Research priorities for elder abuse screening and intervention: A Geriatric Emergency Care Applied Research (GEAR) network scoping review and consensus statement.
Research priorities for elder abuse screening and intervention: A Geriatric Emergency Care Applied Research (GEAR) network scoping review and consensus statement.
复制标题
老年虐待筛查和干预的研究重点：老年急救应用研究（GEAR）网络范围审查和共识声明。
DOI：
10.1080/08946566.2021.1904313
复制
发表时间：
2021-03
影响因子：
1.9
通讯作者：
Network TG
中科院分区：
文献类型：
--
作者：
Kayser J;Morrow-Howell N;Rosen TE;Skees S;Doering M;Clark S;Hurka-Richardson K;Bin Shams R;Ringer T;Hwang U;Platts-Mills TF;Network TG
老年急诊护理应用研究（GEAR）网络：（1）对当前有关在急诊科接受治疗的患者中识别虐待老年人情况及相关干预措施的文献进行了范围界定综述；（2）利用该综述确定知识发展方面的研究问题优先级。有两个问题为此次范围界定综述提供了指引：与针对性筛查或常规做法相比，急诊科全面筛查对已识别出的虐待老年人案例、安全结果以及医疗保健利用情况有何影响？；与常规护理相比，基于急诊科的干预措施对遭受虐待老年人的患者在安全、健康、法律及心理社会方面有何影响？
我们检索了五个文献数据库。通过已确定文献的参考文献列表、心理学文摘数据库（PsychInfo）以及谷歌学术搜索找到了其他相关资料。研究结果在一次共识会议上进行了讨论；利益相关者通过投票确定研究问题的优先级。
未找到直接针对第一个有关评估策略问题的研究；不过，确定了4种用于急诊科虐待老年人情况筛查的工具。对于第二个问题，我们找到了6篇有关急诊科虐待老年人干预措施的文章；然而，没有一篇直接涉及比较有效性问题。基于这些研究结果，GEAR网络的参与者确定了5个问题作为未来研究的优先事项——2个与筛查相关，2个与干预相关，1个两者皆涉及。
总之，仍需要开展研究以确定急诊科虐待老年人评估和干预的最佳实践方法。尽管存在实际操作和伦理方面的挑战，但仍需要进行严谨的实验研究。
The Geriatric Emergency Care Applied Research (GEAR) Network (1) conducted a scoping review of the current literature on the identification of and interventions to address elder abuse among patients receiving care in emergency departments and (2) used this review to prioritize research questions for knowledge development. Two questions guided the scoping review: What is the effect of universal emergency department screening compared to targeted screening or usual practice on cases of elder abuse identified, safety outcomes, and health care utilization?; and What is the safety, health, legal, and psychosocial impact of emergency department-based interventions vs. usual care for patients experiencing elder abuse? We searched five article databases. Additional material was located through reference lists of identified publications, PsychInfo, and Google Scholar. The results were discussed in a consensus conference; and stakeholders voted to prioritize research questions. No studies were identified that directly addressed the first question regarding assessment strategies; but 4 instruments used for elder abuse screening in the emergency department were identified. For the second question, we located 6 articles on interventions for elder abuse in the emergency department; however, none directly addressed the question of comparative effectiveness. Based on these findings, GEAR participants identified 5 questions as priorities for future research - 2 related to screening, 2 related to intervention, and 1 encompassed both. In sum, research to identify best practices for elder abuse assessment and intervention in emergency departments is still needed. Although there are practical and ethical challenges, rigorous experimental studies are needed.
登录
查看更多内容
影响因子：
6.3
作者：
Dong, Xin Qi
通讯作者：
Dong, Xin Qi
影响因子：
2.2
作者：
Auerbach, Charles;Mason, Susan E.;LaPorte, Heidi Heft
通讯作者：
LaPorte, Heidi Heft
影响因子：
4.8
作者：
HOCHSTADT, NJ;HARWICKE, NJ
通讯作者：
HARWICKE, NJ
影响因子：
6.3
作者：
Evans, Christopher S.;Hunold, Katherine M.;Platts-Mills, Timothy F.
通讯作者：
Platts-Mills, Timothy F.
DOI：
10.1111/acem.14166
发表时间：
2021-01
期刊：
Academic emergency medicine : official journal of the Society for Academic Emergency Medicine
影响因子：
--
作者：
Carpenter CR;Hammouda N;Linton EA;Doering M;Ohuabunwa UK;Ko KJ;Hung WW;Shah MN;Lindquist LA;Biese K;Wei D;Hoy L;Nerbonne L;Hwang U;Dresden SM;GEAR Network
通讯作者：
GEAR Network