Entre les familles et les services formels, le désir des aînés ayant besoin d'aide

Scialfa, Charles T.; Spadafora, Pat; Klein, Marianne; Lesnik, Agata; Dial, Lindsay; Heinrich, Antje

doi:10.3138/cja.27.3.253

Cited by 12 publications

(5 citation statements)

References 14 publications

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“…Both verbal and non-verbal warnings were used, for the following reasons. Older adults have greater difficulty than young adults in understanding messages presented as visual symbols (Scialfa et al, 2008). Like visual symbols, non-verbal auditory warnings are abstract sounds that may not be readily understood.…”

Section: The Current Studymentioning

confidence: 99%

“…Like visual symbols, non-verbal auditory warnings are abstract sounds that may not be readily understood. Without training older adults have greater difficulty comprehending the meaning of product labels and warnings (Hancock et al, 2005), particularly if they are symbolic, complex or involve only symbols or icons without accompanying text (Lesch et al, 2011;Scialfa et al, 2008). In addition, auditory warnings can possibly startle fatigued drivers, leading to a potentially dangerous oversteer reaction (Hancock and Verwey, 1997).…”

Section: The Current Studymentioning

confidence: 99%

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Auditory forward collision warnings reduce crashes associated with task-induced fatigue in young and older drivers

Baldwin

May

Parasuraman

2014

IJHFE

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Driver fatigue poses a persistent threat to transportation safety. Auditory warnings provided prior to a potential collision event can reduce crash probability in alert drivers, but it is unclear whether they are effective in fatigued young and older drivers. In the present study fatigue was task-induced in young (18-29 yrs.) and older (65-85 yrs.) licensed drivers via a 1.5 hour simulated car following task. Upon meeting a fatigue criterion -based on individually assessed excessive lane position variability -a single potential collision event was triggered and drivers were either provided an auditory warning or not. The auditory warning significantly reduced overall crash probability and was particularly beneficial in reducing crashes in older drivers. Auditory collisions warnings can reduce fatigue-related rear-end crashes, particularly among older drivers -a population at greater risk of both fatigue and crashes.

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Section: The Current Studymentioning

confidence: 99%

Section: The Current Studymentioning

confidence: 99%

Auditory forward collision warnings reduce crashes associated with task-induced fatigue in young and older drivers

Baldwin

May

Parasuraman

2014

IJHFE

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“…Symbols alone seem to be less effective. They seem to be better understood when used in combination with text (Gibson et al, 2004;Namazi & Johnson, 1991b;Scialfa et al, 2008). Furthermore, the combination of signposting and ongoing training by staff seems to be effective (Hanley, 1981).…”

Section: Introductionmentioning

confidence: 99%

Environmental Cues in Double-Occupancy Rooms to Support Patients With Dementia

Motzek

Bueter

Marquardt

2015

HERD

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As this study indicated, the environmental cues color and number are helpful for these patients to identify their bed and wardrobe. However, these cues were most effective from the third to the fifth day after admission. To sustain their effectiveness on patients' identification abilities during their hospital stay, we discuss, whether verbal prompting and an ongoing mentioning of such cues, embedded in the daily work of nurses, could be beneficial.

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“…Research conducted with sign comprehension showed older adults with cognitive impairment had poorer sign comprehension overall and difficulty with wayfinding icons or icons with text (Scialfa et al, 2008). The research was conducted in Canada and aimed to determine whether iconic sign comprehension declines in healthy aging and in the presence of cognitive impairment.…”

Section: Identification Of Bed Spacesmentioning

confidence: 99%

“…Sign comprehension has an impact on effective driving, responses to warnings, and wayfinding which means signs that are poorly comprehended by older people increase accident risk and may compromise their independence. Therefore, the development of comprehensive signs for older adults with a cognitive impairment needs to take into consideration older adults' range of perceptual and cognitive abilities represented in the population (Scialfa et al, 2008).…”

Section: Identification Of Bed Spacesmentioning

confidence: 99%

Patient Safety of Older Adults with Cognitive Impairment: Evaluation of a Service Improvement Initiative

Patel¹

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Background The safety of older adults with cognitive impairment is linked to falls and to aggressive incidents, therefore patient safety is an important aspect of care for this group of older adults. Environmental changes to create a more ‘dementia-friendly’ setting can create a safer space for patient care. The Kings Fund Healing the Healthy Environmental tool was used to make small changes to a ward environment. The changes included; large face clocks, identification of bed spaces, lavender oil diffusor, and viewing gardens, to improve patient safety. Research Objectives -To assess the impact of environmental changes on patient reportable events (falls and aggression) in older persons’ wards, through a comparative analysis of incidents in the wards – one (Ward A) with environmental changes and the other (Ward B) with usual environment. -To obtain staff perspectives of the changes implemented in the service initiative. Method A practice-based impact evaluation using mixed methods was undertaken to evaluate the service initiative. The methods included an analysis of data from an established database that captured reported falls and aggressive behaviour (quantitative data), and a survey of healthcare staff about the effectiveness of environmental changes (qualitative data). Results The results show that the environmental changes implemented through the service initiative reduced the number of reported falls and aggressive incidents in Ward A in the high visible room. Following the environmental change, the rate of falls per 100 nights in Ward A high visible room was 2.43 compared with a rate of 3.23 times in Ward B. The number of aggressive incidents was 10 in Ward A and 9 in Ward B. The survey findings indicated staff valued the environmental changes particularly the large face clocks. Conclusion While the quantitative data results are not statistically significant the results indicate that the environmental changes implemented (large face clocks, identification of bed spaces, lavender oil diffusor, and viewing gardens) led to a lower number of reportable events for falls in Ward A. Any reduction in the numbers of falls and aggressive behaviour is clinically significant given the impact of such events on patient health and length of stay. The dementia-friendly environmental changes implemented were shown to be an effective service initiative. Clinical and research implications Wards that cater for older people with cognitive impairment should consider implementing low-cost environmental changes such as introducing large face clocks, clear identification of bed spaces, lavender oil diffusors, and viewing gardens. Further research using a larger patient population (a longer time frame or several wards) is required to obtain an adequately powered study.

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Entre les familles et les services formels, le désir des aînés ayant besoin d'aide

Cited by 12 publications

References 14 publications

Auditory forward collision warnings reduce crashes associated with task-induced fatigue in young and older drivers

Auditory forward collision warnings reduce crashes associated with task-induced fatigue in young and older drivers

Environmental Cues in Double-Occupancy Rooms to Support Patients With Dementia

Patient Safety of Older Adults with Cognitive Impairment: Evaluation of a Service Improvement Initiative

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