Evidence map›Paper›PMID 39256815›Full record

ArticleBMC nursing2024

Implementing falls prevention patient education in hospitals - older people's views on barriers and enablers.

Anne-Marie Hill, J Francis-Coad, S Vaz, M E Morris, L Flicker, T Weselman, J A Hang

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Article in BMC nursing, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
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

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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

7 citing papers in PubMed.

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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

7 authors.

Anne-Marie HillSchool of Allied Health, University of Western Australia, 35 Stirling Highway, Crawley, Perth, WA, 6009, Australia. anne-marie.hill@uwa.edu.au.
J Francis-CoadSchool of Allied Health, University of Western Australia, 35 Stirling Highway, Crawley, Perth, WA, 6009, Australia.
S VazSchool of Allied Health, University of Western Australia, 35 Stirling Highway, Crawley, Perth, WA, 6009, Australia.
M E MorrisAcademic and Research Collaborative in Health and Care Economy Research Institute, La Trobe University, Melbourne, VIC, Australia.
L FlickerSchool of Allied Health, University of Western Australia, 35 Stirling Highway, Crawley, Perth, WA, 6009, Australia.
T WeselmanSchool of Allied Health, University of Western Australia, 35 Stirling Highway, Crawley, Perth, WA, 6009, Australia.
J A HangSchool of Allied Health, University of Western Australia, 35 Stirling Highway, Crawley, Perth, WA, 6009, Australia.

Funding

National Health and Medical Research Council GNT1174179Royal Perth Hospital Medical Research Foundation S1-2021Western Australian Future Health and Innovation Fund, Government of Western Australia REA 2022
6 · The paper itself

Abstract

backgroundWorld falls guidelines recommend that hospitalised older patients receive individualised falls prevention education, yet no studies have sought older people's feedback on how best to deliver falls prevention education in hospitals. The objective of the study was to explore the perspectives of older people and their caregivers about barriers and enablers to implementation of a tailored hospital falls education program.

methodsA qualitative descriptive design was used. Three focus groups and 16 semi-structured interviews were conducted. A purposive sample of older people who had previous hospital admissions and caregivers of older people were selected to review a co-designed patient falls education program (the revised Safe Recovery program). They provided feedback on how to implement the program in hospital settings. Data were thematically analysed taking an deductive-inductive approach.

resultsParticipants were 37 older people [female n = 24 (64.9%), age range 64 to 89 years] and nine caregivers (female n = 8). The first theme was that the Safe Recovery Program resources were of high quality, enabling strong patient engagement and increased knowledge and awareness about falls prevention in hospitals. The second theme identified practical strategies to enable program delivery in hospital wards. The key enablers identified were: timing of delivery around wellness and the patient's mobility; tailoring messages for each older patient; key staff members being assigned to lead program delivery. Participants recommended that staff assist older patients to set appropriate behavioural goals in relation to preventing falls in hospitals. They also recommended that staff raise older patients' confidence and motivation to take action to reduce the risk of falls. Providing resources in other languages and alternative shorter versions was recommended to enable broad dissemination.

conclusionsOlder people and their caregivers advised that implementing falls education in hospitals can be enabled by using high quality resources, delivering falls education in a timely manner and personalising the education and support to individual needs.

Indexed as

Accidental fallsConsumer engagementFalls preventionOlder adultsPatient educationPatient experience

Identifiers

PMID39256815
PMCPMC11389421

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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.