioural symptoms. The authors conducted a review of primary research relating to the experiences of older people with dementia, their carers and ED nurses, to understand how these experiences might inform nursing practice. Integrative review with a search of the electronic databases of Medline, CINAHL and PSYCHINFO using specified inclusion and exclusion criteria. Three themes were identified: carers and older people with dementia-waiting and worrying; nurses juggling priorities; and strategies for improvement-taking a partnership approach. Older people with dementia may be exposed to disparities in treatment in the ED. A practice partnership between carers and ED nurses may help to prevent this. ED nurses need support to blend technical- and relationship-centred care. Participatory research exploring the experiences of older people with dementia, their carers and ED nurses is needed.

Sections du résumé

BACKGROUND BACKGROUND
Admission to an emergency department (ED) may expose the older person with dementia to a range of negative consequences, including a deterioration in their behavioural symptoms. The authors conducted a review of primary research relating to the experiences of older people with dementia, their carers and ED nurses, to understand how these experiences might inform nursing practice.
METHODS METHODS
Integrative review with a search of the electronic databases of Medline, CINAHL and PSYCHINFO using specified inclusion and exclusion criteria.
RESULTS RESULTS
Three themes were identified: carers and older people with dementia-waiting and worrying; nurses juggling priorities; and strategies for improvement-taking a partnership approach.
CONCLUSION CONCLUSIONS
Older people with dementia may be exposed to disparities in treatment in the ED. A practice partnership between carers and ED nurses may help to prevent this. ED nurses need support to blend technical- and relationship-centred care. Participatory research exploring the experiences of older people with dementia, their carers and ED nurses is needed.

Identifiants

pubmed: 32579444
doi: 10.12968/bjon.2020.29.12.692
doi:

Types de publication

Journal Article Review

Langues

eng

Pagination

692-699

Auteurs

Sarah Watkins (S)

Advanced Nurse Practitioner (Acute Medicine) Candidate and PhD Candidate, Emergency Department, University Hospital Limerick, Ireland.

Fiona Murphy (F)

Professor of Clinical Nursing, Department of Nursing and Midwifery, University of Limerick, Ireland.

Catriona Kennedy (C)

Professor of Community Nursing, School of Nursing and Midwifery, Robert Gordon University, Aberdeen.

Margaret Graham (M)

Lecturer, Department of Nursing and Midwifery, University of Limerick, Ireland.

Belinda Dewar (B)

Professor of Practice Improvement, School of Health and Life Sciences, University of the West of Scotland, Hamilton, South Lanarkshire.

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Classifications MeSH