Thesis
Geriatric stroke care in the Emergency Department: The Geriatric Emergency Department Intervention model of care and its implications for stroke and transient ischemic attack patients
University of the Sunshine Coast, Queensland
Master of Nursing (Clinical Leadership), University of the Sunshine Coast, Queensland
2019
DOI:
https://doi.org/10.25907/00838
Abstract
Objective: The aim of this thesis is to examine if a targeted geriatric model for adults aged 70 years and over, has an effect on the health service outcomes of stroke and transient ischaemic attack patients presenting to the emergency department.
Design: An integrative review of the literature was performed in order to identify any gaps in the literature and determine the feasibility of the study. Following the literature review, a re-analyses was performed on data which was collected as part of the Geriatric Emergency Department Intervention (GEDI) pragmatic trial to examine if the GEDI model of service delivery, for adults aged 70 years and over, had an effect on the health service outcomes of stroke and transient ischaemic attack patients presenting to the emergency department, of a regional hospital in Queensland.
Findings: A significant gap in the literature was identified relating to elderly stroke populations. Targeted nursing interventions were shown to improve acute stroke care in the emergency department and in stroke units. The study found that older adults, presenting to hospital with a suspected stroke during the periods when the GEDI model was implemented, experienced reduced emergency department length of stay, reduced in-patient length of stay and subsequent costs. Fewer stroke patients were admitted to hospital post intervention and there was an increase in transient ischaemic attack patients being discharged home from the emergency department post intervention. These findings suggest that the GEDI may have some use in improving stroke care for older patients in the emergency department.
The outcomes of this study contribute to current knowledge relating to the care of geriatric stroke and transient ischaemic attack patients in the emergency dependant, identifies gaps in the literature and identifies areas for future research. Particularly for regional and rural health services without a dedicated nursing model of care for stroke patients. Future research should be conducted across multiple sites in regional and remote areas and be of a randomised design where feasible.
Details
- Title
- Geriatric stroke care in the Emergency Department: The Geriatric Emergency Department Intervention model of care and its implications for stroke and transient ischemic attack patients
- Authors
- Naomi Howell - University of the Sunshine Coast, Queensland, School of Health - Nursing
- Contributors
- Marianne Wallis (Supervisor) - University of the Sunshine Coast, Queensland, School of Nursing, Midwifery and Paramedicine - LegacyEleanor Horton (Supervisor) - Queensland Health
- Awarding institution
- University of the Sunshine Coast, Queensland
- Degree awarded
- Master of Nursing (Clinical Leadership)
- Publisher
- University of the Sunshine Coast, Queensland
- DOI
- 10.25907/00838
- Organisation Unit
- School of Nursing, Midwifery and Paramedicine - Legacy
- Language
- English
- Record Identifier
- 991017498702621
- Output Type
- Thesis
Metrics
31 File views/ downloads
60 Record Views