Comparative effectiveness of implementing evidence-based education and best practices in nursing homes: Effects on falls, quality-of-life and societal costs

Teresi, Jeanne A.; Ramírez, Mildred; Remler, Dahlia K.; Ellis, Julie; Boratgis, Gabriel; Silver, Stephanie; Lindsey, Michael L.; Kong, Jian; Eimicke, Joseph P.; Dichter, Elizabeth

doi:10.1016/j.ijnurstu.2011.07.003

Cited by 30 publications

(39 citation statements)

References 74 publications

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“…Falls are a recurrent problem for older people and a matter of concern in long-term care (LTC) institutions for the elderly (1)(2)(3) , where their incidence varies between 34% and 67% (4) . They are a common cause of institutionalization and affect the independent residents of LTC facilities (5) .…”

Section: Introductionmentioning

confidence: 99%

“…The authors emphasize that prevention may have several formats, but must involve different professionals (7) . Both in the level of healthcare policy definition and in direct care of the elderly, nurses are the most qualified and suitable professionals to identify and categorize risk and to plan, implement, and evaluate prevention programs (4) , playing a key role in the assurance of quality of care in LTC units (4) . In the interface between the appointment and the analysis of research results for this public healthcare issue, the need arises to outline and validate an intervention protocol for fall management risk in LTC institutions that allows nurses to use tools and interventions in clinical practice based on investigation, and assess the results of nursing care.…”

Section: Introductionmentioning

confidence: 99%

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

2017

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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 ...

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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

2017

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“…Champions und Netzwerke erscheinen als hilfreich (Ploeg et al, 2007) (Daniel-Wichern et al, 2009;Friesen-Storms et al, 2015). Verschiedene Wege zur Verfestigung der Implementation wie Weiterbildung (Gélinas et al, 2011;Teresi et al, 2013;de Rond et al, 2001) …”

Section: Durchführungunclassified

“…Die Anpassung sowie das Kommunizieren der eingeführten Standards sind wichtige Aspekte (Daniel-Wichern et al, 2009;Friesen-Storms et al, 2015). Verschiedene Wege zur Verfestigung der Implementation wie Weiterbildung (Gélinas et al, 2011;Teresi et al, 2013;de Rond et al, 2001), Bereitstellung von Ressourcen (Cummings et al, 2003) sowie der Einsatz von Champions erscheinen ähnlich gut, auch Synergien durch verschiedene Methoden sind denkbar (Rashotte et al, 2008). Die Unterstützung durch Ärzte/-innen ist gesichert, wenn das Ausmass der Änderung gegenüber der bisherigen Praxis gering ist (Alvarado, 2007).…”

Section: Aufrechterhaltungunclassified

Implementation in nursing and midwifery. A scoping review / Implementationsprojekte in der Pflege und Hebammenarbeit. Scoping review

Loytved

Hasenberg

Brendel

et al. 2017

International Journal of Health Professions

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Background:Evidence-based expertise in nursing and midwifery is growing but is not automatically turned into practice. The importance of implementation research is therefore increasing. International research results on factors facilitating implementation have not yet been sufficiently presented.Objective: This scoping review will explore the findings on successful preparation, realisation and maintenance of interventions in nursing and midwifery. Method: Based on an existing systematic approach, relevant data bases were accessed to identify original studies relating to implementation research in nursing and midwifery. The process of study selection and the characteristics of the included studies were charted. Findings: In the four reviews and 38 studies which met the inclusion criteria, various factors leading to successful implementation are identified. Based on the included studies, four facilitating factors can be pinpointed: (1) workplace culture (16 entries), (2) leadership culture (28 entries), (3) resources (4 entries), and (4) training (22 entries). Depending on the specific phase of the implementation process (preparation, realisation, or maintenance), these factors will vary in importance. Conclusion:This scoping review provides an orientation for the field of implementation research and it maps the design, themes and results of the studies included. It should be noted that few studies take into consideration the relevant theories, as well as the influence that the researchers and the target group may have on the implementation process, or provide an exact description of the setting in which the implementation takes place. Implementation -nursing -midwifery -scoping review Keywords Abstract Zurich University of Applied Sciences, School of Health ProfessionsVolume 4, Issue 2, 2017, Pages 122-136, ISSN 2296-990X, DOI: 10.1515/ijhp-2017 InternAtIOnAl JOurnAl OF HeAltH PrOFessIOns Implementation in nursing and midwifery. A scoping review Hintergrund: Evidenzbasiertes Wissen steht im Pflege-und Hebammenbereich zunehmend zur Verfügung, wird aber nicht automatisch in die Praxis umgesetzt. Implementationsforschung gewinnt daher immer grössere Bedeutung. Die international verfügbaren Forschungsergebnisse zu den Faktoren, die zum Gelingen einer Implementation beitragen, sind bislang noch nicht genügend aufbereitet worden. Gegenstand des Artikels: Im vorliegenden Scoping Review wird der Frage nachgegangen, welche Arbeiten zur gelungenen Vorbereitung, Durchführung und Aufrechterhaltung von Interventionen im Bereich der Pflege-und Hebammenarbeit vorliegen. Methode: In der für Scoping Reviews vorgesehenen, systematischen Vorgehensweise wurden einschlägige Datenbanken durchsucht, um Reviews und Studien zur Implementationsforschung im Bereich Pflege und Hebammenarbeit aufzufinden. Der Auswahlprozess, der zur Trefferliste führte, und die Charakteristika der eingeschlossenen Studien werden in Abbildungen und Tabellen strukturiert aufbereitet. ergebnis: In vier Reviews und 38 Studien, die den Einschlusskriterien entspr...

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“…These span a range of topics, and reflect a number of different designs, demonstrating the breadth of content areas as well as the versatility of nurse researchers in applying different methods to answer implementation questions. The topics cover fall prevention (Teresi et al, 2013), quality of life (Teresi et al, 2013), hand hygiene (Huis et al, 2013b), pressure ulcer prevention (Beeckman et al, 2013;Unbeck et al, 2013), medication adherence (Williams et al, 2013) and administration (Kummer et al, 2013), tracheostomy care (Mitchell et al, 2013), pain assessment (Ista et al, 2013), and oral health (Weening-Verbree et al, 2013). These all reflect core or fundamental nursing practice issues, highly relevant to practice, and often the subject of research related to nursing.…”

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confidence: 99%

Reflections on the state of nursing implementation science

Sales

2013

International Journal of Nursing Studies

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Comparative effectiveness of implementing evidence-based education and best practices in nursing homes: Effects on falls, quality-of-life and societal costs

Cited by 30 publications

References 74 publications

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

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

Implementation in nursing and midwifery. A scoping review / Implementationsprojekte in der Pflege und Hebammenarbeit. Scoping review

Reflections on the state of nursing implementation science

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