When evidence is not enough: The challenge of implementing fall prevention strategies

Fixsen, Dean L.; Scott, Vicky; Blasé, Karen A.; Naoom, Sandra F.; Wagar, Lori

doi:10.1016/j.jsr.2011.10.002

Cited by 61 publications

(63 citation statements)

References 14 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The dimension "leading communication and formation" is the one that better scores at IRA. Evidence-based fall prevention is innovative and, by definition, represents new ways of working that require new knowledge, capacities, and skills that have to be learned and implemented in the profession (21) , so that the nurses can lead the processes in their teamwork.…”

Section: Discussionmentioning

confidence: 99%

“…The literature advocates that communication and teamwork are crucial for fall prevention, from risk assessment to adoption of preventive action and communication of fall episodes. These must be reported monthly to the team, which plays a key role in the implementation of better practices (21) . Communication is a central element in a fall prevention program.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Falls in long-term care institutions for elderly people: protocol validation

2017

View full text Add to dashboard Cite

Objectives: To validate the content of a fall management risk protocol in long-term institutions for elderly people. Methods: Methodological, quanti-qualitative study using the Delphi technique. The tool, based on the literature, was sent electronically to obtain consensus among the 14 experts that meet the defi ned inclusion criteria. Results: The 27 indicators of the protocol are organized in three dimensions: prepare for the institutionalization (IRA=.88); manage the risk of falls throughout the institutionalization (IRA=.9); and lead the communication and formation (IRA=1), with a CVI=.91. Two rounds were performed to get a consensus superior to 80% in every item. Conclusion: The values obtained in the reliability test (>0.8) show that the protocol can be used to meet the intended goal. The next step is the clinic validation of the protocol with residents of long-term care institutions for elderly people. Descriptors: Accidental Falls; Aged; Accident Prevention; Nursing; Institutionalization. RESUMO Objetivos: Validar o conteúdo de um protocolo para a gestão do risco de queda em Instituições de Longa Permanência para Idosos. Método: Estudo metodológico, de abordagem quantiqualitativa, utilizando a técnica de Delphi. O instrumento, construído com base na literatura, foi enviado por via electrónica, para obter consenso entre os 14 peritos que respeitam os critérios de inclusão defi nidos. Resultados: Os 27 indicadores do protocolo estão organizados em três dimensões: Preparar a Institucionalização (IRA=,88); Gerir o Risco de Queda ao longo da Institucionalização (IRA=,9) e Liderar a comunicação e formação (IRA=1), com um CVI=,91. Foram efetuadas duas rodadas para se obter consenso superior a 80% em todos os itens. Conclusão: Os valores obtidos no teste de fi dedignidade (>0,8) atestam que o protocolo pode ser utilizado para atingir o fi m que se pretende. A próxima etapa é a validação clínica do protocolo com idosos residentes em Instituições de Longa Permanência para Idosos. Descritores: Acidentes por Quedas; Idosos; Prevenção de Acidentes; Enfermagem; Institucionalização. RESUMEN Objetivos: Validar el contenido de un protocolo para gestión de riesgo de caídas en Residencias Geriátricas. Método: Estudio metodológico, de abordaje cualicuantitativo, utilizando técnica de Delphi. El instrumento elaborado con base en la literatura fue enviado por vía electrónica para obtener consenso entre los 14 peritos que observan los criterios de inclusión defi nidos. Resultados: Los 27 indicadores del protocolo están organizados en tres dimensiones: Preparar la Institucionalización (IRA=,88); Gerenciar el Riesgo de Caída durante la institucionalización (IRA=,9); y Liderar la comunicación y formación (IRA=1), con un CVI=,91. Fueron efectuadas dos rondas para obtener consenso superior al 80% en todos los ítems. Conclusión: Los valores obtenidos en el test de fi delidad (>0,8) certifi can que el protocolo puede utilizarse para alcanzar el fi n pretendido. La siguiente etapa será la validación clínica del protocolo con ...

