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Emergency department nurses’ perceptions and experiences of providing care for older people

Author

Listed:
  • Robyn Gallagher
  • Margaret Fry
  • Lynne Chenoweth
  • Patrick Gallagher
  • Jane Stein‐Parbury

Abstract

Emergency department nurses are challenged to provide safe, quality care to older people; however, nurses’ perceptions of their role and experiences are seldom investigated. This focus‐group study investigated emergency department nurses’ perceptions and experiences of caring for older people, using four focus groups of nurses with a minimum three months’ experience in the emergency department and a demographic survey. Data were thematically analyzed. Two themes emerged. The first was the clash of expectations between nurses and family/carers related to safety and quality of nursing care. Older people were perceived to be vulnerable in the emergency department, and nurses were frustrated that competing priorities decreased their ability to ensure them safe and quality care. Nurses felt family/carers were disappointed with care provided, and might not empathize with or understand their predicament. The second theme concerned nurses’ perception that family/carers could provide a safety net for the older person in the emergency department in times of high workload. Nurses need support to care for older people in the emergency department to ensure safe and optimal care, and a shared understanding of care provision between nurses and family needs development.

Suggested Citation

  • Robyn Gallagher & Margaret Fry & Lynne Chenoweth & Patrick Gallagher & Jane Stein‐Parbury, 2014. "Emergency department nurses’ perceptions and experiences of providing care for older people," Nursing & Health Sciences, John Wiley & Sons, vol. 16(4), pages 449-453, December.
    • Handle: RePEc:wly:nuhsci:v:16:y:2014:i:4:p:449-453
    DOI: 10.1111/nhs.12137
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    Cited by:

    1. Julia Morphet & Kelly Decker & Kimberley Crawford & Kelli Innes & Allison Fiona Williams & Debra Griffiths, 2015. "Aged care residents in the emergency department: the experiences of relatives," Journal of Clinical Nursing, John Wiley & Sons, vol. 24(23-24), pages 3647-3653, December.
    2. Margaret Fry & Glenn Arendts & Lynn Chenoweth, 2017. "Emergency nurses' evaluation of observational pain assessment tools for older people with cognitive impairment," Journal of Clinical Nursing, John Wiley & Sons, vol. 26(9-10), pages 1281-1290, May.
    3. Julia Eriksson & Linda Gellerstedt & Pernilla Hillerås & Åsa G Craftman, 2018. "Registered nurses’ perceptions of safe care in overcrowded emergency departments," Journal of Clinical Nursing, John Wiley & Sons, vol. 27(5-6), pages 1061-1067, March.
    4. Jane Stein‐Parbury & Robyn Gallagher & Margaret Fry & Lynn Chenoweth & Patrick Gallagher, 2015. "Expectations and experiences of older people and their carers in relation to emergency department arrival and care: A qualitative study in Australia," Nursing & Health Sciences, John Wiley & Sons, vol. 17(4), pages 476-482, December.

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