Emergency nurses' and physicians' perceptions and self-assessed competence in providing care to older patients.

• Facility planning and care processes at the emergency department should better consider the specific needs of older patients. • The competence and educational needs of emergency staff should be prioritized in a more effective way. • Care of older patients needs a specific competence at the Emergency Department. This study examined emergency nurses' and physicians' perceptions and self-assessed competence in caring for older patients. Data were analyzed using a mixed methods approach and quantitative data were supplemented with qualitative responses. There were 451 nurses and physicians working at the two examined emergency departments, with 125 of them responding to the survey; the response rate was 27.7 %. Physicians and nurses felt that acutely ill older patients are a responsibility of emergency services. Nurses were more critical than physicians (p = 0.000) of the failure to recognize older patients as a special group at the emergency department. Over half (51.8 %) of the physicians and 29.0 % of the nurses (p = 0.027) felt that older patients' special needs had been considered during facility planning. Nurses and physicians described the problems related to multimorbidity and aging relatively similarly. Both expressed a need for more knowledge in geriatrics and gerontology. Future facility planning and care processes at the emergency department should better consider the specific needs of older patients. The results also emphasize a need to more effectively prioritize competence and educational needs of emergency staff and recognize caring for older patients as a specific competence area in the emergency department. [ABSTRACT FROM AUTHOR]