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Nurse‐Administered Screening Tools for Detecting Elder Abuse in Emergency Departments: A Scoping Review
Journal of Advanced Nursing ( IF 3.8 ) Pub Date : 2024-12-02 , DOI: 10.1111/jan.16650
Mohamed El Hussein, Dawson Sheehan

AimIdentify and describe nurse‐administered screening tools used in emergency departments (ED) to detect elder abuse.DesignA scoping review of literature published between 1999 and 2024 was conducted following the guidance of the Joanna Briggs Institute Manual for Evidence Synthesis and a methodological framework for scoping studies.MethodsTwo reviewers, an academic faculty member and a senior undergraduate, conducted the screening and data extraction, aiming to identify studies using a nurse‐administered screening tool in the ED to detect elder abuse.Data SourcesThe final search was conducted on 24 April 2024, using the CINAHL, MEDLINE, PsycINFO, and Cochrane Review databases.ResultsTen studies out of 145 met the inclusion criteria, identifying six screening tools that assist healthcare providers, such as nurses, in detecting elder abuse in EDs. The results were summarised and presented according to each screening tool.Implications for the ProfessionNurses in EDs are well‐positioned to identify elder abuse due to the significant time spent observing and interacting with patients. The implementation of a screening tool can support nurses in detecting elder abuse and initiating appropriate interventions.ImpactElder abuse is a widespread public health issue projected to increase continuously with the rapidly ageing population. Incorporating nurse‐administered screening tool into EDs has demonstrated practicality and usefulness in identifying elder abuse cases. Various tools exist; however, these instruments are underutilised due to limited reliability and feasibility testing, with no definitive screening tool identified as the “gold standard” for elder abuse detection. Without formal screening, elder abuse is likely to remain undetected, leaving victims vulnerable to harmful consequences. Due to the limited testing and evaluation of a reliable ED screening tool for elder abuse, future research should focus on developing and validating a new screening tool intended specifically for use by nurses in EDs.Reporting MethodThe EQUATOR guidelines for PRISMA were met.Patient or Public ContributionNo patient or public contributions.

中文翻译:


用于检测急诊科虐待老人的护士管理的筛查工具:范围审查



目的识别并描述急诊科 (ED) 中用于检测虐待老人的护士管理的筛查工具。设计在 Joanna Briggs Institute 证据综合手册和范围界定研究方法框架的指导下,对 1999 年至 2024 年间发表的文献进行了范围界定审查。方法两名评价员,一名学术教师和一名高年级本科生,进行了筛选和数据提取,旨在确定在 ED 中使用护士管理的筛查工具检测虐待老人的研究。数据来源最终检索于 2024 年 4 月 24 日进行,使用 CINAHL、MEDLINE、PsycINFO 和 Cochrane 系统综述数据库。结果145 项研究中有 10 项符合纳入标准,确定了 6 种筛查工具,可帮助医疗保健提供者(如护士)检测急诊室中的虐待老人情况。根据每种筛选工具对结果进行总结和呈现。对专业的影响急诊科的护士可以很好地识别虐待老人,因为要花费大量时间观察患者并与患者互动。筛查工具的实施可以支持护士发现虐待老人并启动适当的干预措施。影响虐待老人是一个普遍的公共卫生问题,预计随着人口的快速老龄化,虐待老人问题将持续增加。将护士管理的筛查工具纳入急诊室已被证明在识别虐待老人病例方面具有实用性和有用性。存在各种工具;然而,由于可靠性和可行性测试有限,这些工具没有得到充分利用,没有明确的筛查工具被确定为检测虐待老人的“黄金标准”。 如果不进行正式筛查,虐待老人很可能不会被发现,使受害者容易受到有害后果的影响。由于对可靠的虐待老人 ED 筛查工具的测试和评估有限,未来的研究应侧重于开发和验证一种专门用于 ED 护士使用的新筛查工具。患者或公众捐款没有患者或公众捐款。
更新日期:2024-12-02
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