AI Article Synopsis
- Older individuals with dementia often face negative experiences in emergency departments (EDs), which can worsen their behavioral symptoms, highlighting the need for improved nursing practices.* -
- The review identified three key themes: the anxiety experienced by carers and patients while waiting, the challenges nurses face in prioritizing care, and the importance of collaborative strategies between caregivers and nurses for better outcomes.* -
- To bridge treatment gaps, there is a need for a partnership approach between carers and ED nurses, as well as further research to understand the experiences of all parties involved.*
Article Abstract
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: Integrative review with a search of the electronic databases of Medline, CINAHL and PSYCHINFO using specified inclusion and exclusion criteria.
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: 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.
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Source |
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| http://dx.doi.org/10.12968/bjon.2020.29.12.692 | DOI Listing |
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