Layanan Keperawatan pada Pasien Lansia saat Kunjungan dan Menerima Perawatan di Instalasi Gawat Darurat
Abstract
Latar Belakang: Peningkatan morbiditas dan mortalitas lansia merupakan tantangan bagi pelayanan keperawatan yang berdampak pada peningkatan kunjungan dan perawatan di Instalasi Gawat Darurat. Kebutuhan perawatan dan perawatan lansia memiliki kepentingan yang sesuai dengan kondisi kesehatannya. Instalasi Gawat Darurat disesuaikan dengan kebutuhan dan permintaan untuk meningkatkan pelayanan keperawatan.
Tujuan: Tinjauan literatur untuk mendeskripsikan pelayanan keperawatan yang diberikan oleh perawat kepada lansia saat melakukan kunjungan dan perawatan di Instalasi Gawat Darurat
Metode: Kajian literatur dilakukan DENGAN using pencarian artikel jurnal di basis data CINAHL, DOAJ, Dan Pubmed. Dapat diperoleh 254 artikel penelitian yang akan diambil dalam pemeriksaan artikel yang diajukan yang telah ditentukan dan diselesaikan dengan menggunakan format Joanna Briggs Intitute (JBI) versi terbaru sehingga diperoleh total 7 artikel jurnal yang akan dilakukan kajian literatur.
Hasil: Kebutuhan lansia saat melakukan dan menerima perawatan di Instalasi Gawat darurat adalah kebutuhan biopsisosial. Tantangan pelayanan keperawatan selama proses perawatan biopsikososial yang membahas tentang budaya dan lingkungan, transisi, komunikasi, dan diskusi keluarga selama proses pemberian pelayanan di Instalasi Gawat Darurat.
Kesimpulan: Deskripsi tentang pengalaman perawat sebagai perawat di Instalasi Gawat Darurat mencakup IGD, transisi pasien lansia, komunikasi antara penyedia layanan perawatan lansia dan partisipasi keluarga selama proses perawatan di IGD.
Kata Kunci: Keperawatan, Layanan, Lansia, Perawatan, Instalasi Gawat Darurat
Full Text:
FULL TEXT PDFReferences
Arora, V. M. Prochaska, M. Farnan, J.M. Arcy, M.D. Schwanz, K.J. Vinci, L.M. Daviz, A.M. (2011) ‘Problems After Discharge and Understanding of Communication with their PCPs Among Hospitalized Seniors: A Mixed Methods’, Journal Hospitals Medicine, 5(7), pp. 385–391. doi: 10.1002/jhm.668.
Barros, L. M. Araujo, T.M.D. Febiana, M. Neri, D.S. Soares, E. (2013) ‘Hospitalization in a Hospitas Emergency Unit : Experiences’, Revista Cogitare Envermagem, 18(2), pp. 336–343. doi: 10.5380/ce.v18i2.32583.
Boltz, M. Parke, B. Shuluk, J. Caperuzi, E. Galvin, J.E. (2013) ‘Care of the Older Adult in the Emergency Department : Nurses Views of the Pressing Issues’, The Gerontologist, 53(3), pp. 441–453. doi: 10.1093/geront/gnt004.
Briggs, R. Coughlan, T. Collins, R. Neill, D.O. Kennelly, S.P. (2013) ‘Review Nursing Home Residents Attending the Emergency Department : Clinical Characteristics and Outcomes’, Monthly Journal of the Association of Physicians, 106(9), pp. 803–808. doi: 10.1093/qjmed/hct136.
Carron, P.-N. Mabire, C. Yersin, B. Billa, C. (2017) ‘Nursing Home Residents at the Emergency Department : a 6-year Retrospective Analysis in a Swiss Academic Hospital’, Internal and Emergency Medicine, 12(2), pp. 229–237. doi: 10.1007/s11739-016-1459-x.
Deasey, D., Kable, A. and Jeong, S. (2016) ‘Results of a National Survey of Australian Nurses’ Practice Caring for Older People in an Emergency Department’, Journal of Clinical Nursing, 25(19–20), pp. 3049–3057. doi: 10.1111/jocn.13365.
