| Título: | Emergency nurses’ perceptions, expectations and beliefs in managing the older person and their family/carers in the emergency department |
| Autores: |
Fry, M; Director Research and Practice Development Nursing and Midwifery Directorate Royal North Shore NSLHD, Sydney, NSW.
Faculty of Health University of Technology, Sydney, NSW. Chenoweth, L; Faculty of Health University of Technology, Sydney, NSW. Gallagher, R; Faculty of Health University of Technology, Sydney, NSW. Stein-Parbury, J; Faculty of Health University of Technology, Sydney, NSW. |
| Fecha: | 2013-10-13 |
| Publicador: | Hunter New England Local Health District |
| Fuente: |
Ver documento |
| Tipo: |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
| Tema: | Nursing; Midwifery; Emergency Nursing; Emergency Department; Elderly; Aged |
| Descripción: | Introduction: Within the context of care nurses’ share knowledge systems which provide meaning and understanding for how behaviour is judged and practice conveyed and understood. We aimed to explore emergency nurses’ perceptions, expectations and beliefs for and of the role of family and or carers who present with the older patient. Method: This was a single site study and formed part of a larger qualitative exploratory study of elderly in the ED. Results: Four focus groups (n=27) were conducted in one tertiary referral hospital. Five themes were identified from the data and included: i) The family and carer’s role in ED; ii) dealing with acute deterioration; iii) a clash of expectations; iv) managing the workload; and, v) working with the family. One shared knowledge system comprised beliefs and expectations of and for family/carers who arrive at the ED with the older person. How the older person and their carers/families experienced the ED was in part the result of the interaction with the nurses’ belief systems. However, tension would surface for nurses when expectations, embedded in belief systems, were at odds with patient, family or carer’s expectations. Families/carers were perceived by nurses to have the choice to play by these rules and when a synchrony of expectations occurred then tension and frustration were mitigated. Conclusion: We have provided a deeper understanding of the interactions between nurses’ expectations and patients, families and or carers. Future research must determine how nursing roles can sustain positive interactions with patients, families and or carers in the ED. |
| Idioma: | Inglés |