Frailty Knowledge, Use of Screening Tools, and Educational Challenges in Emergency Departments in Ireland: A Multisite Survey
Recognizing frailty and providing evidenced-based management in busy emergency departments is challenging. Understanding the knowledge and educational needs of ED staff is important to design training that might improve patient outcomes. This study aimed to explore frailty knowledge of ED staff, use...
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| Veröffentlicht in: | Journal of emergency nursing 2024-01, Vol.50 (1), p.22-35 |
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| creator | Moloney, Elizabeth O’Donovan, Mark R Sezgin, Duygu McGrath, Keith Timmons, Suzanne O’Caoimh, Rónán |
| description | Recognizing frailty and providing evidenced-based management in busy emergency departments is challenging. Understanding the knowledge and educational needs of ED staff is important to design training that might improve patient outcomes.
This study aimed to explore frailty knowledge of ED staff, use of frailty screening instruments in Irish emergency departments, and educational challenges in the emergency department.
A multisite survey of ED staff (different specialties) was conducted between April and September 2021. An anonymous online survey was distributed via email. Free-text sections were analyzed using content analysis.
In total, 168 staff (nursing, medical and allied health) participated, representing 9 of 26 Irish emergency departments (35%). Most respondents were nurses (n = 78, 46%). Less than half of respondents had received frailty identification training (n = 81, 48%). One-fifth of emergency doctors and nurses (20%) were unsure how to define frailty. Major barriers to ED frailty screening were resource deficits, insufficient diagnostic pathways from the emergency departments, and lack of education on suitable instruments.
Most of the ED staff surveyed relied on clinical judgment rather than formal training in frailty identification. A high proportion reported poor knowledge and low confidence in recognizing frailty. Dedicated staff with frailty management expertise, bespoke education initiatives, and clearly defined frailty screening pathways may help address the issues identified. |
| doi_str_mv | 10.1016/j.jen.2023.08.008 |
| format | Article |
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This study aimed to explore frailty knowledge of ED staff, use of frailty screening instruments in Irish emergency departments, and educational challenges in the emergency department.
A multisite survey of ED staff (different specialties) was conducted between April and September 2021. An anonymous online survey was distributed via email. Free-text sections were analyzed using content analysis.
In total, 168 staff (nursing, medical and allied health) participated, representing 9 of 26 Irish emergency departments (35%). Most respondents were nurses (n = 78, 46%). Less than half of respondents had received frailty identification training (n = 81, 48%). One-fifth of emergency doctors and nurses (20%) were unsure how to define frailty. Major barriers to ED frailty screening were resource deficits, insufficient diagnostic pathways from the emergency departments, and lack of education on suitable instruments.
Most of the ED staff surveyed relied on clinical judgment rather than formal training in frailty identification. A high proportion reported poor knowledge and low confidence in recognizing frailty. Dedicated staff with frailty management expertise, bespoke education initiatives, and clearly defined frailty screening pathways may help address the issues identified.</description><identifier>ISSN: 0099-1767</identifier><identifier>EISSN: 1527-2966</identifier><identifier>DOI: 10.1016/j.jen.2023.08.008</identifier><identifier>PMID: 37804277</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Clinical decision making ; Clinical outcomes ; Collaboration ; Content analysis ; Coronaviruses ; COVID-19 ; Departments ; Education ; Educational needs ; Emergency department ; Emergency medical care ; Emergency Service, Hospital ; Emergency services ; Frailty ; Frailty - diagnosis ; Geriatrics ; Hospitals ; Humans ; Ireland ; Knowledge ; Medical screening ; Medicine ; Nurses ; Nursing ; Older adults ; Older people ; Patients ; Physicians ; Polls & surveys ; Professional ethics ; Professional identity ; Professional training ; Questionnaires ; Screening ; Survey ; Surveys and Questionnaires</subject><ispartof>Journal of emergency nursing, 2024-01, Vol.50 (1), p.22-35</ispartof><rights>2023 Emergency Nurses Association</rights><rights>Copyright © 2023 Emergency Nurses Association. Published by Elsevier Inc. All rights reserved.</rights><rights>2023. Emergency Nurses Association</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c424t-6796c7b0dccaa153c9ff6d495077321c10f252cb5ce96090f248ecd626e83a623</citedby><cites>FETCH-LOGICAL-c424t-6796c7b0dccaa153c9ff6d495077321c10f252cb5ce96090f248ecd626e83a623</cites><orcidid>0000-0001-8378-6835 ; 0000-0002-7717-1532</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0099176723002337$$EHTML$$P50$$Gelsevier$$Hfree_for_read</linktohtml><link.rule.ids>314,776,780,3537,12825,27901,27902,30976,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37804277$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Moloney, Elizabeth</creatorcontrib><creatorcontrib>O’Donovan, Mark R</creatorcontrib><creatorcontrib>Sezgin, Duygu</creatorcontrib><creatorcontrib>McGrath, Keith</creatorcontrib><creatorcontrib>Timmons, Suzanne</creatorcontrib><creatorcontrib>O’Caoimh, Rónán</creatorcontrib><title>Frailty Knowledge, Use of Screening Tools, and Educational Challenges in Emergency Departments in Ireland: A Multisite Survey</title><title>Journal of emergency nursing</title><addtitle>J Emerg Nurs</addtitle><description>Recognizing frailty and providing evidenced-based management in busy emergency departments is challenging. Understanding the knowledge and educational needs of ED staff is important to design training that might improve patient outcomes.
