Physician and Nurse Acceptance of Technicians to Screen for Geriatric Syndromes in the Emergency Department

<p>Introduction: The objective of this study was to evaluate emergency medicine physician and nurse acceptance of nonnurse, nonphysician screening for geriatric syndromes.</p> <p>Methods: This was a single-center emergency department (ED) survey of physicians and nurses after an 8...

Full description

Bibliographic Details
Main Authors: Brian F Gage, Craig M Coopersmith, Susan Stark, Richard T Griffey, Chris Carpenter
Format: Article
Language:English
Published: eScholarship Publishing, University of California 2011-05-01
Series:Western Journal of Emergency Medicine
Subjects:
Online Access:http://escholarship.org/uc/item/90m9w87w
_version_ 1819031825518952448
author Brian F Gage
Craig M Coopersmith
Susan Stark
Richard T Griffey
Chris Carpenter
author_facet Brian F Gage
Craig M Coopersmith
Susan Stark
Richard T Griffey
Chris Carpenter
author_sort Brian F Gage
collection DOAJ
description <p>Introduction: The objective of this study was to evaluate emergency medicine physician and nurse acceptance of nonnurse, nonphysician screening for geriatric syndromes.</p> <p>Methods: This was a single-center emergency department (ED) survey of physicians and nurses after an 8-month project. Geriatric technicians were paid medical student research assistants evaluating consenting ED patients older than 65 years for cognitive dysfunction, fall risk, or functional decline. The primary objective of this anonymous survey was to evaluate ED nurse and physician perceptions about the geriatric screener feasibility and barriers to implementation. In addition, as a secondary objective, respondents reported ongoing geriatric screening efforts independent of the research screeners.</p> <p>Results: The survey was completed by 72% of physicians and 33% of nurses. Most nurses and physicians identified geriatric technicians as beneficial to patients without impeding ED throughput. Fewer than 25% of physicians routinely screen for any geriatric syndromes. Nurses evaluated for fall risk significantly more often than physicians, but no other significant differences were noted in ongoing screening efforts.</p> <p>Conclusion: Dedicated geriatric technicians are perceived by nurses and physicians as beneficial to patients with the potential to improve patient safety and clinical outcomes. Most nurses and physicians are not currently screening for any geriatric syndromes. [West J Emerg Med. 2011;12(4):489–495.]</p>
first_indexed 2024-12-21T06:52:12Z
format Article
id doaj.art-e2f6e5f72a324a45995deab1728fe3d1
institution Directory Open Access Journal
issn 1936-900X
1936-9018
language English
last_indexed 2024-12-21T06:52:12Z
publishDate 2011-05-01
publisher eScholarship Publishing, University of California
record_format Article
series Western Journal of Emergency Medicine
spelling doaj.art-e2f6e5f72a324a45995deab1728fe3d12022-12-21T19:12:27ZengeScholarship Publishing, University of CaliforniaWestern Journal of Emergency Medicine1936-900X1936-90182011-05-01124489495Physician and Nurse Acceptance of Technicians to Screen for Geriatric Syndromes in the Emergency DepartmentBrian F GageCraig M CoopersmithSusan StarkRichard T GriffeyChris Carpenter<p>Introduction: The objective of this study was to evaluate emergency medicine physician and nurse acceptance of nonnurse, nonphysician screening for geriatric syndromes.</p> <p>Methods: This was a single-center emergency department (ED) survey of physicians and nurses after an 8-month project. Geriatric technicians were paid medical student research assistants evaluating consenting ED patients older than 65 years for cognitive dysfunction, fall risk, or functional decline. The primary objective of this anonymous survey was to evaluate ED nurse and physician perceptions about the geriatric screener feasibility and barriers to implementation. In addition, as a secondary objective, respondents reported ongoing geriatric screening efforts independent of the research screeners.</p> <p>Results: The survey was completed by 72% of physicians and 33% of nurses. Most nurses and physicians identified geriatric technicians as beneficial to patients without impeding ED throughput. Fewer than 25% of physicians routinely screen for any geriatric syndromes. Nurses evaluated for fall risk significantly more often than physicians, but no other significant differences were noted in ongoing screening efforts.</p> <p>Conclusion: Dedicated geriatric technicians are perceived by nurses and physicians as beneficial to patients with the potential to improve patient safety and clinical outcomes. Most nurses and physicians are not currently screening for any geriatric syndromes. [West J Emerg Med. 2011;12(4):489–495.]</p>http://escholarship.org/uc/item/90m9w87wgeriatricpatient safetyscreening
spellingShingle Brian F Gage
Craig M Coopersmith
Susan Stark
Richard T Griffey
Chris Carpenter
Physician and Nurse Acceptance of Technicians to Screen for Geriatric Syndromes in the Emergency Department
Western Journal of Emergency Medicine
geriatric
patient safety
screening
title Physician and Nurse Acceptance of Technicians to Screen for Geriatric Syndromes in the Emergency Department
title_full Physician and Nurse Acceptance of Technicians to Screen for Geriatric Syndromes in the Emergency Department
title_fullStr Physician and Nurse Acceptance of Technicians to Screen for Geriatric Syndromes in the Emergency Department
title_full_unstemmed Physician and Nurse Acceptance of Technicians to Screen for Geriatric Syndromes in the Emergency Department
title_short Physician and Nurse Acceptance of Technicians to Screen for Geriatric Syndromes in the Emergency Department
title_sort physician and nurse acceptance of technicians to screen for geriatric syndromes in the emergency department
topic geriatric
patient safety
screening
url http://escholarship.org/uc/item/90m9w87w
work_keys_str_mv AT brianfgage physicianandnurseacceptanceoftechnicianstoscreenforgeriatricsyndromesintheemergencydepartment
AT craigmcoopersmith physicianandnurseacceptanceoftechnicianstoscreenforgeriatricsyndromesintheemergencydepartment
AT susanstark physicianandnurseacceptanceoftechnicianstoscreenforgeriatricsyndromesintheemergencydepartment
AT richardtgriffey physicianandnurseacceptanceoftechnicianstoscreenforgeriatricsyndromesintheemergencydepartment
AT chriscarpenter physicianandnurseacceptanceoftechnicianstoscreenforgeriatricsyndromesintheemergencydepartment