ArticleBMC geriatrics2025
From fear to faith: older adults' emergency care journey in rural Turkey.
Article in BMC geriatrics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveGuided by the World Health Organization’s (WHO) Age-Friendly Health Systems Model, this study explores the emergency department (ED) experiences and treatment adherence of adults aged 65 and older arriving by ambulance at a rural Turkish hospital, in a low-literacy, religious context.
methodsThis qualitative descriptive study used semi-structured interviews and culturally tailored emotion cards with 30 purposively sampled participants (mean age: 71.2, SD = 4.8; 53.3% female; 33% rural, 43% district center, 24% city center). Data were thematically analyzed using MAXQDA 2022, with in vivo and in vitro coding. Reliability was ensured via Cohen’s Kappa (0.90) and transcript verification; validity was supported by maximum variation sampling and data triangulation. The study adhered to the COREQ checklist.
findingsFour themes emerged: ED access journey, treatment and adherence experiences, staff communication dynamics, and age-friendly service perceptions. Participants experienced an emotional arc from fear (88%) during ambulance transport to trust (76.7%) at triage and relief (92%) at discharge, supported by rapid triage, staff empathy, and family support, but challenged by navigational barriers and accessibility issues for disabled participants (23.3%). Cultural idioms (e.g., “I felt intense fear”) and the prayer-bead icon highlighted spiritual coping. Participants perceived rapid triage as enhancing feelings of safety, fostering trust.
conclusionsRapid triage and empathetic communication fostered trust and adherence, while navigational and accessibility barriers persisted. Findings advocate for culturally sensitive, age-friendly ED designs, offering scalable tools like emotion cards and triage protocols for rural healthcare equity globally, aligned with SDG 3.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.