Evaluating the impact of operating a falls prevention Community of Practice on falls in a residential aged care setting

Francis‐Coad, Jacqueline; Haines, Terry; Etherton‐Beer, Christopher; Nobre, Debbie; Hill, Anne‐Marie

doi:10.24816/jcgg.2018.v9i1.03

Cited by 2 publications

(1 citation statement)

References 16 publications

(35 reference statements)

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“…Hullick et al (2021) demonstrated reductions in hospital admissions and emergency department presentations and Hirdes et al (2020) showed reduced resident pain rates. Francis‐Coad, Haines, et al (2018) did not demonstrate a change in falls rates, however, their CoP was the only one to be evaluated at all four of Kirkpatrick's levels.…”

Section: Resultsmentioning

confidence: 93%

Communities of practice in residential aged care: A rapid review

Peters

Bennett

Francis

et al. 2023

Int J Older People Nursing

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BackgroundCommunities of practice (CoPs) have the potential to help address the residential aged care system's need for continuing education and quality improvement. CoPs have been used in healthcare to improve clinical practice; however, little is known about their application to the unique residential aged care context.ObjectivesThis rapid review of CoPs for residential aged care was conducted to summarise the features of CoPs, how they are developed and maintained, and assess their effectiveness.MethodsMEDLINE and CINAHL databases were searched for studies published from January 1991 to November 2022 about CoPs in residential aged care. Data were extracted regarding the CoPs' three key features of ‘domain’, ‘community’ and ‘practice’ as described by Wenger and colleagues. Kirkpatrick's four levels of evaluation (members' reactions, learning, behaviour and results) was used to examine studies on the effectiveness of CoPs. The Mixed Methods Appraisal Tool was used for quality appraisal.ResultsNineteen articles reported on 13 residential aged care CoPs. Most CoPs aimed to improve care quality (n = 9, 69%) while others aimed to educate members (n = 3, 23%). Membership was often multidisciplinary (n = 8, 62%), and interactions were in‐person (n = 6, 46%), online (n = 3, 23%) or both (n = 4, 31%). Some CoPs were developed with the aid of a planning group (n = 4, 31%) or as part of a larger collaborative (n = 4, 31%), and were maintained using a facilitator (n = 7, 54%) or adapted to member feedback (n = 2, 15%). Thirteen (81%) studies evaluated members' reactions, and three (24%) studies assessed members' behaviour. The heterogeneity of studies and levels of reporting made it difficult to synthesise findings.ConclusionsThis review revealed the variation in why, and how, CoPs have been used in residential aged care, which is consistent with previous reviews of CoPs in healthcare. While these findings can inform the development of CoPs in this context, further research is needed to understand how CoPs, including the membership makeup, delivery mode, facilitator type and frequency of meetings, impact quality of care.

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Section: Resultsmentioning

confidence: 93%

Communities of practice in residential aged care: A rapid review

Peters

Bennett

Francis

et al. 2023

Int J Older People Nursing

View full text Add to dashboard Cite

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Systematic review of types of safety incidents and the processes and systems used for safety incident reporting in care homes

Scott,

Sykes,

Waring

et al. 2024

Journal of Advanced Nursing

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AimsTo identify the safety incident reporting systems and processes used within care homes to capture staff reports of safety incidents, and the types and characteristics of safety incidents captured by safety incident reporting systems.DesignSystematic review following PRISMA reporting guidelines.MethodsDatabases were searched January 2023 for studies published after year 2000, written in English, focus on care homes and incident reporting systems. Data were extracted using a bespoke data extraction tool, and quality was assessed. Data were analysed descriptively and using narrative synthesis, with types and characteristics of incidents analysed using the International Classification for Patient Safety.Data SourcesDatabases were CINAHL, MEDLINE, PsycINFO, EMBASE, HMIC, ASSISA, Nursing and Allied Health Database, MedNar and OpenGrey.ResultsWe identified 8150 papers with 106 studies eligible for inclusion, all conducted in high‐income countries. Numerous incident reporting processes and systems were identified. Using modalities, typical incident reporting systems captured all types of incidents via electronic computerized reporting, with reports made by nursing staff and captured information about patient demographics, the incident and post‐incident actions, whilst some reporting systems included medication‐ and falls‐specific information. Reports were most often used to summarize data and identify trends. Incidents categories most often were patient behaviour, clinical process/procedure, documentation, medication/intravenous fluids and falls. Various contributing and mitigating factors and actions to reduce risk were identified. The most reported action to reduce risk was to improve safety culture. Individual outcomes were often reported, but social/economic impact of incidents and organizational outcomes were rarely reported.ConclusionsThis review has demonstrated a complex picture of incident reporting in care homes with evidence limited to high‐income countries, highlighting a significant knowledge gap. The findings emphasize the central role of nursing staff in reporting safety incidents and the lack of standardized reporting systems and processes.Implications for the Profession and/or Patient CareThe findings from this study can inform the development or adaptation of safety incident reporting systems in care home settings, which is of relevance for nurses, care home managers, commissioners and regulators. This can help to improve patient care by identifying common safety issues across various types of care home and inform learning responses, which require further research.ImpactThis study addresses a gap in the literature on the systems and processes used to report safety incidents in care homes across many countries, and provides a comprehensive overview of safety issues identified via incident reporting.Reporting MethodPRISMA.Patient or Public ContributionA member of the research team is a patient and public representative, involved from study conception.

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Evaluating the impact of operating a falls prevention Community of Practice on falls in a residential aged care setting

Cited by 2 publications

References 16 publications

Communities of practice in residential aged care: A rapid review

Communities of practice in residential aged care: A rapid review

Systematic review of types of safety incidents and the processes and systems used for safety incident reporting in care homes

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