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

Baixinho, Cristina Lavareda; Dixe, Maria dos Anjos

doi:10.1590/0104-07072017002310016

Cited by 8 publications

(30 citation statements)

References 17 publications

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“…The multifactorial nature and complexity of the relationship among fall risk factors make it difficult to control this problem. The prevention of falls implies multiprofessional teamwork, with interventions directed by teams that play a crucial role in the implementation of best practices, from risk assessment to implementation of preventive measures and communication of fall episodes (5) .…”

Section: Discussionmentioning

confidence: 99%

“…A review of the literature showed that there have been recommendations for team interventions and studies that have focused on the development of communication processes and their impact on decreases in prevalence, risk and associated injuries (5)(6)8) . However, there has been no work focused on structured team interventions in order to develop skills in managing the fall risk of the elderly population.…”

Section: Discussionmentioning

confidence: 99%

“…There is good evidence that falls can be prevented (1)(2) . However, some authors consider that despite the enormous impact of falls on the elderly, there is still little evidence about the effectiveness of preventive interventions (4)(5) . For this reason, some authors maintain that the challenge for health institutions is to implement effective fall prevention strategies that respond to the specifics and needs of each elderly person, based on programs implemented within multidisciplinary teams (5) .…”

Section: Introductionmentioning

confidence: 99%

“…A study of the practices and behaviors of teams in the prevention of falls in institutionalized elderly people found that information about risk factors and team discussion of preventive measures is not always utilized, which may allow different members of teams to value different measures, compromising continuity of care and individualization of measures in response to the assessed risk (5) .…”

Section: Introductionmentioning

confidence: 99%

“…A review of the literature showed that international guidelines and different studies recommend team interventions as a way to prevent falls in hospitalized elderly. However, evidence on the effectiveness of this approach is scarce, considering that studies have mostly focused on biomedical interventions (5) , whereas guidelines for team interventions focus on training regarding risk factors and preventive measures. For this reason, the authors of the present study considered it pertinent to design an intervention for hospital teams in the care of the elderly.…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

Preventing falls in hospitalized elderly: design and validation of a team intervention

Cunha

Baixinho

Henriques

2019

Rev. esc. enferm. USP

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Objective:The objective of the present study was the design and validation, by a panel of experts, of a team intervention to manage the risk of falls in the hospitalized elderly. Method: The method used was a quanti-qualitative approach, using the Delphi method. The study was developed in two phases: in the first, five researchers designed the intervention; in the second, 13 professionals validated it. Results: The analysis of the content of the intervention designed by the participants in the first phase of the study allowed assignment of the indicators to the following previously defined categories: team formation; communication; leadership; monitoring; and mutual support. After two rounds, all the indicators obtained a consensus higher than 80%. Conclusion: The present study allowed validation of a team intervention by a panel of experts, so that teams can manage the risk of falls in hospitalized elderly. The reliability test results ensure that the intervention can be used safely in clinics and for research.A prevenção das quedas em idosos hospitalizados: elaboração e validação de uma intervenção em equipe La prevención de las caídas en ancianos hospitalizados: diseño y validación de una intervención en equipo How to cite this article: Cunha LFC, Baixinho CL, Henriques MA. Preventing falls in hospitalized elderly: design and validation of a team intervention. Rev Esc Enferm USP. 2019;53:e3479.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Preventing falls in hospitalized elderly: design and validation of a team intervention

Cunha

Baixinho

Henriques

2019

Rev. esc. enferm. USP

Self Cite

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Team approach to fall reduction in paediatric ward of national referral hospital, Thimphu, Bhutan: a quality improvement initiative

Chhetri¹,

Rinchen²,

Lamichaney³

et al. 2022

BMJ Open Qual

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Falls are common and preventable adverse events that occur in a hospital setting. Falls can cause pain, damage, increase cost and mistrust in the health system. Inpatient fall is a multifactorial event which can be reduced with multistrategic interventions.In this project, we aimed to reduce the fall rate in paediatric ward of Jigme Dorji Wangchuck National Referral Hospital, Bhutan by 25% from the baseline over a period of 6 months by focusing on fall risk assessment, staff education on fall prevention measures and devoting more attention to patients at high risk of fall.We tested three sets of interventions using the Plan–Do–Study–Act approach. For the first cycle, emphasis was on staff education in terms of proper use of fall risk assessment form, risk categorisation and fall prevention advice. In the second cycle, in addition to the first we introduced the ‘high risk of fall package’ and the third cycle focused on early and easy identification of high-risk patients by continuous fall risk assessment and use of high risk of fall sticker.We observed that at the start of the quality improvement project despite our intervention the fall rate of our ward went up but as we continued adding more ideas focusing on high risk patients, we could achieve a fall reduction of 49.3% from the base line by end of third cycle. Our ward saw fall free days of almost 90 days at the end of project.We conclude that inpatient falls occur due to multiple factors therefore a multi-pronged strategy is needed to prevent it. One of the prime preventive strategy is identifying patients who are at high risk of fall and concentrating attention to those patients.

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Validation of the International 7-Item Falls Efficacy Scale in Portuguese Community-Dwelling Older Adults

Marques-Vieira

Sousa

Baixinho

et al. 2021

Texto contexto - enferm.

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Objective to determine the psychometric properties of the international 7-item Falls Efficacy Scale. Method a psychometric study. Convenience sample consisting of 170 older adults living in the Madeira Autonomous Region, Portugal. A two-part instrument was used (sociodemographic characterization and the Falls Efficacy Scale-International-Portugal). The starting point was the translation and transcultural adaptation already carried out for the Falls Efficacy Scale - International (16 items). Construct validity (factorial analysis and discriminant validity) and the reliability (Cronbach's α) of the 7-item scale were evaluated. Previous authorization was obtained from the Ethics Commission and from the people involved. Results in the exploratory factorial analysis, the International 7-item Falls Efficacy Scale presents an explained variance of 65.8%. The Spearman's correlation between the score obtained based on the 7 items and the score obtained based on the 16 items is significant and very strong (r=0.987, p<0.0001). Internal consistency was 0.958. Conclusion the validity and reliability study of the International 7-item Falls Efficacy Scale revealed that it is an adequate scale for the evaluation of the fear of falling in the community-dwelling older adults.

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

Cited by 8 publications

References 17 publications

Preventing falls in hospitalized elderly: design and validation of a team intervention

Preventing falls in hospitalized elderly: design and validation of a team intervention

Team approach to fall reduction in paediatric ward of national referral hospital, Thimphu, Bhutan: a quality improvement initiative

Validation of the International 7-Item Falls Efficacy Scale in Portuguese Community-Dwelling Older Adults

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