Gallagher, R. Fry, M. Chenoweth, L. Gallagher, P. Stein-parbury, J. (2014) ‘Emergency department nurses ’ perceptions and experiences of providing care for older people’, Nursing and Health Sciences, 16(4), pp. 449–453. doi: 10.1111/nhs.12137.
Ghazali, H. Jebri, R. Yahmadi, A. Heni, N.E. Chermiti, I. Souissi, S. (2017) ‘Predictors of Repeat Emergency Department Visits Among Patients Aged Over 65 Years’, La Tunise Medicale, 95(5), pp. 341–346.
Horwitz, L. I. Meredith, T. Schuur, J.D. Shah, N.R. Kulkami, R.G. Jenq, G.Y. (2009) ‘Dropping the Baton : A Qualitative Analysis of Failures During the Transition From Emergency Department to Inpatient Care’, Annals of Emergency Medicine. American College of Emergency Physicians, 53(6), p. 701–710.e4. doi: 10.1016/j.annemergmed.2008.05.007.
Hwang, U. and Morrison, S. (2007) ‘The Geriatric Emergency Department’, Journal of American Geriatrics Society, 55(11), pp. 1873–1876. doi: 10.1111/j.1532-5415.2007.01400.x.
Kemenkes RI. (2019). Indonesia Masuki Periode Aging Population. Kementerian Kesehatan Republik Indonesia. Diakses pada tanggal 19 November 2019 dari https://www.depkes.go.id/article/view/19070500004/indonesia-masuki-periode-aging-population.html
Kessler, C. Williams, M.C. Moustoukas, J.N. Pappas, C. (2013) ‘Transitions of Care for the Geriatric Patient in the Emergency Department’, Clinical Geriatric Medicine, 29(1), pp. 49–69. doi: 10.1016/j.cger.2012.10.005.
Kundiman, V., Kumaat, L. and Kiling, M. (2019) ‘Hubungan Kondisi Overcrowded dengan Ketetapan Pelaksanaan Triase di Instalasi Gawat Darurat RSU GMIM Pancaran Kasih Manado’, e-journal Keperawatan, 7(1), pp. 1–7.
Lennox, A. Braaf, S. Smit, D.V. Cameron, P. Lowthian, J.A. (2019) ‘Caring for Older Patients in the Emergency Department : Health Professionals ’ Perspectives from Australia – The Safe Elderly Emergency Discharge Project’, Emergency Medicine Australasia, 31, pp. 83–89. doi: 10.1111/1742-6723.13108.
Mira, P., Marja, K. and Paivi, A.-K. (2016) ‘Family Involvement in Emergency Department Discharge Education for Older People’, Journal of Clinical Nursing, 25(21–22), pp. 3333–3344. doi: 10.1111/jocn.13399.
Mollaoglu, M. and Celik, P. (2016) ‘Evaluation of Emergency Department Nursing Services and Patient Satisfaction of Services’, Journal of Clinical Nursing, 25(19–20), pp. 2778–2785. doi: 10.1111/jocn.13272.
Moons, P., Arnauts, H. and Delooz, H. H. (2003) ‘Nursing Issues in Care for the Elderly in the Emergency Department : an Overview of the Literature’, Accident and Emergency NUrsing, 11, pp. 112–120. doi: 10.1016/S0965-2302(02)00163-7.
Morphet, J. Decker, K. Crawford, K. Innes, K. Williams, A.L. Griffiths, D. (2015) ‘Aged Care Residents in the Emergency Department : The Experiences of Relatives’, Journal of Clinical Nursing, 24(23–24), pp. 3647–3653. doi: 10.1111/jocn.12954.
Nascimento, E. P. Silva, S.G.D. Souza, B.C.D. Souza, D.D.D. Netto, A.G. (2015) ‘Environment of a Hospital Emergency Unit for the Elderly Care: Perception of Nursing Professionals’, Escola Anna Nery, 19(2), pp. 338–342. doi: 10.5935/1414-8145.20150046.
