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Effects of a geriatric education program for emergency physicians: a mixed-methods study

Emergency physicians (EPs) often regard care for older adults as complex, while they lack sufficient geriatric skills. This study evaluates the effect of a geriatric education program on EPs’ geriatric knowledge, attitude and medical practice when treating older adults. A mixed-methods study was per...

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Autores principales: Hesselink, Gijs, Sir, Özcan, Öztürk, Ekin, Heiwegen, Nikki, Olde Rikkert, Marcel, Schoon, Yvonne
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7568505/
https://www.ncbi.nlm.nih.gov/pubmed/32243526
http://dx.doi.org/10.1093/her/cyaa007
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author Hesselink, Gijs
Sir, Özcan
Öztürk, Ekin
Heiwegen, Nikki
Olde Rikkert, Marcel
Schoon, Yvonne
author_facet Hesselink, Gijs
Sir, Özcan
Öztürk, Ekin
Heiwegen, Nikki
Olde Rikkert, Marcel
Schoon, Yvonne
author_sort Hesselink, Gijs
collection PubMed
description Emergency physicians (EPs) often regard care for older adults as complex, while they lack sufficient geriatric skills. This study evaluates the effect of a geriatric education program on EPs’ geriatric knowledge, attitude and medical practice when treating older adults. A mixed-methods study was performed on EPs from two Dutch hospitals. Effects were measured by pre–post tests of EPs’ (n = 21) knowledge of geriatric syndromes and attitudes toward older adults, and by a retrospective pre–post analysis of 100 records of patients aged 70 years or more. Six EPs were purposively sampled and interviewed after completion of the education program. The program significantly improved EPs’ geriatric knowledge. EPs indicated that the program improved their ability and attentiveness to recognize frailty and geriatric syndromes. The program also significantly improved EPs’ attention for the older patient’s social history and circumstances (P = 0.04) but did not have a significant effect on medical decision making. EPs valued especially the case-based teaching and indicated that the interactive setting helped them to better understand and retain knowledge. Combined quantitative and qualitative data suggest that EPs benefit from geriatric emergency teaching. Future enhancement and evaluation of the geriatric education program is needed to confirm benefits to clinical practice and patient outcomes.
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spelling pubmed-75685052020-10-21 Effects of a geriatric education program for emergency physicians: a mixed-methods study Hesselink, Gijs Sir, Özcan Öztürk, Ekin Heiwegen, Nikki Olde Rikkert, Marcel Schoon, Yvonne Health Educ Res Original Articles Emergency physicians (EPs) often regard care for older adults as complex, while they lack sufficient geriatric skills. This study evaluates the effect of a geriatric education program on EPs’ geriatric knowledge, attitude and medical practice when treating older adults. A mixed-methods study was performed on EPs from two Dutch hospitals. Effects were measured by pre–post tests of EPs’ (n = 21) knowledge of geriatric syndromes and attitudes toward older adults, and by a retrospective pre–post analysis of 100 records of patients aged 70 years or more. Six EPs were purposively sampled and interviewed after completion of the education program. The program significantly improved EPs’ geriatric knowledge. EPs indicated that the program improved their ability and attentiveness to recognize frailty and geriatric syndromes. The program also significantly improved EPs’ attention for the older patient’s social history and circumstances (P = 0.04) but did not have a significant effect on medical decision making. EPs valued especially the case-based teaching and indicated that the interactive setting helped them to better understand and retain knowledge. Combined quantitative and qualitative data suggest that EPs benefit from geriatric emergency teaching. Future enhancement and evaluation of the geriatric education program is needed to confirm benefits to clinical practice and patient outcomes. Oxford University Press 2020-04-03 /pmc/articles/PMC7568505/ /pubmed/32243526 http://dx.doi.org/10.1093/her/cyaa007 Text en © The Author(s) 2020. Published by Oxford University Press. http://creativecommons.org/licenses/by-nc/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com
spellingShingle Original Articles
Hesselink, Gijs
Sir, Özcan
Öztürk, Ekin
Heiwegen, Nikki
Olde Rikkert, Marcel
Schoon, Yvonne
Effects of a geriatric education program for emergency physicians: a mixed-methods study
title Effects of a geriatric education program for emergency physicians: a mixed-methods study
title_full Effects of a geriatric education program for emergency physicians: a mixed-methods study
title_fullStr Effects of a geriatric education program for emergency physicians: a mixed-methods study
title_full_unstemmed Effects of a geriatric education program for emergency physicians: a mixed-methods study
title_short Effects of a geriatric education program for emergency physicians: a mixed-methods study
title_sort effects of a geriatric education program for emergency physicians: a mixed-methods study
topic Original Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7568505/
https://www.ncbi.nlm.nih.gov/pubmed/32243526
http://dx.doi.org/10.1093/her/cyaa007
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