Developing a tool to assess and monitor institutional readiness to address elder mistreatment in hospital emergency departments.
Developing a tool to assess and monitor institutional readiness to address elder mistreatment in hospital emergency departments.
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DOI：
10.1080/08946566.2021.1965930
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发表时间：
2021-08
影响因子：
1.9
通讯作者：
Rosen, Tony
中科院分区：
文献类型：
--
作者：
Dash, Kim;Breckman, Risa;Lees-Haggerty, Kristin;Elman, Alyssa;Lachs, Mark;Stoeckle, Rebecca Jackson;Fulmer, Terry;Rosen, Tony
关键词：
医院急诊科缺乏必要的工具和程序，以促进对虐待和忽视老年人的案件进行一致的筛查和干预。为了满足这一需求，国家解决老年人虐待合作实验室开发了一种临床护理模式，ED可以实施该模式，以改善筛查，转诊以及与有虐待风险的老年人协调护理和支持服务的联系。为了评估急诊科是否准备好改变护理模式并促进采用，我们开发了一种组织评估工具，即老年虐待急诊科评估概况（EM-EDAP）。发展包括一种分阶段的方法，其中我们审查了关于最佳做法的证据；咨询多学科专家；并征询急诊科员工的意见。在此形成性研究的基础上，我们开发了一种工具，可用于指导教育部门将重点放在解决虐待老人问题的实践改进上，这是最符合当地需求和机遇的。
Hospital emergency departments (EDs) lack the tools and processes required to facilitate consistent screening and intervention in cases of elder abuse and neglect. To address this need, the National Collaboratory to Address Elder Mistreatment has developed a clinical care model that ED’s can implement to improve screening, referral, and linkage to coordinated care and support services for older adults who are at risk of mistreatment. To gauge ED readiness to change and facilitate adoption of the care model, we developed an organizational assessment tool, the Elder Mistreatment Emergency Department Assessment Profile (EM-EDAP). Development included a phased approach in which we reviewed evidence on best practice; consulted with multidisciplinary experts; and sought input from ED staff. Based on this formative research, we developed a tool that can be used to guide EDs in focusing on practice improvements for addressing elder mistreatment that are most responsive to local needs and opportunities.
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