Risks and suggestions to prevent falls in geriatric rehabilitation: a participatory approach

Vieira, Edgar Ramos; Berean, Colleen; Paches, Debra; Costa, Larissa; Décombas-Deschamps, Natacha; Caveny, Penny; Yuen, Doris; Ballash, Lauralee

doi:10.1136/bmjqs.2010.042382

Cited by 13 publications

(38 citation statements)

References 17 publications

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“…Some of the residents actually realized that they overestimated their capabilities and described that watching the video helped them to see what they were doing. We found that video-elicitation generated greater participation and discussion than what we experienced in previous studies using interviews alone [17]. Video-elicitation fostered self-awareness, commitment to the research process, and interest in the study results.…”

Section: Discussionmentioning

confidence: 76%

“…Analysts also watched the transfer videos to gain further contextual information. Transcripts were coded case-by-case following steps used in previous visual studies of safety issues [15][16][17]. The steps included an initial review of the interviews and videos.…”

Section: Discussionmentioning

confidence: 99%

“…All interviews were audio-recorded. The objectives of the study and experience gained through a previous study on falls in older adults were used to develop the interview guiding questions [17,18]. Field notes to capture observations and contextual matters were written after each interview, video-recording, and videoelicitation session.…”

Section: Procedures and Data Collectionmentioning

confidence: 99%

“…In an attempt to address this, researchers in rehabilitative and acute care settings have engaged caregivers and clients in collecting photographic data to identify risks, facilitators, and barriers to mobility. These data were used to design safety interventions that have shown positive outcomes [13][14][15][16][17]. However, the use of video has not been investigated to the same extent.…”

Section: Introductionmentioning

confidence: 99%

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Using video-elicitation to assess risks and potential falls reduction strategies in long term care

Vieira

OʼRourke

Marck

et al. 2013

Disability and Rehabilitation

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We were able to implement the novel participatory video-elicitation method developed and it was useful to identify risks and risk reduction strategies. Therefore, video-elicitation may be used in future studies to inform the design and testing of interventions to reduce transfer-related falls among LTC residents. Implications for Rehabilitation Falls are common among long term care residents. Visual-elicitation is a useful tool to be used in rehabilitation to assess risks and possible measures to reduce falls. The video-elicitation sessions optimized the ability and engaged residents, health care providers, and family members on providing information and discussing risks and potential measures to reduce transfer-related falls.

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Section: Discussionmentioning

confidence: 76%

Section: Discussionmentioning

confidence: 99%

Section: Procedures and Data Collectionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Using video-elicitation to assess risks and potential falls reduction strategies in long term care

Vieira

OʼRourke

Marck

et al. 2013

Disability and Rehabilitation

View full text Add to dashboard Cite

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“…Falls not only cause events such as bone fractures and head injuries, but also involve extended hospital stays, increased cost, and reduced mobility led by fear of falling [1][2][3][4][5][6]. It is reported that falls tend to occur as a result of the interactions between patient factors and environment [7].…”

Section: Introductionmentioning

confidence: 99%

The effect of an animation movie for inpatient fall prevention: a pilot study in an acute hospital

Nakagami-Yamaguchi¹,

Fujinaga²,

Batard³

et al. 2016

Saf Health

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Background: In this study, we developed an animated movie as a novel educational tool for fall prevention, and intended for patients and caregivers. We evaluated this new animation, comparing its effectiveness both before and after intervention, and have discussed its potential in the context of inpatient fall prevention. Methods: While including previously implemented multidisciplinary fall prevention measures, we started to introduce the use of animation in August 2013. Pre-and post-intervention questionnaire surveys were conducted for patients and nurses in June and August 2013, respectively, for 2 weeks. Results: We obtained 304 and 269 paired data in the pre-and post-intervention survey periods. On examining the difference between nurses' instructions and patients' understanding, in the pre-intervention period, only 70.0 % of patients instructed to call the nurses at any time and 33.3 % of those instructed to call at the time of need, correctly understood the instructions. The frequency of patients' falls significantly decreased from 15.6 to 8.6 % (p <0.05) between the pre-and post-intervention survey periods, respectively. In 65-year-old patients, the ratio of frequency significantly decreased from 19.0 to 7.6 % (p <0.01); however, it did not change in patients aged <65 years. Conclusions: Our study indicated that animation could be an effective educational tool for inpatient fall prevention, even in older patients. In order to develop a multimedia tool with optimal educational impact, several aspects should be explored, including the addition of previous multidisciplinary approaches, increased variety of story and character design, improved hospital culture for better staff compliance and enhanced effectiveness, and interactive digital media content for an effective teaching feedback loop.

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The Impact of the Built Environment on Patient Falls in Hospital Rooms: An Integrative Review

et al. 2019

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Objectives:The aims of this study were to identify and evaluate scientific evidence examining the impact of the built environment on patient falls in hospital rooms.Methods: An integrative review (IR) with a systematic literature search was performed using the patient, intervention, comparison, outcome framework. We searched CINAHL, PsychINFO, PubMED, and Web of Science databases. The search included peer-reviewed studies from 1990 to 2017 written in English. An additional hand search was also conducted. Selected articles were reviewed and rated based on a hierarchical categorization, comprising six evidence levels, developed by the American Association of Critical-Care Nurses and adapted for evidence-based design systematic literature reviews.Results: After a multitiered process, 30 articles met the selection criteria.Thematic areas were created based on the examined elements of the physical environment including patient room configuration and available space, bathroom configuration, bathtub and shower, door, bed height and bed rail, flooring, floor mats, patient chair, lighting, toilet, handrail, grab bars, intravenous pole, sink, ceiling lift, and wheelchair and walking aids. Findings of studies on each element are discussed in detail.Conclusions: Some environmental elements have not been examined in past relational or causal studies, and the level of evidence for the examined attributes is not high enough to gain robust confidence in healthcare design decision-making. Because of the low level of evidence for several environmental elements, conclusions must be taken with caution. More studies using quantitative, relational, or causal designs are recommended to develop actionable interventions on patient falls in hospital rooms.

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Risks and suggestions to prevent falls in geriatric rehabilitation: a participatory approach

Cited by 13 publications

References 17 publications

Using video-elicitation to assess risks and potential falls reduction strategies in long term care

Using video-elicitation to assess risks and potential falls reduction strategies in long term care

The effect of an animation movie for inpatient fall prevention: a pilot study in an acute hospital

The Impact of the Built Environment on Patient Falls in Hospital Rooms: An Integrative Review

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