Nikki, L., Lepisto, S. and Paavilainen, E. (2012) ‘Experiences of Family Members of Elderly Patients in the Emergency Department : A Qualitative Study’, Emergency Nursing, 20(4), pp. 193–200. doi: 10.1016/j.ienj.2012.08.003.
Nogueira, I. S. Previato, G.F. Scolar, G.A.D.S. Gomes, A.C.O. Carreira, L. Baldissera, V.D.A. (2016) ‘Home Intervention as a Tool for Nursing Care : Evaluation of the Satisfaction of the Elderly’, Revista Gaucha de Enfermagem, 37. doi: 10.1590/1983- 1447.2016.esp.68351.
Pearson KB, Coburn AF. Emergency Transfers of the Elderly from Nursing Facilities to Critical Access Hospitals: Opportunities for Improving Patient Safety and Quality. (Policy Brief#32). Portland, ME: Flex Monitoring Team; January 2013.
Powell, S. L. and Griffiths, E. A. (2015) ‘Emergency Surgery in the Elderly : Challenges and solutions’, Open Access Emegency Medicine, 7, pp. 55–68. doi: 10.2147/OAEM.S68324.
Rawson, H. Bennet, P.N. Ockerby, C. Hutchinson, A.N. Considine, J. (2017) ‘Emergency Nurses Knowledge and Self-rated Practice Skills when Caring for Older Patients in the Emergency Department’, Australasian Emergency Nursing Journal. College of Emergency Nursing Australasia, 20(4), pp. 174–180. doi: 10.1016/j.aenj.2017.08.001.
Reis, C. C. A., Sena, E. L. da S. and Menezes, T. M. de O. (2016) ‘Experiences of Family Caregivers of Hospitalized Elderlies and the Experiences of Intercorporeality’, Escola Anna Nery Revista De Enfermagem, 20(3), pp. 1–6. doi: 10.5935/1414-8145.20160070.
Rosenberg, M. and Rosenberg, L. (2016) ‘Geriatric Emergency Department (GED) Emergency Services Geriatric Senior’, Emergency Medicine Clinics of NA. Elsevier Inc, 34(3), pp. 629–648. doi: 10.1016/j.emc.2016.04.011.
Sørup, C. M., Jacobsen, P. and Forberg, J. L. (2013) ‘Evaluation of Emergency Department Performance – a Systematic Review on Recommended Performance and Quality-in-Care Measures’, Scandinavian Journal of Trauma, Resuscitation, and Emergency Medicine, 21(62), pp. 1–14. doi: 10.1186/1757-7241-21-62.
Steinmiller, J., Routasalo, P. and Suominen, T. (2015) ‘Older People in the Emergency Department : a Literature Review’, International Journal of Older People Nursing, 10(4), pp. 284–305. doi: 10.1111/opn.12090.
Storm, M. Siemsen, I.M.D. Laugaland, K.A. Dyrstad, D.N. Aase, K. (2014) ‘Quality in Transitional Care of the Elderly: Key Challenges and Relevant Improvement Measures’, International Journal of Integrated Care, 14(2), pp. 1–15. doi: 10.5334/ijic.1194.
Taylor, B. J., Rush, K. L. and Robinson, C. (2015) ‘Nurses Experiences of Caring for the Older Adult in the Emergency Department : A Focused Ethnography’, International Emergency Nursing. Elsevier Ltd, 23(2), pp. 185–189. doi: 10.1016/j.ienj.2014.11.003.
WHO. (2015) Ageing and Life Course Emergencies and Older People. World Health Organization. Diakses pada tanggal 19 November 2019 dari https://www.who.int/ageing/publications/world-report-2015/en/
DOI: https://doi.org/10.33859/dksm.v10i2.504
Refbacks
- There are currently no refbacks.
Copyright (c) 2019 Erwanda
This work is licensed under a Creative Commons Attribution 4.0 International License.