19 General introduction and outline of the thesis CHAPTER 1 attitudes and medical practice when treating older adults. A mixed methods studywas performed on emergency physicians from two Dutch hospitals. Effects were measured by pre–post tests of emergency physicians’ (n=21) knowledge of geriatric syndromes and attitudes towards older adults. We also performed a retrospective pre–post analysis of 100 records of patients aged 70 years or more. In chapter 6, we evaluate the effects of using the teach-back method at ED discharge on ED revisits and retention of discharge instructions. A single-centre pilot study involved a pre-post evaluation of patients discharged from the ED receiving standard discharge care (pre) or discharge after teach-back (post). In chapter 7, a general discussion, critical reflections on this thesis, reflections on the challenges of performing educational program research in the emergency department, and suggestions for future perspectives are provided.
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