Determinants of staff commitment to hip protectors in long-term care: A cross-sectional survey

Korall, Alexandra M.B.; Loughin, Thomas M.; Feldman, Fabio; Cameron, Ian D.; Leung, Pet Ming; Sims‐Gould, Joanie; Godin, Judith; Robinovitch, Stephen N.

doi:10.1016/j.ijnurstu.2018.03.014

Cited by 6 publications

(9 citation statements)

References 60 publications

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“…Outcome variables include physician reported personal and facility-level change in preference regarding unrelated donor graft use from peripheral blood source to bone marrow. These survey items were scored on a 5 -point Likert scale from very important to very unimportant Reliability: Not reported; Validity: Not reported Korall, 2017, 2018 [ 64 , 65 ] One study—two reports Canada 13 long-term care homes Cross-sectional study Paid care providers = 529 Age in years ( n (%)): 20–29 = 42 (7.9%); 30–39 = 87 (16.4%); 40–49 = 149 (28.2%); 50–59 = 187 (35.3%); 60–69 = 46 (8.7%); Missing/unknown = 18 (3.4%) Reported Gender: Female = 474 (89.6%); Male = 40 (7.6%); Missing/unknown = 15 (2.8%) Interpreted as: Sex Professions: Health care assistant/resident care aide = 290 (54.8%); Licensed practical nurse = 84 (15.9%); Registered nurse = 40 (7.6%) Resident care coordinator = 13 (2.4%); Manager = 14 (2.6%); Recreational/occupational/ physiotherapist = 24 (4.5%); Unit/program clerk = 18 (3.4%); Missing/unknown = 49 (9.3%) Innovation: Hip protectors are protective undergarments with either a hard shield or soft pads sewn into its sides to cover the skin over the lateral aspects of the proximal femur. The purpose of hip protectors is to minimize the injury to the hip resulting from a fall Study outcome measurement Measures: A 15-item questionnaire titled as C-Hip Index, developed and tested for psychometric properties by authors [ 64 ] to measure affective and cognitive, behavioural and overall hip protector commitment Reliability: α (range) = 0.87–0.97 Validity: (1) Construct validity: Authors reported a two-factor structure as the result of an exploratory factor analysis: Factor 1 (affective and cognitive commitment) and Factor 2 (behavioural commitment) which loaded to a higher order factor called "commitment to hip protectors" with an eigen value of 1.386.…”

Section: Resultsmentioning

confidence: 99%

“…Of the 35 included studies, 19 (54.3%) were rated as strong [ 47 , 48 , 52 , 58 – 65 , 67 , 68 , 73 – 80 ], 11 (33.3%) were rated as moderate [ 39 – 41 , 49 , 50 , 54 , 56 , 57 , 70 – 72 ] and 5 (13.9%) were rated as weak [ 51 , 53 , 55 , 66 , 69 ] (See Additional file 5 ). Lower methodological quality was generally attributed to the lack of description of study participants and setting, lack of reliable and valid measures used to assess exposure to champions and study outcomes and the lack of processes used for random allocation and concealment of participant allocation to groups.…”

Section: Resultsmentioning

confidence: 99%

“…H (Adherence to adult vaccination standards) Hsia, 2019 [ 59 ] ( +) S (Hospital medical services and processes performed using E-health technology) Hung, 2008 [ 60 ] ( +) P (Quality of life measures) Kabukye, 2020 [ 61 ] ( +) H (Attitudes towards implementing electronic health record) Kenny, 2005 [ 62 ] ( +) H (Instrumental research use) Khera, 2018 [ 63 ] (?) H (Preferred unrelated graft source for hematologic malignancies) One study, two reports: Korall, 2017, 2018 [ 64 , 65 ] ( +) H (Commitment to hip protectors) Lago, 2013 [ 66 ] (?) H (Non-pharmacological and pharmacological interventions during invasive procedures) Papadakis, 2014 [ 67 ] ( +) H (Delivery of evidence-based smoking cessation treatments) Paré, 2011 [ 68 ] (?)…”

Section: Resultsmentioning

confidence: 99%

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The effectiveness of champions in implementing innovations in health care: a systematic review

Santos

Graham

Lalonde

et al. 2022

Implement Sci Commun

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Background Champions have been documented in the literature as an important strategy for implementation, yet their effectiveness has not been well synthesized in the health care literature. The aim of this systematic review was to determine whether champions, tested in isolation from other implementation strategies, are effective at improving innovation use or outcomes in health care. Methods The JBI systematic review method guided this study. A peer-reviewed search strategy was applied to eight electronic databases to identify relevant articles. We included all published articles and unpublished theses and dissertations that used a quantitative study design to evaluate the effectiveness of champions in implementing innovations within health care settings. Two researchers independently completed study selection, data extraction, and quality appraisal. We used content analysis and vote counting to synthesize our data. Results After screening 7566 records titles and abstracts and 2090 full text articles, we included 35 studies in our review. Most of the studies (71.4%) operationalized the champion strategy by the presence or absence of a champion. In a subset of seven studies, five studies found associations between exposure to champions and increased use of best practices, programs, or technological innovations at an organizational level. In other subsets, the evidence pertaining to use of champions and innovation use by patients or providers, or at improving outcomes was either mixed or scarce. Conclusions We identified a small body of literature reporting an association between use of champions and increased instrumental use of innovations by organizations. However, more research is needed to determine causal relationship between champions and innovation use and outcomes. Even though there are no reported adverse effects in using champions, opportunity costs may be associated with their use. Until more evidence becomes available about the effectiveness of champions at increasing innovation use and outcomes, the decision to deploy champions should consider the needs and resources of the organization and include an evaluation plan. To further our understanding of champions’ effectiveness, future studies should (1) use experimental study designs in conjunction with process evaluations, (2) describe champions and their activities and (3) rigorously evaluate the effectiveness of champions’ activities. Registration Open Science Framework (https://osf.io/ba3d2). Registered on November 15, 2020.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

