Selecting a theoretical framework to guide a research study of older adults' perceptions and experiences of falling in the hospital

Dolan, Hanne; Taylor-Piliae, Ruth E.

doi:10.1016/j.apnr.2019.04.004

Cited by 4 publications

(10 citation statements)

References 18 publications

(36 reference statements)

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“…The use of theoretical reference in intervention allows the researcher to understand the investigated health behavior, to direct the planning of actions, to identify effective techniques for health behavior change, and to develop evidence-based practices (15,(24)(25) . When guided by a theory, the researcher has the premises to structure the intervention according to the variables that may influence the studied phenomenon (15) , which, in the case of the HBM, are susceptibility, severity, barriers and perceived benefits, underpinning the methodological decisions (38) .…”

Section: Discussionmentioning

confidence: 99%

“…Given the magnitude of the problem of falls, there is a recommendation that more interventions be conducted to improve the adherence behavior of the elderly to the PMs (14)(15)(16) and decrease the influence of risk factors, such as beliefs (5,17) . Studies have shown that educational interventions can be effective in modifying health beliefs and behaviors (18)(19)(20)(21) .…”

Section: Introductionmentioning

confidence: 99%

“…Theory-based interventions are more effective for research on prevention behaviors (24)(25) , especially in the adherence to the fall PMs (15) . Those that use theories from the behavioral sciences are the most appropriate (24)(25) , especially that of the Health Belief Model (HBM) (15) .…”

Section: Introductionmentioning

confidence: 99%

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Health beliefs and adherence of the elderly to fall prevention measures: a quasi-experimental study

et al. 2022

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Objective: To evaluate the effect of an educational intervention on health beliefs and adherence of elderly people to fall prevention measures. Methods: This is a quasi-experimental study, carried out at the Senior Citizens' Center. Sixty-eight elderly completed the intervention. The intervention consisted of four meetings focused on beliefs about falls and prevention, and the evaluation occurred at baseline and 30 days after completion. Results: The elderly were predominantly women (83.82%), with one to four years of schooling (36.76%), with health problems (95.59%), and 48.53% had fallen. There was a significant increase in perceived susceptibility, severity, benefits, barriers, and total health belief score post educational intervention. By adding total to partial adherence, there was a significant increase in the adherence of the elderly to fall prevention measures after the educational intervention. Conclusion: Educational intervention was able to improve the beliefs and adherence of the elderly to fall prevention measures.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Health beliefs and adherence of the elderly to fall prevention measures: a quasi-experimental study

et al. 2022

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“…The relevant number of productions made by nurses was evidenced, considering the direct care provided by nursing to elderly hospitalized patients, which led to the formation of three categories: clinical assessment made by nurses for fall prevention of hospitalized elderly people (11,(20)(21)24,28,32,38) ; identification of fall risk factors in elderly people (10,(12)(13)(14)17,19,22,27,29,35,(39)(40)(41)(42) ; fall risk prevention strategies for elderly people (11,15-18,23,25-26, 29-31,33-34,36-37) .…”

Section: Qualitative Study N=10mentioning

confidence: 99%

“…In the studies included in this category (10,(12)(13)(14)17,19,22,27,29,35,(39)(40)(41)(42) , the factors identified as fall risk of the hospitalized elderly were related to clinical, cognitive, medication and extrinsic factors. Such studies indicate that failure to identify these factors can produce limited strategies, making their prevention difficult.…”

Section: Identification Of Risk Factors For Falls Among Elderly Peoplementioning

confidence: 99%

Nursing care related to fall prevention among hospitalized elderly people: an integrative review

et al. 2021

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Objective: to identify scientific productions on nursing care related to fall risk prevention among hospitalized elderly people. Methods: an integrative literature review from 2015 to 2019 in the PubMed/MEDLINE, Scopus, Web of Science, LILACS, BDENF, SciELO and CINAHL databases, in Portuguese, English and Spanish. The keywords were elderly, hospitalization, accidents due to falls, nursing care. Results: thirty-three publications were analyzed. The synthesis of the studies resulted in the categories: Clinical nursing assessments to prevent falls among hospitalized elderly people; Fall risk factors for elderly people; Fall risk prevention strategies for elderly people. Final considerations: it was found that the scientific knowledge produced on nursing care related to fall risk prevention for hospitalized elderly people evidences the clinical assessment, risk factors and strategies such as nursing care, contributing to foster self-care behavior and promotion security for elderly people.

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Expanding the Health Belief Model for exploring inpatient fall risk perceptions: A methodology paper

Dolan,

Taylor‐Piliae

2023

Journal of Advanced Nursing

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AimsInpatient falls among older adults are a relentless problem, and extant inpatient fall prevention research and interventions lack the older adults' perspectives and experiences of their own fall risk in the hospital. Theory‐guided research is essential in nursing, and the purpose of this paper was to describe the process of developing a theoretical framework for a phenomenological nursing study exploring older adults' lived experiences of being at risk for falling in the hospital.MethodBased on philosophical nursing underpinnings, the Health Belief Model (HBM) was selected as the theoretical model. The limitations of the model led to expansion of the model with established concepts associated with accidental falls among older adults.ResultsThe HBM was selected as the guiding model due to its ability to capture a broad range of perceptions of a health threat. The HBM was expanded with the concepts of embarrassment, independence, fear of falling, dignity and positivity effect. The addition of these concepts made the theoretical framework more applicable to age‐related developmental behaviours of older adult and more applicable to nursing research.ConclusionThe Expanded HBM theoretical framework may guide future nursing research to develop fall prevention interventions to decrease fall rates among hospitalized older adults.Patient or Public ContributionNo Patient or Public Contribution.

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Selecting a theoretical framework to guide a research study of older adults' perceptions and experiences of falling in the hospital

Abstract: Selecting a theoretical framework to guide a research study of older adults' perceptions and experiences of falling in the hospital. Applied Nursing Research, 47, 38-40.

Cited by 4 publications

References 18 publications

Health beliefs and adherence of the elderly to fall prevention measures: a quasi-experimental study

Health beliefs and adherence of the elderly to fall prevention measures: a quasi-experimental study

Nursing care related to fall prevention among hospitalized elderly people: an integrative review

Expanding the Health Belief Model for exploring inpatient fall risk perceptions: A methodology paper

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