ArticleOpen access Macedonian journal of medical sciences2019
Challenges and Barriers to Providing Care to Older Adult Patients in the Intensive Care Unit: A Qualitative Research.
Article in Open access Macedonian journal of medical sciences, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
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Who cites it
18 citing papers in PubMed, 36 citations in OpenAlex.
- Iranian Older Adults' Experiences of the Age-friendliness of Kashan City: A Qualitative Content Analysis Study.International journal of community based nursing and midwifery · 2026Article
- A nurse-centered edge-server wearable system for real-time monitoring of occupational stress in clinical care.Frontiers in public health · 2026Article
- Social Support and Psychological Capital in Older Adults with Esophageal and Gastric Cancer: A Cross-Sectional Study.Cancer management and research · 2026Article
- Cancer and Aging Biomarkers: Classification, Early Detection Technologies and Emerging Research Trends.Biosensors · 2025Review
- "They didn't think we'd live this long": A qualitative exploration of older adults living with HIV perspectives on geriatric care in Ontario.HIV medicine · 2025Article
- A Scoping Review of the Experiences of Internationally Educated Nurses Working With Older Adults in High-Income Countries.International journal of older people nursing · 2025Article
- Attitude and personality trait changes among nursing students and professionally active nurses working with older adults.Frontiers in public health · 2025Article
- Expectations and Requirements of Surgical Staff for an AI-Supported Clinical Decision Support System for Older Patients: Qualitative Study.JMIR aging · 2024Article
- Understanding of 'person-centred care' in an oncology ICU: Associative group analysis.Heliyon · 2024Article
- Community-dwelling older adults' perspectives on health risks: a qualitative study exploring anxieties, priorities, and expectations in ageing.BMC public health · 2024Article
- Article
- Elderly Patients and Management in Intensive Care Units (ICU): Clinical Challenges.Clinical interventions in aging · 2023Review
- Age discrimination perceived by hospitalized older adult patients in Iran: A qualitative study.Health promotion perspectives · 2022Article
- Lessons learned from COVID-19 vaccination in Indonesia: experiences, challenges, and opportunities.Human vaccines & immunotherapeutics · 2021Article
- Nursing research priorities in critical care in Brazil: Delphi Study.Revista latino-americana de enfermagem · 2020Article
- A Mixed-Methods Usability Pilot of a Value-Goal Elicitation Tool in the Inpatient Setting for Older Adults Anticipating Post-Acute Care.Inquiry : a journal of medical care organization, provision and financingArticle
- Unveiling the Perception of Nurses and Challenges to Admitted Geriatric Patients in Pakistan: A Qualitative Explorative Study.Sage open agingArticle
- Job Dissatisfaction Among Elderly Care Nurses Working in Hospital Inpatient Settings: A Qualitative Study.SAGE open nursingArticle
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundEnhancing the quality of care for elderly patients needs an understanding of the challenges and obstacles experienced by the intensive care unit (ICU) staff in providing care.
aimTo explore the most challenging issues experienced by ICU staff, in particular, nurses, in the care of elderly patients in the general adult ICU.
designA qualitative research design was employed. The Standards for Reporting Qualitative Research (SRQR) were followed.
methodsBased on theoretical sampling, we carried out 34 in-depth semi-structured interviews from two medical adult ICUs. Data analysis was carried out using qualitative conventional content analysis.
resultsData analysis led to the identification of three interrelated categories and 12 subcategories. Three main categories were factors related to nurses' attitude in elderly care, factors related to the system of care, and factors related to the models of patient care delivery. These categories came under the main theme of "Inappropriate and unfair system for elderly care".
conclusionThe findings of this study increase scholarly understanding of challenges and barriers to providing care to elderly patients in the general adult ICU. We found that the provision of care to elderly patients is inappropriate and unfair. Various obstacles must be overcome to improve the care of these patients. For example, negative attitudes toward elder care, inappropriate environments, lack of resources, lack of knowledge and skills, a specialized model of care delivery, respect for humanity, care without considering patient age, and separating professional conflicts from patient care. These findings may be used by ICU's caregivers and managers to improve the quality of care. IMPLICATIONS FOR PRACTICE: Various obstacles were documented that need to be overcome by hospital administrators, nursing managers, clinical nurses, nursing educators, nursing researchers to improve the care of elderly patients admitted to ICU.
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