Evidence map›Paper›PMID 28003295›Full record

Trial reportBMJ open2016

'It promoted a positive culture around falls prevention': staff response to a patient education programme-a qualitative evaluation.

Anne-Marie Hill, Nicholas Waldron, Jacqueline Francis-Coad, Terry Haines, Christopher Etherton-Beer, Leon Flicker, Katharine Ingram, Steven M McPhail

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMJ open, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 3 pooled it
0.2field-weighted citation impact, top 36% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 3 syntheses or guidelines pooled it, 38 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 8 institutions in 1 country.

Anne-Marie HillSchool of Physiotherapy and Exercise Science, Faculty of Health Sciences, Curtin University, Perth, Western Australia, Australia.
Nicholas WaldronDepartment of Rehabilitation and Aged Care, Armadale Kelmscott Memorial Hospital, Perth, Western Australia, Australia.
Jacqueline Francis-CoadSchool of Physiotherapy, The University of Notre Dame Australia, Fremantle, Western Australia, Australia.
Terry HainesPhysiotherapy Department, Monash University, Melbourne, Victoria, Australia.
Christopher Etherton-BeerWA Centre for Health and Ageing, Royal Perth Hospital Unit, School of Medicine and Pharmacology, Perth, Western Australia, Australia.
Leon FlickerWA Centre for Health and Ageing, Royal Perth Hospital Unit, School of Medicine and Pharmacology, Perth, Western Australia, Australia.
Katharine IngramDepartment of Rehabilitation and Aged Care, Sir Charles Gairdner Hospital, Perth, Western Australia, Australia.
Steven M McPhailCentre for Functioning and Health Research, Metro South Health, Brisbane, Queensland, Australia.
Curtin University · AUKing Edward Memorial Hospital · AUMonash Health · AUQueensland University of Technology · AURoyal Perth Hospital · AUSir Charles Gairdner Hospital · AUThe University of Notre Dame Australia · AUThe University of Western Australia · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThe purpose of this study was to understand how staff responded to individualised patient falls prevention education delivered as part of a cluster randomised trial, including how they perceived the education contributed to falls prevention on their wards.

designA qualitative explanatory study.

methods5 focus groups were conducted at participatory hospital sites. The purposive sample of clinical staff (including nurses, physiotherapists and quality improvement staff) worked on aged care rehabilitation wards when a cluster randomised trial evaluating a patient education programme was conducted. During the intervention period, an educator, who was a trained health professional and not a member of staff, provided individualised falls prevention education to patients with good levels of cognition (Mini-Mental State Examination >23/30). Clinical staff were provided with training to support the programme and their feedback was sought after the trial concluded, to understand how they perceived the programme impacted on falls prevention. Data were thematically analysed using NVivo qualitative data analysis software.

results5 focus groups were conducted at different hospitals (n=30 participants). Staff perceived that the education created a positive culture around falls prevention and further, facilitated teamwork, whereby patients and staff worked together to address falls prevention. The educator was perceived to be a valuable member of the team. Staff reported that they developed increased knowledge and awareness about creating a safe ward environment. Patients being proactive and empowered to engage in falls prevention strategies, such as ringing the bell for assistance, was viewed as supporting staff falls prevention efforts and motivating staff to change practice.

conclusionsStaff responded positively to patient falls prevention education being delivered on their wards. Providing individualised patient education to older patients with good levels of cognition can empower staff and patients to work as a team to address falls prevention on hospital rehabilitation wards.

Indexed as

Attitude of Health PersonnelCooperative BehaviorHospitalizationPatient Education as TopicPatient SafetyAccidental FallsAgedClinical CompetenceCognitionFemaleFocus GroupsHealth PersonnelHospitalsHumansMaleNursesGERIATRIC MEDICINEQUALITATIVE RESEARCHREHABILITATION MEDICINE

Identifiers

PMID28003295
PMCPMC5223633
OpenAlexW2565991624

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.