Outcomes from the implementation of a facility-specific evidence-based falls prevention intervention program in residential aged care

Journal article


Nitz, Jennifer, Cyarto, Elizabeth V., Andrews, Sharon, Fearn, Marcia, Fu, Stephanie, Haines, Terrence, Haralambous, Betty, Hill, Keith, Hunt, Susan, Lea, Emma, Moore, Kirsten J., Renehan, Emma and Robinson, Andrew. (2012). Outcomes from the implementation of a facility-specific evidence-based falls prevention intervention program in residential aged care. Geriatric Nursing. 33(1), pp. 41 - 50. https://doi.org/10.1016/j.gerinurse.2011.11.002
AuthorsNitz, Jennifer, Cyarto, Elizabeth V., Andrews, Sharon, Fearn, Marcia, Fu, Stephanie, Haines, Terrence, Haralambous, Betty, Hill, Keith, Hunt, Susan, Lea, Emma, Moore, Kirsten J., Renehan, Emma and Robinson, Andrew
Abstract

For residents in long-term care facilities, falling is a major concern requiring preventive intervention. A prospective cohort study measured the impact of falls reduction following the implementation of evidence-based fall prevention interventions in 9 Australian residential care facilities. An external project team provided a comprehensive audit of current practice. Facilitated by an action research approach, interventions were individualized to be facility- and patient-specific and included the following: environmental modifications such as low beds and height-adjustable chairs, movement alarms, hazard removal, and hip protectors. Participants included 670 residents and 650 staff from 9 facilities across 3 states. A significant reduction of falls were observed per site in the proportion of fallers (P = .044) and single fallers (P = .04). However, overall the number of falls was confounded by multiple falls in residents. Reduction in fallers was sustained in the 6-month follow-up phase. Positive outcomes from interventions varied between facilities. Further research is necessary to target frequent fallers.

Year2012
JournalGeriatric Nursing
Journal citation33 (1), pp. 41 - 50
PublisherElsevier - Mosby
ISSN0197-4572
Digital Object Identifier (DOI)https://doi.org/10.1016/j.gerinurse.2011.11.002
Scopus EID2-s2.0-84856278355
Page range41 - 50
Research GroupSchool of Nursing, Midwifery and Paramedicine
Publisher's version
File Access Level
Controlled
Place of publicationUnited States of America
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