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首页> 外文期刊>Journal of emergency nursing: JEN : official publication of the Emergency Department Nurses Association >Geriatric emergency nurses: addressing the needs of an aging population.
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Geriatric emergency nurses: addressing the needs of an aging population.

机译：老年急诊护士：解决人口老龄化的需求。

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INTRODUCTION: Older adults account for up to 14.5% of ED visits. Presentation of older adults can differ from younger adults. Emergency visits by older adults that are characterized by comorbidity, cognitive and functional impairment, and complex social issues. In addition, older adults present with subtle, atypical symptoms making diagnosis and discharge more challenging. The purpose of this study was to describe an innovative geriatric emergency nurse role that has been implemented to address the unique needs of older adults in the emergency department. METHODS: This was an exploratory, descriptive study. The study sample was comprised of two groups: Geriatric Emergency Nurses (N=5) and key informants (N=15). The study was based at a tertiary hospital in Vancouver, Canada. Data was collected using semi-structured interviews. Data were analyzed using thematic analysis. RESULTS: The findings are organized into three sections: defining the role and its functions; a collaborative relationship: fitting in to the larger emergency department; and recommendations for future role development. CONCLUSION: Findings from the study have led to further considerations about the role in relation to communication about older patients both within the emergency department and with community stakeholders. We also discuss the importance of this role in relation to the continuum of care and recognizing the central role of the emergency department as a place for intervention. Lastly, we consider the need for further integration of gerontological knowledge and expertise within the emergency department beyond a specialized role.
机译：简介：老年人占急诊就诊的比例高达14.5％。老年人的表现可能与年轻人不同。老年人的紧急访问，其特征是合并症，认知和功能障碍以及复杂的社会问题。此外，老年人表现出细微的非典型症状，使诊断和出院更具挑战性。这项研究的目的是描述一种创新的老年急诊护士角色，该角色已被实施以解决急诊科中老年人的独特需求。方法：这是一项探索性的描述性研究。研究样本包括两组：老年急诊护士（N = 5）和主要被告（N = 15）。该研究基于加拿大温哥华的一家三级医院。使用半结构化访谈收集数据。使用主题分析对数据进行分析。结果：调查结果分为三个部分：定义角色及其功能;协作关系：适合较大的急诊部门;和未来角色发展的建议。结论：研究的结果导致人们进一步考虑了在急诊科内以及与社区利益相关者之间在老年患者沟通中的作用。我们还将讨论该角色对于连续护理的重要性，并认识到急诊室作为干预场所的核心作用。最后，我们认为急需在急诊科内进一步整合老年病学知识和专业知识，而不是专门职责。

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