Toward Patient-Centered Care: A Systematic Review of Older Adults’ Views of Quality Emergency Care

Shankar, Kalpana N.; Bhatia, Bhavnit K.; Schuur, Jeremiah D.

doi:10.1016/j.annemergmed.2013.07.509

Cited by 63 publications

(68 citation statements)

References 33 publications

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“…[16][17][18][19] It may be possible to identify and initiate interventions to address these problems in the ED, as has been described for problems affecting younger adults, such as domestic violence and alcohol abuse. [20][21][22] Older adults would like to have their nonmedical problems addressed during their ED visit, 23 but the frequency of these problems among older ED patients has not been described. Older ED patients may have higher rates of nonmedical problems than the general population of older adults because the presence of these nonmedical problems may be associated with the need for emergency care.…”

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confidence: 99%

Prevalence of Nonmedical Problems Among Older Adults Presenting to the Emergency Department

Stevens

Richmond

Pereira

et al. 2014

Academic Emergency Medicine

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Objectives: Health outcomes among older emergency department (ED) patients may be influenced by physical, economic, and psychological problems not routinely identified during the ED visit. The objective of this study was to characterize such problems among older adults presenting to the ED.Methods: This was a prevalence study with enrollment during 4-hour periods randomly selected between 9 a.m. and 9 p.m. on random days of the week over a period of 8 weeks at an academic ED in the southeast United States. Participants were noninstitutionalized, cognitively intact adults aged 65 years or older without life-threatening illness or injury. Consenting patients were asked about the frequency of 10 prespecified problems during the past year.Results: Patients (N = 138) were non-Hispanic white (69%) and female (57%) and almost all had primary providers (95%) and health insurance (98%). Forty percent reported their overall health as fair (21%) or poor (19%). Hazardous drinking habits were reported by 10% of patients. The prevalence of problems occurring either "sometimes" or "often" in the past year were pain (60%), difficulty walking (47%), lack of money (32%), isolation and loneliness (14%), lack of transportation (12%), difficulty scheduling a doctor's appointment (4%), difficulty getting prescriptions filled (4%), and lack of dental care (6%). Nine patients (7%) reported experiencing physical or psychological abuse at some point in the past year. Females, minorities, and individuals living in urban areas reported higher rates of most problems.Conclusions: Nonmedical problems are common among cognitively intact, independent living, noncritically ill older patients presenting to an ED in the southeast United States.ACADEMIC EMERGENCY MEDICINE 2014;21:651-658

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confidence: 99%

Prevalence of Nonmedical Problems Among Older Adults Presenting to the Emergency Department

Stevens

Richmond

Pereira

et al. 2014

Academic Emergency Medicine

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“…[6] Leaders who have more than three years of experience are more effective leaders than those who have only one year of experience, and the vast majority of resident physicians (who are less experienced) feel inadequately trained to lead a team in an emergency situation. [25] Leaders should also be chosen based on characteristics such as humility and the ability to share successes, [14] assume responsibility, [1][2][3][4][5][6][7][8][9][10][11][12][13][14][15] and solve conflicts through negotiation, both within the team and with patients and/or family. [15][16][17] The leadership strategy should be adjusted according to the situation, which may require a more "autocratic" or "participative" leadership.…”

Section: Discussionmentioning

confidence: 99%

Communication and leadership in emergency situations: Systematic literature review and recommendations for practice

Martins

Sousa

Abrantes

et al. 2017

CNS

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Background: Communication and leadership are two interconnected concepts that are essential to achieving successful and high-quality team interventions in emergency situations. Objective: To identify communication and leadership best practices in emergency situations. Methods: A systematic literature review with meta-synthesis was conducted using the Joanna Briggs Institute (JBI) Reviewers' Manual (JBI, 2014). A search was conducted to identify studies published between January 2006 and July 2016 using the terms communication, leadership, and emergency. Studies in the areas of pediatrics or simulated practice environments were excluded. Results: Nineteen of the 447 studies found in the search met the inclusion criteria. During synthesis, data were divided into three dimensions: leader's characteristics, initial and lifelong training, and leadership process. Communication and leadership training were considered essential for developing skills required in emergency situations. Conclusions: Despite the low level of evidence of the included studies, this study puts forward recommendations for communication and leadership best practices in emergency situations.

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“…(Lynch, 1999;Downs & Stea, 1973;De Goede, 2009;Chandler e Worsfold, 2013;Rangel, 2011). Já a preocupação com o usuário de ambientes hospitalares é apontada em estudos na área de saúde sob a abordagem de cuidados centrados no paciente, considerando as necessidades das pessoas, principalmente no referente à satisfação tanto do paciente como de seus familares (Debono & Travaglia, 2009;Shankar, Bhatia, & Schuur, 2014;Mosher, 2004 entre outros). Tais estudos, embora por vezes mencionem o wayfinding como um componente que afeta a percepção de satisfação, não descrevem aspectos do comportamento informacional dos usuários diante de sistemas de wayfinding.…”

Section: Introductionunclassified

Entendendo o Comportamento de busca de informação na orientação espacial em ambientes hospitalares

Smythe¹,

Spinillo²

2018

Blucher Design Proceedings

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Este artigo relaciona o processo de wayfinding com a teoria do Comportamento Informacional Humano -CIH (Human Information Behavior) considerando a necessidade de resolução de um problema espacial. Para tanto, inicialmente são apresentados conceitos sobre cognição espacial e as etapas de aquisição do conhecimento espacial como integrante do processo de wayfinding. São então descritos alguns aspectos sobre orientação espacial em ambientes hospitalares e na sequência são exemplificados os tipos de artefatos gráficos-informacionais que podem compor sistemas de wayfinding. A necessidade como impulsionadora da busca por informação introduz a explanação sobre a teoria do CIH, a qual é sintetizada no modelo global do comportamento informacional. Tal modelo é então aplicado a partir de um breve levantamento de informações com usuários de hospitais, buscando assim entender o comportamento dos usuários quando necessitam de informação para resolver um problema espacial. Como resultado depreende-se que a aplicação da teoria do comportamento informacional humano pode, potencialmente, fornecer subsídios para definição de requisitos de design para o desenvolvimento de sistemas de wayfinding a partir da perspectiva do usuário. IntroduçãoEncontrar um local, seja em um edifício ou em um parque, exige certas habilidades e conhecimentos que permitem a correta orientação espacial. A necessidade de orientação e localização é diária para um grande número de pessoas, no entanto, em ambientes como os hospitais, a busca por informações que as auxiliem nem sempre é profícua. Levando-se em conta que o crescimento populacional faz com que os ambientes hospitalares precisem ser remanejados e ampliados (Jacobson, 2009;Jeffrey, 2011) pensar o wayfinding como um sistema torna-se importante. Além disso, vale destacar que tais sistemas podem afetar a experiência do paciente e do visitante, melhorar a produtividade dos colaboradores e agregar valor proporcionando vantagem estratégica para o negócio (Jacobson, 2009). Isso porque o fornecimento de informações (e.g. visuais, táteis, sonoras) auxiliam no processo de orientação espacial possibilitando segurança e autonomia aos indivíduos.

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Toward Patient-Centered Care: A Systematic Review of Older Adults’ Views of Quality Emergency Care

Cited by 63 publications

References 33 publications

Prevalence of Nonmedical Problems Among Older Adults Presenting to the Emergency Department

Prevalence of Nonmedical Problems Among Older Adults Presenting to the Emergency Department

Communication and leadership in emergency situations: Systematic literature review and recommendations for practice

Entendendo o Comportamento de busca de informação na orientação espacial em ambientes hospitalares

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