CE: Original Research: Exploring Clinicians’ Perceptions About Sustaining an Evidence-Based Fall Prevention Program

Porter, Rebecca B.; Cullen, Laura; Farrington, Michele; Matthews, Grace; Tucker, Sharon

doi:10.1097/01.naj.0000532806.35972.29

Cited by 13 publications

(30 citation statements)

References 31 publications

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“…Child et al [4] have emphasized that it is necessary to address attitudes, beliefs, and behaviors at the individual, organizational, and societal levels in order to improve the implementation of evidence-based fall prevention programs [4]. Past studies have also explored the perspectives of healthcare professionals and community service providers on EBP [43, 44]. Their findings suggest that, when compared to earlier times, present-day physiotherapists are more likely to view evidence-based practice as an integrated patient-oriented enterprise [43].…”

Section: Introductionmentioning

confidence: 99%

Bridging the gap between research-based knowledge and clinical practice: a qualitative examination of patients and physiotherapists’ views on the Otago exercise Programme

et al. 2019

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BackgroundFalls and fall-related injuries exacerbate the health problems of older adults, and they are a public health concern. Despite an abundance of research, the implementation of evidence-based fall prevention programs has been slow and limited, additionally and these programs have not reduced the incidence of falling. Therefore, the primary objective of the present study was to examine patients and physiotherapists’ views on the factors that influence the implementation of the community- and evidence-based Otago Exercise Programme for fall prevention.MethodsWe conducted eight in-depth interviews with physiotherapists and patients, and a focus group interview with 12 physiotherapists and authority figures who represented local hospitals and municipalities. The resultant qualitative data were subjected to thematic analysis.ResultsThe analysis yielded two main themes: the researcher’s role and position in the implementation process and the tension between research-based knowledge and clinical practice. The participants believed that research-based knowledge can address the challenges of clinical practice. Further, the patients reported that the fall prevention program made them feel safe and enhanced their ability to cope with daily life. The physiotherapists also observed that research findings do not readily translate into clinical practice. Further, they contended that research-based knowledge is not universal and that it cannot be generalized across different contexts; instead, it must be adapted and translated into a user-friendly language. The findings suggest that the application of research-based knowledge does equate to filling up empty jars and that research-based knowledge does not flow from the expert to the non-expert as water through a tube. Indeed, physiotherapists and patients are not tabula rasa. Additionally, the participants believed that researchers and stakeholders must think critically about who has the power and voice to create a common understanding.ConclusionsOur findings delineate the means by which the gap between research and practice regarding the Otago fall prevention program can bridged. The program can guide clinical work and provide important information that can be used to improve the quality of other fall prevention programs. However, the research-based knowledge that it confers must be adapted for use in clinical contexts.

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Section: Introductionmentioning

confidence: 99%

Bridging the gap between research-based knowledge and clinical practice: a qualitative examination of patients and physiotherapists’ views on the Otago exercise Programme

et al. 2019

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“…Nurses within these studies described the following interventions as being effective in preventing falls for hospitalized adults: assistive mobilization (presence of personnel such as nurses and family members and assistive devices such as walkers and gait belts),10 assessment of fall risk on admission,9,10,20 limitation of risky ambulation,10 and education of patients on medication side effects that could contribute to falls, such as dizziness 10. Nurses within all 5 studies described bed brakes, bed alarms, and/or side rails as effective in the prevention of falls 9,10,16,17,20. Bok et al16 found that after a fall event nurses changed their practice by increasing fall prevention interventions such as use of chair alarms, hourly intentional rounds, and frequent checks on the patients.…”

Section: Resultsmentioning

confidence: 99%

“…10 Nurses within all 5 studies described bed brakes, bed alarms, and/or side rails as effective in the prevention of falls. 9,10,16,17,20 Bok et al 16 found that after a fall event nurses changed their practice by increasing fall prevention interventions such as use of chair alarms, hourly intentional rounds, and frequent checks on the patients. Baris and Intepeler 10 found that nurses suggested that the use of the Foley catheter in patients who have frequent urination/get up to use the bathroom often is helpful in preventing risky ambulation.…”

