Leilani Morgan-Lopez



Older Adults Perception of Levels of Services Provided by Emergency Rooms

Primary Investigator: Leilani Morgan-Lopez, BSN, RN

Purpose: The purpose of this project is to increase knowledge in the older adult population of Okaloosa and Walton counties in Florida, of the differences between Emergency Rooms (ER’s) and Urgent Care Facilities (UCF’s) so that they are able to make informed decisions regarding which facility is best suited for their healthcare needs. 

Methods: This is a quality improvement research project comprised of a pre and post questionnaire with an educational intervention to identify and address knowledge gaps regarding the appropriateness of ER visits as opposed to a facility better suited to address non-emergency visits. Convenience sampling was used with a sample size of (n=34) participants. 

Results: Frequency and percentage statistics were used to describe the sample’s characteristics and subsequent survey items that had categorical response sets. The repeated-measures t-test analysis found that there was not a significant increase in survey scores across time, t(29) = - 1.46, p = 0.15. However, when the participants were asked if they felt more confident in deciding upon ER or UCF, 87.9 percent answered yes. When asked if they felt better informed about the difference between an ER and UCF, 90.9 percent answered yes. This reflects an increase in confidence reported by the majority of study participants. 

Discussion: While post test scores improved following the educational intervention, the results were not statistically significant (p = 0.15). However, the high confidence percentages illustrate a positive response to the educational intervention and presumably, a need for further education. 

Conclusion: This research study illustrates that there are health literacy knowledge gaps in the older adult population of Walton and Okaloosa counties of Florida as it pertains to what constitutes an emergency room visit or urgent care visit.  


Major Professor:  Dr. Susan Porterfield, PhD, FNP-C 



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