Format

Send to

Choose Destination
See comment in PubMed Commons below
West J Emerg Med. 2014 Jul;15(4):511-7. doi: 10.5811/westjem.2014.2.19937.

Multidimensional attitudes of emergency medicine residents toward older adults.

Author information

1
University of Chicago, Department of Emergency Medicine, Chicago, Illinois.
2
Presence Resurrection Medical Center, Chicago, Illinois.
3
Johns Hopkins School of Medicine, Baltimore, Maryland.

Abstract

INTRODUCTION:

The demands of our rapidly expanding older population strain many emergency departments (EDs), and older patients experience disproportionately high adverse health outcomes. Trainee attitude is key in improving care for older adults. There is negligible knowledge of baseline emergency medicine (EM) resident attitudes regarding elder patients. Awareness of baseline attitudes can serve to better structure training for improved care of older adults. The objective of the study is to identify baseline EM resident attitudes toward older adults using a validated attitude scale and multidimensional analysis.

METHODS:

Six EM residencies participated in a voluntary anonymous survey delivered in summer and fall 2009. We used factor analysis using the principal components method and Varimax rotation, to analyze attitude interdependence, translating the 21 survey questions into 6 independent dimensions. We adapted this survey from a validated instrument by the addition of 7 EM-specific questions to measures attitudes relevant to emergency care of elders and the training of EM residents in the geriatric competencies. Scoring was performed on a 5-point Likert scale. We compared factor scores using student t and ANOVA.

RESULTS:

173 EM residents participated showing an overall positive attitude toward older adults, with a factor score of 3.79 (3.0 being a neutral score). Attitudes trended to more negative in successive post-graduate year (PGY) levels.

CONCLUSION:

EM residents demonstrate an overall positive attitude towards the care of older adults. We noted a longitudinal hardening of attitude in social values, which are more negative in successive PGY-year levels.

PMID:
25035760
PMCID:
PMC4100860
DOI:
10.5811/westjem.2014.2.19937
[Indexed for MEDLINE]
Free PMC Article
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for Emergency Medicine department, University of California Irvine Icon for PubMed Central
    Loading ...
    Support Center