Objective:The objective of the present study was the design and validation, by a panel of experts, of a team intervention to manage the risk of falls in the hospitalized elderly. Method: The method used was a quanti-qualitative approach, using the Delphi method. The study was developed in two phases: in the first, five researchers designed the intervention; in the second, 13 professionals validated it. Results: The analysis of the content of the intervention designed by the participants in the first phase of the study allowed assignment of the indicators to the following previously defined categories: team formation; communication; leadership; monitoring; and mutual support. After two rounds, all the indicators obtained a consensus higher than 80%. Conclusion: The present study allowed validation of a team intervention by a panel of experts, so that teams can manage the risk of falls in hospitalized elderly. The reliability test results ensure that the intervention can be used safely in clinics and for research.A prevenção das quedas em idosos hospitalizados: elaboração e validação de uma intervenção em equipe La prevención de las caídas en ancianos hospitalizados: diseño y validación de una intervención en equipo How to cite this article: Cunha LFC, Baixinho CL, Henriques MA. Preventing falls in hospitalized elderly: design and validation of a team intervention. Rev Esc Enferm USP. 2019;53:e3479.
Objective: To evaluate the effectiveness of an intervention program in practices and behaviors of a health team to prevent falls in hos pitalized elderly people. Method: This was an action, mixed-methods, and longitudinal study that applied an intervention based on TeamSTEPPS®, and organized into five domains: team training, communication, leadership, monitoring, and mutual support. The population was nurses and nursing aides who worked at the medical service of a Portuguese hospital center. Data were obtained by consulting process records and interviews, and by applying the Scale of Practices and Behaviors of Teams for Fall Prevention. Results: There was improvement in all indicators of the scale, with evident progress in discussion of risk factors and preventive measures to be implemented. Conclusion: This intervention promoted decision-making regarding the preventive measures to be applied to each elderly person and improved communication and the interest in identifying the causes of falls to prevent their recurrence.
Introdução: A dor no ombro é muito comum e o tratamento preferencial é a fisioterapia. Objectivo: Avaliar a efectividade da mobilização passiva na dor, força, amplitude de movimento e/ou função no tratamento de indivíduos com tendinopatias da coifa ou síndrome de colisão do ombro por meio de revisão sistemática de literatura. Métodos: Os estudos foram pesquisados na PubMed, Cochrane Library, Scielo, PEDro e Web of Science. Dois investigadores analisaram os artigos para determinar os trabalhos a incluir. A qualidade metodológica desses foi avaliada por meio da escala de PEDro e feita a sua caracterização detalhada. Resultados: Os resultados sugerem que a mobilização passiva quando aplicada em conjunto com outros tratamentos leva a significativa diminuição da dor e a melhoria da força e função. Conclusão: A mobilização passiva aplicada em conjunto com outros tratamentos parece ser uma mais valia no tratamento de tendinopatias da bainha rotadora e síndrome de colisão do ombro. São necessários mais estudos que confirmem esses resultados.
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