Section: Nursing Interventions For Fall Preventionmentioning

confidence: 99%

“…Although nurses and nonnurses within the study found nursing staff to be primarily responsible for fall risk assessment and prevention, teamwork was ultimately found to be an overarching component of fall prevention. 20 Another source of communication/ collaboration is the monitoring system in place for fall risk patients. Hebb et al 19 found that, when given the option between continuous video monitoring (CVM) and sitters, staff preferred having sitters to observe fall risk patients, as 70% of staff participants in the survey stated that they were satisfied with the use of sitters and that CVM was not as effective.…”

Section: Communication and Collaborationmentioning

confidence: 99%

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Nurses' Perceptions of Recommended Fall Prevention Strategies

García

Bjarnadottir

Keenan

et al. 2021

Journal of Nursing Care Quality

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Background: Limited studies have synthesized evidence on nurses' perceptions of recommended fall prevention strategies and potential differences between those and the practiced strategies. Purpose: To synthesize evidence about nurses' perceptions of recommended fall prevention strategies for hospitalized adults. Methods: Using PubMed, 50 records underwent abstract and full-text screening, and 10 studies were retained. Narrative synthesis was conducted to identify common themes across studies. Quality assessment was not performed. Results: Nurses are aware of effective fall prevention strategies but identified unit-level barriers and facilitators to implementing these in their practice. Unit culture and policies, educational offerings, nursing interventions, and style of communication and collaboration were seen to influence fall prevention. Conclusions: Nurses recognize falls as a multifactorial issue suggesting that prevention efforts be tailored to the unit and involve all employees. We recommend that future research emphasize identifying and understanding the combination of factors that produce successful unit-level fall prevention strategies.

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“…Health professionals often face challenges when implementing interprofessional education, such as having separate professional cultures [ 67 ], logistical barriers [ 68 ], limited shared resources in training [ 69 ], and varying clinical practice demands [ 70 ]. By ensuring consistency of patient education content across professions through interprofessional collaborative practice and interprofessional education, the message of falls prevention can be reinforced [ 71 , 72 ].…”

Section: Discussionmentioning

confidence: 99%

Healthcare professional perspectives on barriers and enablers to falls prevention education: A qualitative study

et al. 2022

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In hospitals, patient falls prevention education is frequently delivered by nurses and allied health professionals. Hospital falls rates remain high globally, despite the many systems and approaches that attempt to mitigate falling. The aim of this study was to investigate health professional views on the enablers and barriers to providing patient falls education in hospitals. Four focus groups with 23 nursing and allied health professionals were conducted at 3 hospitals. Three researchers independently coded the data and findings were analysed thematically with a descriptive qualitative approach to identify and develop themes according to barriers and enablers. Barriers included (i) limited interprofessional communication about patient falls; (ii) sub-optimal systems for falls education for patients and health professionals, and (iii) perceived patient-related barriers to falls education. Enablers to providing patient falls education included: (i) implementing strategies to increase patient empowerment; (ii) ensuring that health professionals had access to effective modes of patient education; and (iii) facilitating interprofessional collaboration. Health professionals identified the need to overcome organisational, patient and clinician-related barriers to falls education. Fostering collective responsibility amongst health professionals for evidence-based falls prevention was also highlighted.

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CE: Original Research: Exploring Clinicians’ Perceptions About Sustaining an Evidence-Based Fall Prevention Program

Cited by 13 publications

References 31 publications

Bridging the gap between research-based knowledge and clinical practice: a qualitative examination of patients and physiotherapists’ views on the Otago exercise Programme

Bridging the gap between research-based knowledge and clinical practice: a qualitative examination of patients and physiotherapists’ views on the Otago exercise Programme

Nurses' Perceptions of Recommended Fall Prevention Strategies

Healthcare professional perspectives on barriers and enablers to falls prevention education: A qualitative study

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