Older hospital inpatients’ fall risk factors, perceptions, and daily activities to prevent falling

Kiyoshi‐Teo, Hiroko; Northrup-Snyder, Kathlynn; Cohen, Deborah J.; Dieckmann, Nathan F.; Stoyles, Sydnee; Winters-Stone, Kerri M.; Eckstrom, Elizabeth

doi:10.1016/j.gerinurse.2018.11.005

Cited by 32 publications

(41 citation statements)

References 22 publications

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“…We present our qualitative analysis of FPMI conversations that were conducted as a research intervention during a parent randomised control trial. The parent study (Kiyoshi‐Teo, Northrup‐Snyder, et al., 2019; Kiyoshi‐Teo, Northup‐Snyder, et al., 2019) was a single site, nonblinded, pilot, randomised control trial to evaluate the impact of FPMI on reducing fall risks. The study was conducted at a Veterans Administration hospital in the Northwestern United States from January–August 2016.…”

Section: Methodsmentioning

confidence: 99%

“…The investigators of the parent study developed FPMI, a brief Motivational Interviewing intervention targeted for fall prevention (Kiyoshi‐Teo, Northrup‐Snyder, et al., 2019; Kiyoshi‐Teo, Northup‐Snyder, et al., 2019). The FPMI emphasis is on building positive relationships for participants to feel safe talking about fall prevention, identifying fall prevention behaviours of interest to participants and evoking their reasons to change their behaviours related to preventing falls.…”

Section: Methodsmentioning

confidence: 99%

“…For example, fear related to falling among older adults is well documented (Gustavsson, Jernbro, & Nilson, 2018; Lee, Oh, & Hong, 2018; Whipple, Hamel, & Talley, 2018). Older adults often do not want to talk about fall prevention strategies (Clancy, Balteskard, Perander, & Mahler, 2015), resist fall prevention education, are reluctant to make necessary changes to prevent falls (Hill, Day, & Haines, 2014; McMahon et al., 2011; Whitehead, Wundke, & Crotty, 2006) and underestimate their risk of falling (Kiyoshi‐Teo, Northrup‐Snyder, et al., 2019; Kiyoshi‐Teo, Northup‐Snyder, et al., 2019). It remains unclear how clinicians can best assist older adults to engage in their own fall prevention.…”

Section: Introductionmentioning

confidence: 99%

“…We conducted a study to examine the feasibility and preliminary impact of Motivational Interviewing for fall prevention with hospitalised older adults (Kiyoshi‐Teo, Northrup‐Snyder, et al., 2019; Kiyoshi‐Teo, Northup‐Snyder, et al., 2019). In this paper, we report findings from the qualitative analysis of Fall Prevention Motivational Interviewing (FPMI) conversations from a parent study.…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Qualitative descriptions of patient perceptions about fall risks, prevention strategies and self‐identity: Analysis of fall prevention Motivational Interviewing conversations

Kiyoshi‐Teo

Northrup-Snyder

Davis

et al. 2020

Journal of Clinical Nursing

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Background: Older adults are often reluctant to engage in fall prevention activities. Objectives: To understand how older adults respond to fall prevention and identify attributes that affect their responses to fall prevention. Methods: Qualitative content analysis of Fall Prevention Motivational Interviewing conversations that were conducted as an intervention for a fall prevention study in the USA. We report the methods, results and discussions using the COnsolidated criteria for REporting Qualitative research checklist. Results: Conversations from 30 participants were analysed. Participants showed various responses to fall prevention from acceptance and engagement to ambivalence to denial or giving up. Three attributes affecting how they responded to fall prevention were as follows: (a) their perception of fall risks, (b) their perception about fall prevention strategies and (c) self-identity. If participants perceived that their fall risks were temporary or modifiable, they were more likely to engage in fall prevention. If participants perceived that their fall risks were permanent or unmodifiable, they seemed to have difficulty accepting fall risks or gave up engaging in fall prevention strategies. Participants were more willing to adopt fall prevention strategies that involved minor adjustments but expressed more resistance to adopting strategies that required major adjustments. Further, their response to accepting or not accepting fall prevention was influenced by their perception of whether the fall risks and fall prevention strategies aligned with their self-identity. Conclusion: Findings underscore the importance of understanding older adults' selfidentify and perceptions about fall prevention. Relevance to clinical practice: Exploring older adults' self-identity and perceptions about fall prevention can be useful to support their engagement in fall prevention.

