요양시설거주 노인의 병원응급실 이용에 관련된 요양시설 종사자와 응급실 간호사의 대처 및 지각된 어려움
Management and Perceived Difficulties of Caregivers in Long-Term Care Facilities and Nurses in the Emergency Room Regarding Transition of Care for Elderly Residents
1
조회
0
다운로드
8
인용
0
참고문헌
키워드
초록
Purpose: In this study an exploration was done of the management and perceived difficulties of emergency room nurses and caregivers in long-term care facilities, as they relate to the transition of care of elderly residents from the facilities to the emergency room. Methods: A qualitative descriptive study using focus groups was conducted with 20 caregivers from emergency rooms and long-term care facilities. Data were collected between April 1 and April 29, 2013, and were analyzed using qualitative content analysis. Results: Four themes emerged: (1) emergency situations and their management in long-term care facilities, (2) rapid reporting and transferring system, (3) lack of patient information during emergency room admission and readmission to the long-term care facility, and (4) burden of caregivers working in the emergency rooms and long-term care facilities. The caregivers emphasized the importance of sharing essential patient information when transferring patients to the emergency room or returning them to the long-term care facility. Conclusion: The results indicate a need for education for caregivers of elderly residents regarding potential emergencies and their management, as well as the importance of sharing essential patient information when transferring a patient to the emergency room or back to the long-term care facility.
Abstract
Purpose: In this study an exploration was done of the management and perceived difficulties of emergency room nurses and caregivers in long-term care facilities, as they relate to the transition of care of elderly residents from the facilities to the emergency room. Methods: A qualitative descriptive study using focus groups was conducted with 20 caregivers from emergency rooms and long-term care facilities. Data were collected between April 1 and April 29, 2013, and were analyzed using qualitative content analysis. Results: Four themes emerged: (1) emergency situations and their management in long-term care facilities, (2) rapid reporting and transferring system, (3) lack of patient information during emergency room admission and readmission to the long-term care facility, and (4) burden of caregivers working in the emergency rooms and long-term care facilities. The caregivers emphasized the importance of sharing essential patient information when transferring patients to the emergency room or returning them to the long-term care facility. Conclusion: The results indicate a need for education for caregivers of elderly residents regarding potential emergencies and their management, as well as the importance of sharing essential patient information when transferring a patient to the emergency room or back to the long-term care facility.
참고문헌 (30)
- 조한진, "노인요양병원으로부터 응급의료센터로 전원된 환자의 역학적 특징 분석-사례군 연구", 대한응급의학회지, 22(5), pp.531~535 (2011), 대한응급의학회
- 정승은, "노인요양시설 간호사의 실무 경험", 간호행정학회지, 15(1), pp.116~127 (2009), 간호행정학회
- Cwinn, M. A., "Prevalence of information gaps for seniors transferred from nursing homes to the emergency department", Canadian Journal of Emergency Medicine, 11, pp.462~471 (2009)
- Huh, Y. J., "Characteristics of 60 years or more of elderly patient admitted to the emergency room in some university hospitals", 석사, pp.2006
- Hung, W. W., "A prospective study of symptoms, function, and medication use during acute illness in nursing home residents: Design, rationale and cohort description", BioMed Central (BMC) Geriatrics, 10, pp.47~ (2010)
- Hustey, F. M., "An internet-based communication network for information transfer during patient transitions from skilled nursing facility to the emergency department", Journal of the American Geriatrics Society, 58, pp.1148~1152 (2010)
- Hwang, U., "The geriatric emergency department", Journal of the American Geriatrics Society, 55, pp.1873~1876 (2007)
- Jablonski, R. A., "Decisions about transfer from nursing home to emergency department", Journal of Nursing Scholarship, 39, pp.266~272 (2007)
- Jones, J. S., "Patient transfer from nursing home to emergency department : Outcomes and policy implications", Academic Emergency Medicine, 4, pp.908~915 (1997)
- Kang, B. W., "A clinical study on aging patients of emergency room", Korean Journal of Research in Gerontology, 4, pp.29~45 (1995)
- Kelly, N. A., "Use of a transitional minimum data set (TMDS) to improve communication between nursing home and emergency department providers", Journal of the American Medical Directors Association, 13, pp.85~ (2012)
- Kessler, C., "Transitions of care for the geriatric patient in the emergency department", Clinics in Geriatric Medicine, 29, pp.49~69 (2013)
- Kim, H. W., "A study on the factors that influence the intention of patients hospitalized in nursing homes in changing the nursing facility-focused on guardians of patients hospitalized in nursing homes situated in Daegu Metropolitan city", 석사, pp.2010
- Kim, J., "Analysis of elderly patients who visited emergency room", Journal of the Korean Geriatrics Society, 5, pp.224~231 (2001)
- Kim, M. S., "A study on development of a practice algorithm for emergency nursing management related to residents' major heart problems in nursing home", 석사, pp.2012
- LaMantia, M. A., "Interventions to improve transitional care between nursing homes and hospitals: A systematic review", Journal of the American Geriatrics Society, 58, pp.777~782 (2010)
- Lee, H. M., "A study of geriatric patient emergency department use", 석사, pp.2007
- Lincoln, Y. S., "Effective Evaluation" (1985), Jossey-Bass Publication
- McCloskey, R. M., "A qualitative study on the transfer of residents between a nursing home and an emergency department", Journal of the American Geriatric Society, 59, pp.717~724 (2011)
- The 2nd basic plan for low fertility and population ageing, "Ministry of Health and Welfare", Ministry of Health and Welfare, ~ (2010)
- Status of elderly welfare services in 2011, "Ministry of Health and Welfare", Ministry of Health and Welfare, ~ (2011)
- 2011 National survey results on the elderly life conditions and welfare need, "Ministry of Health and Welfare", Ministry of Health and Welfare, ~ (2012)
- Mongomery, J., "Resident condition change: Should I call 911?", Geriatric Nursing, 29, pp.15~26 (2008)
- Murray, L. M., "Care transitions by older adults from nursing homes to hospitals: Implications for long-term care practice, geriatrics education, and research", Journal of the American Medical Directors Association, 11, pp.231~238 (2010)
- Nerney, M. P., "Factors associated with older patient's satisfaction with care in an inner-city emergency department", Annals of Emergency Medicine, 38, pp.140~145 (2001)
- Oh, H. S., "Characteristics of the elderly patients visiting the emergency room", Korean Journal of Research in Gerontology, 14, pp.51~61 (2005)
- Terrell, K. M., "Strategies to improve care transitions between nursing home and emergency departments", Journal of the American Medical Directors Association, 12, pp.602~605 (2011)
- Terrell, K. M., "An extended care facilityto- emergency department transfer form improves communication", Academic Emergency Medicine, 12, pp.114~118 (2005)
- Wang, H. E., "Emergency department visits by nursing home residents in the United States", Journal of American Geriatric Society, 59(10), pp.1864~1872 (2011)
- Yu, S. J., "Characteristics and social support systems of geriatric patients visit to the emergency medical center", 석사, pp.2011
