Empowering orthopedic nurses’ and nurse’s aides through a multimodal geriatric mobile team: a mixed methods study
Despite their proven effectiveness, geriatric perioperative units face organizational constraints that limit access to care. A mobile geriatric team can extend expertise to orthopedic wards, assessing older patients at nurses' and nurse's aides' request. This study explored caregivers...
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| Published in | BMC nursing Vol. 24; no. 1; pp. 694 - 11 |
|---|---|
| Main Authors | , , , , , , , , , , , |
| Format | Journal Article |
| Language | English |
| Published |
England
BioMed Central Ltd
01.07.2025
BioMed Central BMC |
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| Online Access | Get full text |
| ISSN | 1472-6955 1472-6955 |
| DOI | 10.1186/s12912-025-03410-4 |
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| Abstract | Despite their proven effectiveness, geriatric perioperative units face organizational constraints that limit access to care. A mobile geriatric team can extend expertise to orthopedic wards, assessing older patients at nurses' and nurse's aides' request. This study explored caregivers' perceptions of the geriatric mobile team and examines the quality of patient care before and after its intervention.
This mixed-methods study used a convergent design. The mobile team provided direct geriatric expertise at the request of orthopedic caregivers and implemented an educational program to enhance their skills in caring for older adults. Training included "aging simulation" workshops, error-awareness exercises ("room of errors" workshops), and courses on hospital-associated disability. Quantitative evaluation focused on post-operative care in four key areas: pain management, mobilization, nutritional screening, and continence care, along with adherence to the mobile team's recommendations. Qualitative analysis involved focus groups with nurses and nurse's aides to capture their experiences and perspectives.
Between December 2022 and April 2023, 38 patients were evaluated by the mobile team (mean age: 84 years ± 6.1; 42% male). Patients were relatively independent (median ADL score: 6 [6-6]), with 24% experiencing neurocognitive disorders. The mobile team improved care appropriateness in over 70% of cases across all four domains. Nurses and nurse's aides reported that the mobile team alleviated their feelings of isolation and lack of recognition by fostering horizontal communication and shared decision-making, reinforcing their role in patient-centered care.
In orthopedic settings, a perioperative geriatric mobile team plays a critical role in supporting nurses as clinical care partners and nurse's aides as frontline caregivers. By providing both hands-on assistance and targeted education, the team strengthens geriatric-centered care beyond specialized geriatric units, enhancing both professional confidence and patient outcomes.
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| AbstractList | Abstract Background Despite their proven effectiveness, geriatric perioperative units face organizational constraints that limit access to care. A mobile geriatric team can extend expertise to orthopedic wards, assessing older patients at nurses’ and nurse’s aides’ request. This study explored caregivers’ perceptions of the geriatric mobile team and examines the quality of patient care before and after its intervention. Methods This mixed-methods study used a convergent design. The mobile team provided direct geriatric expertise at the request of orthopedic caregivers and implemented an educational program to enhance their skills in caring for older adults. Training included “aging simulation” workshops, error-awareness exercises (“room of errors” workshops), and courses on hospital-associated disability. Quantitative evaluation focused on post-operative care in four key areas: pain management, mobilization, nutritional screening, and continence care, along with adherence to the mobile team’s recommendations. Qualitative analysis involved focus groups with nurses and nurse’s aides to capture their experiences and perspectives. Results Between December 2022 and April 2023, 38 patients were evaluated by the mobile team (mean age: 84 years ± 6.1; 42% male). Patients were relatively independent (median ADL score: 6 [6–6]), with 24% experiencing neurocognitive disorders. The mobile team improved care appropriateness in over 70% of cases across all four domains. Nurses and nurse’s aides reported that the mobile team alleviated their feelings of isolation and lack of recognition by fostering horizontal communication and shared decision-making, reinforcing their role in patient-centered care. Conclusion In orthopedic settings, a perioperative geriatric mobile team plays a critical role in supporting nurses as clinical care partners and nurse’s aides as frontline caregivers. By providing both hands-on assistance and targeted education, the team