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A structure and process evaluation of the Geriatric Emergency Department Intervention model
Journal article   Peer reviewed

A structure and process evaluation of the Geriatric Emergency Department Intervention model

Elizabeth J Marsden, Andrea Taylor, Marianne Wallis, Alison Craswell, Marc Broadbent, Colleen Johnston-Devin and Julia Crilly
Australasian emergency care, Vol.24(1), pp.28-33
2021
PMID: 32631775

Metrics

UN Sustainable Development Goals (SDGs)

This output has contributed to the advancement of the following goals:

#3 Good Health and Well-Being

Source: InCites

Abstract

Qualitative research Models Long term care Emergency medical services Advanced practice nursing Nursing
The positive effect of the Geriatric Emergency Department Intervention (GEDI) model, on the outcomes of frail older adults, is established. This study aimed to describe and evaluate the structures and processes required for the effective delivery of the GEDI model to assist in its potential translation into emergency departments in Australia and overseas. This was a descriptive qualitative study. Twenty-four semi-structured interviews were conducted with emergency department staff and GEDI doctors and nurses from a regional hospital in Queensland, Australia. An a priori framework guided interview questions and analysis. Structures required for successful model deployment included having an emergency department physician champion and nurses with gerontology experience, adequate funding, and geriatric specific resources. Processes identified as fundamental to the GEDI model included having a targeted approach to assessment, a patient-centred approach to care, and staff with inter-facility, intra-facility and inter-personal communication skills. The GEDI model addresses the specific care needs of our aging population. For optimal performance of the model, key structures and processes require identification and acknowledgement. Research involving qualitative methodology is vital for successful translation and integration of emergency department models of care.

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