TY - JOUR
T1 - Non-pharmacologic interventions improve comfort and experience among older adults in the Emergency Department
AU - Lichen, Isabella M.
AU - Berning, Michelle J.
AU - Bower, Susan M.
AU - Stanich, Jessica A.
AU - Jeffery, Molly M.
AU - Campbell, Ronna L.
AU - Walker, Laura E.
AU - Bellolio, Fernanda
N1 - Funding Information:
This study and the geriatric comfort cart were made possible through a grant from the Mayo Clinic Robert D. and Patricia E. Kern Center for the Science of the Healthcare Delivery Scholar's Program.
Publisher Copyright:
© 2020 The Authors
PY - 2021/1
Y1 - 2021/1
N2 - Objective: Determine if a comfort cart would improve older adults' comfort and facilitate communication during Emergency Department (ED) visits. Methods: A comfort cart containing low-cost, non-pharmacological interventions to improve patient comfort and ability to communicate (e.g., hearing amplifiers, reading glasses) were made available to patients aged ≥65 years. Patients and clinicians were surveyed to assess effectiveness. We followed the Standards for Quality Improvement Reporting Excellence: SQUIRE 2.0 guidelines. Results: Three hundred patients and 100 providers were surveyed. Among patients, 98.0%, 95.1%, and 67.5% somewhat or strongly agreed that the comfort cart improved comfort, overall experience, and independence, respectively. Among providers, 97.0%, 95.0%, 87.0%, and 83% somewhat or strongly agreed that the comfort cart provided comfort, improved patient satisfaction, increased ability to give compassionate care, and increased patient orientation. Conclusion: The comfort cart was an affordable and effective intervention that improved patients' comfort by facilitating communication, wellbeing, and compassionate care delivery.
AB - Objective: Determine if a comfort cart would improve older adults' comfort and facilitate communication during Emergency Department (ED) visits. Methods: A comfort cart containing low-cost, non-pharmacological interventions to improve patient comfort and ability to communicate (e.g., hearing amplifiers, reading glasses) were made available to patients aged ≥65 years. Patients and clinicians were surveyed to assess effectiveness. We followed the Standards for Quality Improvement Reporting Excellence: SQUIRE 2.0 guidelines. Results: Three hundred patients and 100 providers were surveyed. Among patients, 98.0%, 95.1%, and 67.5% somewhat or strongly agreed that the comfort cart improved comfort, overall experience, and independence, respectively. Among providers, 97.0%, 95.0%, 87.0%, and 83% somewhat or strongly agreed that the comfort cart provided comfort, improved patient satisfaction, increased ability to give compassionate care, and increased patient orientation. Conclusion: The comfort cart was an affordable and effective intervention that improved patients' comfort by facilitating communication, wellbeing, and compassionate care delivery.
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U2 - 10.1016/j.ajem.2020.04.089
DO - 10.1016/j.ajem.2020.04.089
M3 - Article
C2 - 32507574
AN - SCOPUS:85085935494
SN - 0735-6757
VL - 39
SP - 15
EP - 20
JO - American Journal of Emergency Medicine
JF - American Journal of Emergency Medicine
ER -