strengthens geriatric-centered care beyond specialized geriatric units, enhancing both professional confidence and patient outcomes. Clinical trial number Not applicable. Despite their proven effectiveness, geriatric perioperative units face organizational constraints that limit access to care. A mobile geriatric team can extend expertise to orthopedic wards, assessing older patients at nurses' and nurse's aides' request. This study explored caregivers' perceptions of the geriatric mobile team and examines the quality of patient care before and after its intervention. This mixed-methods study used a convergent design. The mobile team provided direct geriatric expertise at the request of orthopedic caregivers and implemented an educational program to enhance their skills in caring for older adults. Training included "aging simulation" workshops, error-awareness exercises ("room of errors" workshops), and courses on hospital-associated disability. Quantitative evaluation focused on post-operative care in four key areas: pain management, mobilization, nutritional screening, and continence care, along with adherence to the mobile team's recommendations. Qualitative analysis involved focus groups with nurses and nurse's aides to capture their experiences and perspectives. Between December 2022 and April 2023, 38 patients were evaluated by the mobile team (mean age: 84 years ± 6.1; 42% male). Patients were relatively independent (median ADL score: 6 [6-6]), with 24% experiencing neurocognitive disorders. The mobile team improved care appropriateness in over 70% of cases across all four domains. Nurses and nurse's aides reported that the mobile team alleviated their feelings of isolation and lack of recognition by fostering horizontal communication and shared decision-making, reinforcing their role in patient-centered care. In orthopedic settings, a perioperative geriatric mobile team plays a critical role in supporting nurses as clinical care partners and nurse's aides as frontline caregivers. By providing both hands-on assistance and targeted education, the team strengthens geriatric-centered care beyond specialized geriatric units, enhancing both professional confidence and patient outcomes. Not applicable. BackgroundDespite their proven effectiveness, geriatric perioperative units face organizational constraints that limit access to care. A mobile geriatric team can extend expertise to orthopedic wards, assessing older patients at nurses’ and nurse’s aides’ request. This study explored caregivers’ perceptions of the geriatric mobile team and examines the quality of patient care before and after its intervention.MethodsThis mixed-methods study used a convergent design. The mobile team provided direct geriatric expertise at the request of orthopedic caregivers and implemented an educational program to enhance their skills in caring for older adults. Training included “aging simulation” workshops, error-awareness exercises (“room of errors” workshops), and courses on hospital-associated disability. Quantitative evaluation focused on post-operative care in four key areas: pain management, mobilization, nutritional screening, and continence care, along with adherence to the mobile team’s recommendations. Qualitative analysis involved focus groups with nurses and nurse’s aides to capture their experiences and perspectives.ResultsBetween December 2022 and April 2023, 38 patients were evaluated by the mobile team (mean age: 84 years ± 6.1; 42% male). Patients were relatively independent (median ADL score: 6 [6–6]), with 24% experiencing neurocognitive disorders. The mobile team improved care appropriateness in over 70% of cases across all four domains. Nurses and nurse’s aides reported that the mobile team alleviated their feelings of isolation and lack of recognition by fostering horizontal communication and shared decision-making, reinforcing their role in patient-centered care.ConclusionIn orthopedic settings, a perioperative geriatric mobile team plays a critical role in supporting nurses as clinical care partners and nurse’s aides as frontline caregivers. By providing both hands-on assistance and targeted education, the team strengthens geriatric-centered care beyond specialized geriatric units, enhancing both professional confidence and patient outcomes.Clinical trial numberNot applicable. Despite their proven effectiveness, geriatric perioperative units face organizational constraints that limit access to care. A mobile geriatric team can extend expertise to orthopedic wards, assessing older patients at nurses' and nurse's aides' request. This study explored caregivers' perceptions of the geriatric mobile team and examines the quality of patient care before and after its intervention.BACKGROUNDDespite their proven effectiveness, geriatric perioperative units face organizational constraints that limit access to care. A mobile geriatric team can extend expertise to orthopedic wards, assessing older patients at nurses' and