This study aimed to explore frailty knowledge of ED staff, use of frailty screening instruments in Irish emergency departments, and educational challenges in the emergency department.
A multisite survey of ED staff (different specialties) was conducted between April and September 2021. An anonymous online survey was distributed via email. Free-text sections were analyzed using content analysis.
In total, 168 staff (nursing, medical and allied health) participated, representing 9 of 26 Irish emergency departments (35%). Most respondents were nurses (n = 78, 46%). Less than half of respondents had received frailty identification training (n = 81, 48%). One-fifth of emergency doctors and nurses (20%) were unsure how to define frailty. Major barriers to ED frailty screening were resource deficits, insufficient diagnostic pathways from the emergency departments, and lack of education on suitable instruments.
Most of the ED staff surveyed relied on clinical judgment rather than formal training in frailty identification. A high proportion reported poor knowledge and low confidence in recognizing frailty. Dedicated staff with frailty management expertise, bespoke education initiatives, and clearly defined frailty screening pathways may help address the issues identified.</description><subject>Clinical decision making</subject><subject>Clinical outcomes</subject><subject>Collaboration</subject><subject>Content analysis</subject><subject>Coronaviruses</subject><subject>COVID-19</subject><subject>Departments</subject><subject>Education</subject><subject>Educational needs</subject><subject>Emergency department</subject><subject>Emergency medical care</subject><subject>Emergency Service, Hospital</subject><subject>Emergency services</subject><subject>Frailty</subject><subject>Frailty - diagnosis</subject><subject>Geriatrics</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Ireland</subject><subject>Knowledge</subject><subject>Medical screening</subject><subject>Medicine</subject><subject>Nurses</subject><subject>Nursing</subject><subject>Older adults</subject><subject>Older people</subject><subject>Patients</subject><subject>Physicians</subject><subject>Polls & surveys</subject><subject>Professional ethics</subject><subject>Professional identity</subject><subject>Professional training</subject><subject>Questionnaires</subject><subject>Screening</subject><subject>Survey</subject><subject>Surveys and Questionnaires</subject><issn>0099-1767</issn><issn>1527-2966</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><sourceid>8G5</sourceid><sourceid>BENPR</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNp9kcFu1DAURS0EokPhA9ggS2xYNOHZSewYVtUwhYoiFm3Xlsd5GRwl9mAnRbPg33GZwoIFK8vyuVd-7xDykkHJgIm3QzmgLznwqoS2BGgfkRVruCy4EuIxWQEoVTAp5Al5ltIAAI1k6ik5qWQLNZdyRX5eROPG-UA_-_BjxG6HZ_Q2IQ09vbYR0Tu_ozchjOmMGt_RTbdYM7vgzUjX38w4ot9hos7TzYRxh94e6AfcmzhP6OffD5cRxxx9R8_pl2WcXXIz0usl3uHhOXnSmzHhi4fzlNxebG7Wn4qrrx8v1-dXha15PRdCKmHlFjprjWFNZVXfi65WDUhZcWYZ9LzhdttYVAJUvtUt2k5wgW1lBK9OyZtj7z6G7wumWU8uWRzzvzAsSfNW1rxpJbCMvv4HHcIS87iZUow3leA1ZIodKRtDShF7vY9uMvGgGeh7N3rQ2Y2-d6Oh1dlNzrx6aF62E3Z_E39kZOD9EcC8ijuHUSfr8kaxcxHtrLvg_lP_C00bnqk</recordid><startdate>202401</startdate><enddate>202401</enddate><creator>Moloney, Elizabeth</creator><creator>O’Donovan, Mark R</creator><creator>Sezgin, Duygu</creator><creator>McGrath, Keith</creator><creator>Timmons, Suzanne</creator><creator>O’Caoimh, Rónán</creator><general>Elsevier Inc</general><general>Elsevier Limited</general><scope>6I.</scope><scope>AAFTH</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>0-V</scope><scope>3V.</scope><scope>7QJ</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ALSLI</scope><scope>AN0</scope><scope>ASE</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FPQ</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>HEHIP</scope><scope>K6X</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>M2O</scope><scope>M2S</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>Q9U</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-8378-6835</orcidid><orcidid>https://orcid.org/0000-0002-7717-1532</orcidid></search><sort><creationdate>202401</creationdate><title>Frailty Knowledge, Use of Screening Tools, and Educational Challenges in Emergency Departments in Ireland: A Multisite Survey</title><author>Moloney, Elizabeth ; O’Donovan, Mark R ; Sezgin, Duygu ; McGrath, Keith ; Timmons, Suzanne ; O’Caoimh, Rónán</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c424t-6796c7b0dccaa153c9ff6d495077321c10f252cb5ce96090f248ecd626e83a623</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Clinical decision making</topic><topic>Clinical outcomes</topic><topic>Collaboration</topic><topic>Content analysis</topic><topic>Coronaviruses</topic><topic>COVID-19</topic><topic>Departments</topic><topic>Education</topic><topic>Educational needs</topic><topic>Emergency department</topic><topic>Emergency medical care</topic><topic>Emergency Service, Hospital</topic><topic>Emergency services</topic><topic>Frailty</topic><topic>Frailty - 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Academic</collection><jtitle>Journal of emergency nursing</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Moloney, Elizabeth</au><au>O’Donovan, Mark R</au><au>Sezgin, Duygu</au><au>McGrath, Keith</au><au>Timmons, Suzanne</au><au>O’Caoimh, Rónán</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Frailty Knowledge, Use of Screening Tools, and Educational Challenges in Emergency Departments in Ireland: A Multisite Survey</atitle><jtitle>Journal of emergency nursing</jtitle><addtitle>J Emerg Nurs</addtitle><date>2024-01</date><risdate>2024</risdate><volume>50</volume><issue>1</issue><spage>22</spage><epage>35</epage><pages>22-35</pages><issn>0099-1767</issn><eissn>1527-2966</eissn><abstract>Recognizing frailty and providing evidenced-based management in busy emergency departments is challenging. Understanding the knowledge and educational needs of ED staff is important to design training that might improve patient outcomes.
This study aimed to explore frailty knowledge of ED staff, use of frailty screening instruments in Irish emergency departments, and educational challenges in the emergency department.
A multisite survey of ED staff (different specialties) was conducted between April and September 2021. An anonymous online survey was distributed via email. Free-text sections were analyzed using content analysis.
In total, 168 staff (nursing, medical and allied health) participated, representing 9 of 26 Irish emergency departments (35%). Most respondents were nurses (n = 78, 46%). Less than half of respondents had received frailty identification training (n = 81, 48%). One-fifth of emergency doctors and nurses (20%) were unsure how to define frailty. Major barriers to ED frailty screening were resource deficits, insufficient diagnostic pathways from the emergency departments, and lack of education on suitable instruments.
Most of the ED staff surveyed relied on clinical judgment rather than formal training in frailty identification. A high proportion reported poor knowledge and low confidence in recognizing frailty. Dedicated staff with frailty management expertise, bespoke education initiatives, and clearly defined frailty screening pathways may help address the issues identified.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>37804277</pmid><doi>10.1016/j.jen.2023.08.008</doi><tpages>14</tpages><orcidid>https://orcid.org/0000-0001-8378-6835</orcidid><orcidid>https://orcid.org/0000-0002-7717-1532</orcidid><oa>free_for_read</oa></addata></record> |
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| ispartof | Journal of emergency nursing, 2024-01, Vol.50 (1), p.22-35 |
| issn | 0099-1767 1527-2966 |
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| source | Applied Social Sciences Index & Abstracts (ASSIA); MEDLINE; Elsevier ScienceDirect Journals |
| subjects | Clinical decision making Clinical outcomes Collaboration Content analysis Coronaviruses COVID-19 Departments Education Educational needs Emergency department Emergency medical care Emergency Service, Hospital Emergency services Frailty Frailty - diagnosis Geriatrics Hospitals Humans Ireland Knowledge Medical screening Medicine Nurses Nursing Older adults Older people Patients Physicians Polls & surveys Professional ethics Professional identity Professional training Questionnaires Screening Survey Surveys and Questionnaires |
| title | Frailty Knowledge, Use of Screening Tools, and Educational Challenges in Emergency Departments in Ireland: A Multisite Survey |
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