The effectiveness of champions in implementing innovations in health care: a systematic review

Santos

Graham

Lalonde

et al. 2022

Implement Sci Commun

View full text Add to dashboard Cite

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“…The results of multivariate regression are in the table 6. (Recardo and Jolly, 1997;Boon & Arumugam, 2006, Korall et al, 2018. In addition, new factor in this research, working condition, also has statistically significant effects on employee commitment.…”

Section: Multivariate Regressionmentioning

confidence: 67%

Impacts of Corporate Culture Factors on Organisational Commitment of Employees at Concrete Enterprises in Ho Chi Minh City

Ha¹

2020

IJSSER

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This study investigates the impacts of factors of corporate culture on organizational commitment at concrete companies in Ho Chi Minh City. Then, the paper draws some policy implications in order to increase the employee commitment. Both qualitative and quantitative methods are used in the study. A data set of 215 employees who are working at the concrete companies is collected. The SPSS is chosen as a tool for measurement scales, descriptive analysis, EFA analysis, correlation coefficients, and linear multivariate regression model to data analysis. The results indicate that factors of firm culture as reward and recognition, communication, training and development, unique and equity in management policy, working condition all have impacts on organizational commitment of employees at Concrete companies in Ho Chi Minh City. Among these factors, reward and recognition has strongest effect on organizational commitment.

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“…Hasta düşmelerine neden olan birçok risk faktörü bulunmaktadır (13)(14)(15)(16)(17)(18). Hasta bakımından birebir sorumlu olan hemşireler hastaya uygun düşmeleri önleyici hemşirelik girişimlerini uygulayarak hasta düşmelerini önleyebilirler (11,(19)(20)(21).…”

unclassified

The Status Of Implemention Of Preventive Nursing Interventions For Patient Falls And Effecting Factors

Bayraktar¹,

Türk²

2021

Acibadem Universitesi Saglik Bilimleri Dergisi

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Analitik/kesitsel tipte yapılan bu araştırmanın amacı hasta düşmelerini önleyici hemşirelik girişimlerinin uygulanma durumu ve etkileyen faktörlerin belirlenmesidir. Gereç ve Yöntem:Araştırmanın örneklemi 2018 yılı Ocak-Ekim ayları arasında, Aydın' da bulunan bir üniversite hastanesi ile devlet hastanesinde aktif olarak çalışan ve çalışmaya katılmayı kabul eden 386 hemşireden oluşmuştur. Veriler Hemşire Tanıtım Formu ve Düşmeleri Önleyici Hemşirelik Girişimlerini Değerlendirme Formu kullanılarak toplanmıştır. Verilerin analizinde tanımlayıcı istatistikler (sayı, yüzde, standart sapma, ortalama) ve ki-kare testi kullanılmıştır.Bulgular: Araştırmaya katılan hemşirelerin yaş ortalaması 32,31± 8,48, %84.4'ü kadın, %59.7'si lisans düzeyinde eğitime sahip, %89.6'sı klinik hemşiresi olup %20.1'i anestezi yoğun bakım ünitesinde çalışmaktadır. Araştırma kapsamına alınan hemşirelerin %31.8'i hasta düşmesi ile karşılaştığını belirtmiştir. Hemşirelerin %90.3'ü düşme riskini belirlemek için ölçek kullandığını, %76.6'sı da belirteç kullandığını ifade etmiştir.Bireye yönelik düşmeleri önleyici hemşirelik girişimlerinin tamamına yakınının hemşireler tarafından uygulandığı ve en az uygulanan girişimin hastanın kullandığı riskli ilaçları bilme (%56.5) olduğu belirlenmiştir. Çevreye yönelik hemşirelik girişimlerinin de büyük çoğunluğunun hemşireler tarafından uygulandığı belirlenmiştir. Hemşireler tarafından çevreye yönelik düşmeleri önleyici hemşirelik girişimleri arasından en sık uygulanan girişimin hastanın yürüme yollarındaki engelleri kaldırma (%97.4), en az uygulanan girişimin çevreyi düşme riski açısından değerlendirme (%56.5) ve yemek masası, etejer gibi eşyaların hastaya yakın olmasını sağlamak olduğu belirlenmiştir (%56.5).Hemşirelerin yaşı, çalışma yılı ve çalıştıkları klinik ile düşmeleri önleyici bazı hemşirelik girişimlerini uygulama durumu arasında anlamlı bir fark olduğu saptanmıştır (p<0.05). Sonuç:Araştırma bulgularına göre hasta düşmelerinin önlenmesinde etkili olan hemşirelik girişimlerinin büyük çoğunluğunun hemşireler tarafından uygulandığı ve hemşirelerin yaşı, çalıştığı klinikler ve çalışma yılının düşmeleri önleyici bazı hemşirelik girişimlerinin uygulanma durumunu etkilediği sonucuna varılmıştır.

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Determinants of staff commitment to hip protectors in long-term care: A cross-sectional survey

Cited by 6 publications

References 60 publications

The effectiveness of champions in implementing innovations in health care: a systematic review

The effectiveness of champions in implementing innovations in health care: a systematic review

Impacts of Corporate Culture Factors on Organisational Commitment of Employees at Concrete Enterprises in Ho Chi Minh City

The Status Of Implemention Of Preventive Nursing Interventions For Patient Falls And Effecting Factors

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