Caring for an older person with dementia in the Emergency Department (ED): An Appreciative Inquiry exploring family member and ED nurse experiences.
AIMS AND OBJECTIVES
To generate insights about what matters and is valued by family members of older people with dementia in the emergency department. To explore the experiences of emergency nurses looking after older people with dementia in an episode of care.


BACKGROUND
In the emergency department, older people with dementia are at risk of suboptimal care. Little is known of the experiences of family members of being with an older person with dementia in the emergency department or the experiences of emergency nurses looking after older people with dementia in this environment.


DESIGN AND METHODS
Phase 1 Data Analysis of the Discovery Phase of an Appreciative Inquiry study. Study participants were family members of older people with dementia and emergency nurses. Data collection methods included interviews with family members of older people with dementia and 30 hr of participant observation working alongside emergency nurses. This study was guided by the Standards for Reporting Qualitative Research.


RESULTS
Two themes emerged from the analysis: What matters to family members with four subthemes and challenges for family members and nurses in the emergency department with two subthemes.


CONCLUSION
This study demonstrates that some emergency nurses are connecting with family members even in the briefest of clinical encounters. It is feasible for more emergency nurses to do the same more of the time.


RELEVANCE TO CLINICAL PRACTICE
The older person with dementia must be given a triage category of no less than 3 (to be seen by the doctor within the hour) on arrival in the department. Further education is needed to assist emergency nurses to establish rapport and incorporate family member insights as part of care planning and assessment of the needs of the older person with dementia.
['Watkins|Sarah|S|https://orcid.org/0000-0002-9107-6734', 'Murphy|Fiona|F|', 'Kennedy|Catriona|C|', 'Dewar|Belinda|B|', 'Graham|Margaret|M|']
D000368:Aged D003704:Dementia D016529:Emergency Nursing D004636:Emergency Service, Hospital D005190:Family D005260:Female D006801:Humans D008297:Male D011368:Professional-Family Relations D036301:Qualitative Research
appreciative inquiry family members experiences emergency nurses dementia care