Contextual factors influencing success or failure of emergency department interventions for cognitively impaired older people: a scoping and integrative review.

摘要: parke b., beaith a., slater l. & clarke a.m. (2011) Contextual factors influencing success or failure of emergency department interventions for cognitively impaired older people: a scoping and integrative review. Journal Advanced Nursing67(7), 1426–1448. Abstract Aim.  This paper is report review research on cognitive impairment in adults who visit Emergency Departments acute care hospitals, followed by an that included quality assessment to determine the effectiveness this population. Background.  Being old Department – fast-paced intervention system complex phenomenon challenges many healthcare professionals. The rise incidence prevalence dementia will have large impact systems. Data sources.  MEDLINE, EMBASE, CINAHL, PsycInfo, AgeLine, Abstracts Social Gerontology, Cochrane Database Systematic Reviews, Central Register Controlled Trials Google Scholar between 1990 2008, qualitative quantitative studies reporting extractable data delirium non-institutionalized people (65+ years) Department. Review methods.  Titles screened project researcher checked against inclusion criteria another researcher. Two reviewers completed independent extraction synthesis studies. Quality occurred using Critical Appraisal Skills Programme Tools. Results.  Fifteen met Analysis these indicates high improvements are needed. Contextual details relevant features appropriate poorly explained. Conclusion.  Although recognized, programmatic responses remain elusive. require more thorough examination context identify modifiable transferable across settings.