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Qualitative descriptions of patient perceptions about fall risks, prevention strategies and self‐identity: Analysis of fall prevention Motivational Interviewing conversations

Kiyoshi‐Teo

Northrup-Snyder

Davis

et al. 2020

Journal of Clinical Nursing

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“…Examples of other industries where slips and falls pose a significant occupational health and safety hazard include healthcare and social assistance, manufacturing, retail, and transportation and warehousing [4], postal services [5], and merchant shipping [6]. Slips and falls also constitute a significant share of injuries of people in their home environments [7,8], for patients in hospital settings [9] or in a home care environment [10], and during leisure, for instance on board cruise ships [11]. Based on official statistics from different countries [12], falls can be classified as falls to a lower level and falls on the same level [13].…”

Section: Introductionmentioning

confidence: 99%

Slip and Fall Incidents at Work: A Visual Analytics Analysis of the Research Domain

Goerlandt

2019

IJERPH

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Slip and fall incidents at work remain an important class of injury and fatality causing mechanisms. An extensive body of safety research has accumulated on this topic. This article presents an analysis of this research domain. Two bibliometric visualization tools are applied: VOSviewer and HistCite. Samples of 618 slip and fall related articles are obtained from the Web of Science database. Networks of institutions, authors, terms, and chronological citation relationships are established. Collaboration and research activities of the slip and fall research community show that most contributors are from the United States, with the (now closed) Liberty Mutual Research Institute for Safety the most influential research organization. The results of a term clustering analysis show that the slip and fall research can be grouped into three sub-domains: epidemiology, gait/biomechanics, and tribology. Of these, early research focused mainly on tribology, whereas research on gait/biomechanics and epidemiological studies are relatively more recent. Psychological aspects of slip and fall incident occurrence represent a relatively under-investigated research topic, in which future contributions may provide new insights and safety improvements. Better linking of this research domain with other principles and methods in safety science, such as safety management and resilience, may also present valuable future development paths.

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Effect of a fall prevention strategy for the older patients: A quasi‐experimental study

Guo

Wang

et al. 2022

Nursing Open

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Aim To explore the effect of a fall prevention strategy on older patients based on the Patient Engagement Framework. Design A longitudinal quasi‐experimental quantitative design. Methods Older patients who met the inclusion criteria were recruited from geriatric, oncology, neurology and cardiology departments of a teaching general hospital in China. Development of a fall prevention intervention strategy for older patients was based on the Patient Engagement Framework. Patients in the intervention group were given this fall prevention strategy (N = 58), and those in the control group were given conventional measures (N = 58). The following indicators were compared between the two groups after intervention: (a) number of falls; (b) Knowledge‐Attitude‐Practice (KAP) score; (c) Modified Fall Efficacy Scale score. Results After the implementation of an intervention strategy in older patients, the number of falls decreased from 3 to 0; the score of KAP and Modified Fall Efficacy Scale was promoted (p < .05).

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Older hospital inpatients’ fall risk factors, perceptions, and daily activities to prevent falling

Cited by 32 publications

References 22 publications

Qualitative descriptions of patient perceptions about fall risks, prevention strategies and self‐identity: Analysis of fall prevention Motivational Interviewing conversations

Qualitative descriptions of patient perceptions about fall risks, prevention strategies and self‐identity: Analysis of fall prevention Motivational Interviewing conversations

Slip and Fall Incidents at Work: A Visual Analytics Analysis of the Research Domain

Effect of a fall prevention strategy for the older patients: A quasi‐experimental study

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