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Emerg Med J ; 28(4): 283-6, 2011 Apr.
Article in English | MEDLINE | ID: mdl-20713370

ABSTRACT

OBJECTIVES: To determine contentment with the performance of primary mission emergency care providers. METHODS: A prospective cohort study was conducted using key informant interviews to assess quality of life and self-rated degree of contentment with care in geriatric emergencies. RESULTS: Interviews concerning a total of 152 geriatric emergency cases in nursing homes were conducted with patients in 13 (8.6%) cases, geriatric nurses in 132 (86.8%) cases and emergency physicians in 116 (76.3%) cases within a 3-month period. All responding patients as well as the majority of nurses (96.2%) and physicians (79.4%) were content with the quality of emergency care, but showed less contentment with communication (57.6% of nurses; 22.4% of physicians) and with cooperation on-site (57.6% of nurses; 20.7% of physicians). CONCLUSIONS: Participants perceived a deficit in communication and cooperation on-site. There is a need for intensified education in managing geriatric emergency patients, especially with regard to communication and psychosocial issues.


Subject(s)
Attitude of Health Personnel , Emergencies , Emergency Medical Services/standards , Nurses/psychology , Nursing Homes , Patients/psychology , Physicians/psychology , Aged , Aged, 80 and over , Analysis of Variance , Austria , Communication , Female , Geriatric Nursing , Glasgow Coma Scale , Humans , Interviews as Topic , Male , Middle Aged , Prospective Studies , Quality of Life , Statistics, Nonparametric , Surveys and Questionnaires
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