nurse's aides' request. This study explored caregivers' perceptions of the geriatric mobile team and examines the quality of patient care before and after its intervention.This mixed-methods study used a convergent design. The mobile team provided direct geriatric expertise at the request of orthopedic caregivers and implemented an educational program to enhance their skills in caring for older adults. Training included "aging simulation" workshops, error-awareness exercises ("room of errors" workshops), and courses on hospital-associated disability. Quantitative evaluation focused on post-operative care in four key areas: pain management, mobilization, nutritional screening, and continence care, along with adherence to the mobile team's recommendations. Qualitative analysis involved focus groups with nurses and nurse's aides to capture their experiences and perspectives.METHODSThis mixed-methods study used a convergent design. The mobile team provided direct geriatric expertise at the request of orthopedic caregivers and implemented an educational program to enhance their skills in caring for older adults. Training included "aging simulation" workshops, error-awareness exercises ("room of errors" workshops), and courses on hospital-associated disability. Quantitative evaluation focused on post-operative care in four key areas: pain management, mobilization, nutritional screening, and continence care, along with adherence to the mobile team's recommendations. Qualitative analysis involved focus groups with nurses and nurse's aides to capture their experiences and perspectives.Between December 2022 and April 2023, 38 patients were evaluated by the mobile team (mean age: 84 years ± 6.1; 42% male). Patients were relatively independent (median ADL score: 6 [6-6]), with 24% experiencing neurocognitive disorders. The mobile team improved care appropriateness in over 70% of cases across all four domains. Nurses and nurse's aides reported that the mobile team alleviated their feelings of isolation and lack of recognition by fostering horizontal communication and shared decision-making, reinforcing their role in patient-centered care.RESULTSBetween December 2022 and April 2023, 38 patients were evaluated by the mobile team (mean age: 84 years ± 6.1; 42% male). Patients were relatively independent (median ADL score: 6 [6-6]), with 24% experiencing neurocognitive disorders. The mobile team improved care appropriateness in over 70% of cases across all four domains. Nurses and nurse's aides reported that the mobile team alleviated their feelings of isolation and lack of recognition by fostering horizontal communication and shared decision-making, reinforcing their role in patient-centered care.In orthopedic settings, a perioperative geriatric mobile team plays a critical role in supporting nurses as clinical care partners and nurse's aides as frontline caregivers. By providing both hands-on assistance and targeted education, the team strengthens geriatric-centered care beyond specialized geriatric units, enhancing both professional confidence and patient outcomes.CONCLUSIONIn orthopedic settings, a perioperative geriatric mobile team plays a critical role in supporting nurses as clinical care partners and nurse's aides as frontline caregivers. By providing both hands-on assistance and targeted education, the team strengthens geriatric-centered care beyond specialized geriatric units, enhancing both professional confidence and patient outcomes.Not applicable.CLINICAL TRIAL NUMBERNot applicable. Despite their proven effectiveness, geriatric perioperative units face organizational constraints that limit access to care. A mobile geriatric team can extend expertise to orthopedic wards, assessing older patients at nurses' and nurse's aides' request. This study explored caregivers' perceptions of the geriatric mobile team and examines the quality of patient care before and after its intervention. This mixed-methods study used a convergent design. The mobile team provided direct geriatric expertise at the request of orthopedic caregivers and implemented an educational program to enhance their skills in caring for older adults. Training included "aging simulation" workshops, error-awareness exercises ("room of errors" workshops), and courses on hospital-associated disability. Quantitative evaluation focused on post-operative care in four key areas: pain management, mobilization, nutritional screening, and continence care, along with adherence to the mobile team's recommendations. Qualitative analysis involved focus groups with nurses and nurse's aides to capture their experiences and perspectives. Between December 2022 and April 2023, 38 patients were evaluated by the mobile team (mean age: 84 years ± 6.1; 42% male). Patients were relatively independent (median ADL score: 6 [6-6]), with 24% experiencing neurocognitive disorders. The mobile team improved care appropriateness in over 70% of cases across all four domains. Nurses and nurse's aides