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Chapter 3 - Overcoming Resistance: What to Do with “Yeah, But…”

Published online by Cambridge University Press:  20 January 2022

John Schumacher  and
Don Melady
John Schumacher
Affiliation:
University of Maryland, Baltimore County
Don Melady
Affiliation:
University of Toronto
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Summary

Provides a response to the standard arguments against a Geriatric ED: we don’t need it; we don’t have time, money, expertise; we don’t want it. Suggests some opportunities to get support: “what’s in it for me?” Provides some sample scripts to use with colleagues to move to “Yes, and . . .”

Keywords

Change managementmisperceptionsWIIFMleadership
Type
Chapter
Information
Creating a Geriatric Emergency Department
A Practical Guide
 , pp. 32 - 39
Publisher: Cambridge University Press
Print publication year: 2022

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References

Burkett, E, Martin-Khan, MG, Gray, LC. Quality indicators in the care of older persons in the emergency department: a systematic review of the literature. Australas J Ageing. 2017/07/31ed. 2017 Dec;36(4):286–98.CrossRefGoogle ScholarPubMed
Hoon, LS, Mackey, S, Hong-Gu, H. Elderly patients’ experiences of care received in the emergency department: a systematic review. JBI Evid Synth [Internet]. 2012;10(23). Available from: https://journals.lww.com/jbisrir/Fulltext/2012/10230/Elderly_patients__experiences_of_care_received_in.1.aspxGoogle ScholarPubMed
Shankar, KN, Bhatia, BK, Schuur, JD. Toward patient-centered care: a systematic review of older adults’ views of quality emergency care. Ann Emerg Med. 2014 May 1;63(5):529–50.e1.CrossRefGoogle ScholarPubMed
Ginde, AA, Moss, M, Shapiro, NI, Schwartz, RS. Impact of older age and nursing home residence on clinical outcomes of US emergency department visits for severe sepsis. J Crit Care. 2013;28(5):606–11.Google Scholar
Deasey, D, Kable, A, Jeong, S. Results of a national survey of Australian nurses’ practice caring for older people in an emergency department. J Clin Nurs. 2016 Oct 1;25(19–20):3049–57.CrossRefGoogle ScholarPubMed

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