TY - JOUR
T1 - Caring for older people with dementia in the emergency department
AU - Watkins, Sarah
AU - Murphy, Fiona
AU - Kennedy, Catriona
AU - Graham, Margaret
AU - Dewar, Belinda
N1 - Publisher Copyright:
© 2020 2020 MA MA Healthcare Healthcare Ltd Ltd
PY - 2020/6/25
Y1 - 2020/6/25
N2 - Background: Admission to an emergency department (ED) may expose the older person with dementia to a range of negative consequences, including a deterioration in their behavioural symptoms. The authors conducted a review of primary research relating to the experiences of older people with dementia, their carers and ED nurses, to understand how these experiences might inform nursing practice. Methods: Integrative review with a search of the electronic databases of Medline, CINAHL and PSYCHINFO using specified inclusion and exclusion criteria. Results: Three themes were identified: carers and older people with dementia-waiting and worrying; nurses juggling priorities; and strategies for improvement-taking a partnership approach. Conclusion: Older people with dementia may be exposed to disparities in treatment in the ED. A practice partnership between carers and ED nurses may help to prevent this. ED nurses need support to blend technical- and relationship-centred care. Participatory research exploring the experiences of older people with dementia, their carers and ED nurses is needed.
AB - Background: Admission to an emergency department (ED) may expose the older person with dementia to a range of negative consequences, including a deterioration in their behavioural symptoms. The authors conducted a review of primary research relating to the experiences of older people with dementia, their carers and ED nurses, to understand how these experiences might inform nursing practice. Methods: Integrative review with a search of the electronic databases of Medline, CINAHL and PSYCHINFO using specified inclusion and exclusion criteria. Results: Three themes were identified: carers and older people with dementia-waiting and worrying; nurses juggling priorities; and strategies for improvement-taking a partnership approach. Conclusion: Older people with dementia may be exposed to disparities in treatment in the ED. A practice partnership between carers and ED nurses may help to prevent this. ED nurses need support to blend technical- and relationship-centred care. Participatory research exploring the experiences of older people with dementia, their carers and ED nurses is needed.
KW - Carers
KW - Dementia care
KW - Dementia patients' experiences
KW - Emergency care
KW - Relationship-centred nursing
UR - http://www.scopus.com/inward/record.url?scp=85087097863&partnerID=8YFLogxK
U2 - 10.12968/bjon.2020.29.12.692
DO - 10.12968/bjon.2020.29.12.692
M3 - Article
C2 - 32579444
AN - SCOPUS:85087097863
SN - 0966-0461
VL - 29
SP - 692
EP - 699
JO - British Journal of Nursing
JF - British Journal of Nursing
IS - 12
ER -