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首页> 外文期刊>Journal of clinical nursing >Caring for an older person with dementia in the Emergency Department (ED): An Appreciative Inquiry exploring family member and ED nurse experiences
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Caring for an older person with dementia in the Emergency Department (ED): An Appreciative Inquiry exploring family member and ED nurse experiences

机译：在急诊部门（ED）中患上痴呆症的老人（ED）的关怀：探索家庭成员和ED护士经验的欣赏探究

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Abstract Aims and objectives To generate insights about what matters and is valued by family members of older people with dementia in the emergency department. To explore the experiences of emergency nurses looking after older people with dementia in an episode of care. Background In the emergency department, older people with dementia are at risk of suboptimal care. Little is known of the experiences of family members of being with an older person with dementia in the emergency department or the experiences of emergency nurses looking after older people with dementia in this environment. Design and methods Phase 1 Data Analysis of the Discovery Phase of an Appreciative Inquiry study. Study participants were family members of older people with dementia and emergency nurses. Data collection methods included interviews with family members of older people with dementia and 30?hr of participant observation working alongside emergency nurses. This study was guided by the Standards for Reporting Qualitative Research. Results Two themes emerged from the analysis: What matters to family members with four subthemes and challenges for family members and nurses in the emergency department with two subthemes. Conclusion This study demonstrates that some emergency nurses are connecting with family members even in the briefest of clinical encounters. It is feasible for more emergency nurses to do the same more of the time. Relevance to clinical practice The older person with dementia must be given a triage category of no less than 3 (to be seen by the doctor within the hour) on arrival in the department. Further education is needed to assist emergency nurses to establish rapport and incorporate family member insights as part of care planning and assessment of the needs of the older person with dementia.
机译：摘要目标与目标，为急诊部门的老年人家庭成员的家庭成员估值而产生的洞察。探索在护理发作中探讨老年人患有痴呆症的紧急护士的经验。在急诊部门的背景下，痴呆症的老年人面临次优护理的风险。众所周知，在急诊部门与痴呆症和痴呆症的家庭成员的经验，或者在这种环境中患有痴呆症的老年人的紧急护士的经验。欣赏查询研究发现阶段的设计与方法第1阶段数据分析。学习参与者是老年人的家庭成员，患有痴呆症和紧急护士。数据收集方法包括与老年人的家庭成员进行痴呆症和30人的访谈，参与者观察与紧急护士一起工作。本研究由报告定性研究的标准指导。结果分析出现了两项主题：与两个次议会的急诊部门的家庭成员和护士的家庭成员对家庭成员和挑战有什么事。结论这项研究表明，一些紧急护士即使在最简短的临床遭遇中也与家庭成员联系起来。对于更多紧急护士来做同样的时间是可行的。与临床实践的相关性必须在抵达部门的情况下给予痴呆症的老年人不少于3（医生）。需要进一步的教育来协助紧急护士建立融洽关系，并将家庭成员见解纳入家庭成员洞察，作为关心规划和评估老年人患有痴呆症的需求的一部分。

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