Physician and nurse acceptance of technicians to screen for geriatric syndromes in the emergency department.
Physician and nurse acceptance of technicians to screen for geriatric syndromes in the emergency department.
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DOI：
10.5811/westjem.2011.1.1962
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发表时间：
2011-11
期刊：
影响因子：
--
通讯作者：
Gage BF
中科院分区：
文献类型：
--
作者：
Carpenter CR;Griffey RT;Stark S;Coopersmith CM;Gage BF
这项研究的目的是评估急诊医生和护士对非护士、非内科医生对老年综合征筛查的接受程度。这是一项为期8个月的单中心急诊科(ED)对医生和护士的调查。老年技术人员获得医学生研究助理的报酬，评估65岁以上同意的ED患者的认知功能障碍、跌倒风险或功能下降。这项匿名调查的主要目的是评估急诊科护士和医生对老年筛查的可行性和实施障碍的看法。此外，作为次要目标，受访者报告了正在进行的独立于研究筛查人员的老年筛查工作。72%的医生和33%的护士完成了这项调查。大多数护士和内科医生认为老年技术人员对患者有益，而不会阻碍急诊室的吞吐量。只有不到25%的医生会定期筛查任何老年综合征。护士对跌倒风险的评估明显高于医生，但在正在进行的筛查工作中没有注意到其他显著差异。专职的老年技术人员被护士和医生视为对患者有益，有可能改善患者的安全性和临床结果。大多数护士和医生目前没有对任何老年综合征进行筛查。
The objective of this study was to evaluate emergency medicine physician and nurse acceptance of nonnurse, nonphysician screening for geriatric syndromes. This was a single-center emergency department (ED) survey of physicians and nurses after an 8-month project. Geriatric technicians were paid medical student research assistants evaluating consenting ED patients older than 65 years for cognitive dysfunction, fall risk, or functional decline. The primary objective of this anonymous survey was to evaluate ED nurse and physician perceptions about the geriatric screener feasibility and barriers to implementation. In addition, as a secondary objective, respondents reported ongoing geriatric screening efforts independent of the research screeners. The survey was completed by 72% of physicians and 33% of nurses. Most nurses and physicians identified geriatric technicians as beneficial to patients without impeding ED throughput. Fewer than 25% of physicians routinely screen for any geriatric syndromes. Nurses evaluated for fall risk significantly more often than physicians, but no other significant differences were noted in ongoing screening efforts. Dedicated geriatric technicians are perceived by nurses and physicians as beneficial to patients with the potential to improve patient safety and clinical outcomes. Most nurses and physicians are not currently screening for any geriatric syndromes.