reported that the mobile team alleviated their feelings of isolation and lack of recognition by fostering horizontal communication and shared decision-making, reinforcing their role in patient-centered care. In orthopedic settings, a perioperative geriatric mobile team plays a critical role in supporting nurses as clinical care partners and nurse's aides as frontline caregivers. By providing both hands-on assistance and targeted education, the team strengthens geriatric-centered care beyond specialized geriatric units, enhancing both professional confidence and patient outcomes. Background Despite their proven effectiveness, geriatric perioperative units face organizational constraints that limit access to care. A mobile geriatric team can extend expertise to orthopedic wards, assessing older patients at nurses' and nurse's aides' request. This study explored caregivers' perceptions of the geriatric mobile team and examines the quality of patient care before and after its intervention. Methods This mixed-methods study used a convergent design. The mobile team provided direct geriatric expertise at the request of orthopedic caregivers and implemented an educational program to enhance their skills in caring for older adults. Training included "aging simulation" workshops, error-awareness exercises ("room of errors" workshops), and courses on hospital-associated disability. Quantitative evaluation focused on post-operative care in four key areas: pain management, mobilization, nutritional screening, and continence care, along with adherence to the mobile team's recommendations. Qualitative analysis involved focus groups with nurses and nurse's aides to capture their experiences and perspectives. Results Between December 2022 and April 2023, 38 patients were evaluated by the mobile team (mean age: 84 years ± 6.1; 42% male). Patients were relatively independent (median ADL score: 6 [6-6]), with 24% experiencing neurocognitive disorders. The mobile team improved care appropriateness in over 70% of cases across all four domains. Nurses and nurse's aides reported that the mobile team alleviated their feelings of isolation and lack of recognition by fostering horizontal communication and shared decision-making, reinforcing their role in patient-centered care. Conclusion In orthopedic settings, a perioperative geriatric mobile team plays a critical role in supporting nurses as clinical care partners and nurse's aides as frontline caregivers. By providing both hands-on assistance and targeted education, the team strengthens geriatric-centered care beyond specialized geriatric units, enhancing both professional confidence and patient outcomes. Clinical trial number Not applicable. Keywords: Orthogeriatrics, Geriatric mobile team, Simulation-based training, Patient safety, Interdisciplinary collaboration |
| ArticleNumber | 694 |
| Audience | Academic |
| Author | Nicolas, Michaël Cadwallader, Jean-Sébastien Bonnetain, Rebecca Bergeot, Angélique Boddaert, Jacques Glasman, Pauline Rollet, Marie-Eva Genet, Bastien Cohen-Bittan, Judith Amal, Alicia Royer, Luca Zerah, Lorène |
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| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/40597272$$D View this record in MEDLINE/PubMed |
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| Keywords | Geriatric mobile team Patient safety Simulation-based training Interdisciplinary collaboration Orthogeriatrics |
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| Snippet | Despite their proven effectiveness, geriatric perioperative units face organizational constraints that limit access to care. A mobile geriatric team can extend... Background Despite their proven effectiveness, geriatric perioperative units face organizational constraints that limit access to care. A mobile geriatric team... BackgroundDespite their proven effectiveness, geriatric perioperative units face organizational constraints that limit access to care. A mobile geriatric team... Abstract Background Despite their proven effectiveness, geriatric perioperative units face organizational constraints that limit access to care. A mobile... |
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| SubjectTerms | Aged patients Aging Care and treatment Caregivers Chronic illnesses Comorbidity Delirium Emergency medical care Fecal incontinence Focus groups Frailty Geriatric mobile team Health care teams Hospitalization Interdisciplinary collaboration Medical personnel Nurses Nurses' aides Nursing Orthogeriatrics Orthopedic nursing Orthopedics Pain management Patient safety Patients Physiological aspects Population Postoperative period Professional ethics Professionals Simulation Simulation-based training Social aspects Teaching hospitals Teams |
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| Title | Empowering orthopedic nurses’ and nurse’s aides through a multimodal geriatric mobile team: a mixed methods study |
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