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Falls in long-term care institutions for elderly people: protocol validation

2017

View full text Add to dashboard Cite

show abstract

“…6 In spite of efforts to characterize this phenomenon, it is recognized that the biomedical model, with the evaluation of biophysiological risk factors, has been predominant in the research on fall risks, and that there is a gap between evidence and translation of knowledge into clinical practice. 12 This transfer process in LTC institutions is complex, not just because of its nature, but also because of the dimension of teams and diversity of practices. A literature review showed that little is known about teamwork in fall risk management and how it can influence the prevalence of falls.…”

Section: Discussionmentioning

confidence: 99%

“…12 The contribution of the present study to the state of the art in the area is the design, content validation, and application of a scale to assess practices and behaviors of teams regarding fall risk management in LTC facilities, in accordance with guidelines for the use of specific instruments to evaluate practices and behaviors. 9 Content validation was performed by a heterogeneous examining board.…”

Section: Discussionmentioning

confidence: 99%

Práticas Das Equipas Na Prevenção De Queda Nos Idosos Institucionalizados: Construção E Validação De Escala

Baixinho

Dixe

2017

Texto contexto - enferm.

View full text Add to dashboard Cite

Objective: determine and elaborate the psychometric characteristics of nursing team practices and develop a behavior scale for fall risk management in institutionalized elderly people.Method: the scale was designed based on a literature review and observation of the work of the teams in a long-term care institution for the elderly. The content of the scale was analyzed and the concordance index of the 14 initial items was checked by nine experts. The scale was applied to a sample of 152 caregivers from six long-term care institutions for the elderly. The research conformed to ethical principles. The anonymity of the participants and the confidentiality of the data were ensured.Results: after the determination of the psychometric characteristics, it was observed that the unidimensional scale had six items, with a Cronbach's alpha of 0.918 and a score ranging from 6 to 30 points. Analysis of the results revealed that information about risk factors and team discussions regarding preventive measures are not always present, allowing specific team members to value different measures, which impairs continuity of the care and individualization of the measures before the assessed risk.Conclusion: the scale shows suitable psychometric features and can be used in investigation and clinical practice to assess the practices and behaviors of nursing teams in fall risk management in institutionalized elderly patients. DESCRIPTORS:Falls. Elderly people. Caregivers. Risk management. Psychometry. Behavioral assessment scale. PRÁTICAS DAS EQUIPAS NA PREVENÇÃO DE QUEDA NOS IDOSOS INSTITUCIONALIZADOS: CONSTRUÇÃO E VALIDAÇÃO DE ESCALA RESUMOObjetivo: construir e determinar as características psicométricas da escala de práticas e comportamentos das equipes na gestão do risco de queda dos idosos institucionalizados.Método: a escala foi desenhada com base na revisão da literatura e na observação do trabalho das equipes numa instituição de longa permanência para idosos. Foi realizada a análise de conteúdo e a verificação do índice de concordância dos 14 itens iniciais por nove juízes. A escala foi aplicada a uma amostra de 152 cuidadores de seis instituições de longa permanência para idosos. A investigação respeitou os princípios éticos. Garantiu-se o anonimato e a confidencialidade dos dados.Resultados: após a determinação das caraterísticas psicométricas, verificámos que a escala, unidimensional, ficou constituída por seis itens, com um Alfa de Cronbach de 0,918, pontua entre 6 e 30 pontos. A análise dos resultados permite constatar que a informação sobre os fatores de risco e a discussão em equipe sobre as medidas preventivas nem sempre são mantidas, possibilitando que elementos diferentes da equipe possam valorizar medidas diferentes, o que não garante a continuidade de cuidados e a individualização das medidas face ao risco avaliado.Conclusão: a escala tem boas características psicométricas, podendo ser usada na investigação e na prática clínica para avaliar as práticas e os comportamentos das equipes na gestão do risco de q...

show abstract

“…Falls can also have psychological consequences: fear of falling and loss of confidence that can result in self-restricted activity levels resulting in reduction in physical function and social interactions. There is a large body of evidence on the effectiveness of fall prevention interventions [101][102][103]. The EIP on AHA has proposed a specific action (A2) concerning a fall prevention initiative [94].…”

Section: Prediction Of Risk (Acute Events or Long-term Outcome Of Indmentioning

confidence: 99%

Systems Medicine Approaches for the Definition of Complex Phenotypes in Chronic Diseases and Ageing. From Concept to Implementation and Policies

Bousquet¹,

Jørgensen²,

Dauzat³

et al. 2014

CPD

View full text Add to dashboard Cite

When evidence is not enough: The challenge of implementing fall prevention strategies

Cited by 61 publications

References 14 publications

Falls in long-term care institutions for elderly people: protocol validation

Falls in long-term care institutions for elderly people: protocol validation

Práticas Das Equipas Na Prevenção De Queda Nos Idosos Institucionalizados: Construção E Validação De Escala

Systems Medicine Approaches for the Definition of Complex Phenotypes in Chronic Diseases and Ageing. From Concept to Implementation and Policies

Contact Info

Product

Resources

About