Evidence map›Paper›PMID 40597708›Full record

ArticleBMC geriatrics2025

Exploring the organisation and delivery of falls management in care homes for older people in England.

K Robinson, P L Logan, A L Gordon, S Timmons, T Masud, L Rees, A Kilby, W Lawry, F Hallam-Bowles

Abstract readMulticenter Study
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC geriatrics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

9 authors.

K RobinsonCentre for Rehabilitation and Ageing, University of Nottingham, Nottingham, UK. katie.robinson@nottingham.ac.uk.
P L LoganCentre for Rehabilitation and Ageing, University of Nottingham, Nottingham, UK.
A L GordonAcademic Centre for Healthy Ageing, Queen Mary University of London, London, E1 4NS, UK.
S TimmonsCentre for Health Innovation, Leadership and Learning, University of Nottingham, Nottingham, UK.
T MasudResearch and Innovation, Nottingham University Hospitals NHS Trust, Nottingham, UK.
L ReesAvery Healthcare Group, Northampton, UK.
A KilbyNottinghamshire Healthcare NHS Foundation Trust, Nottingham, UK.
W LawryRoyal Devon University Healthcare NHS Foundation Trust, Exeter, UK.
F Hallam-BowlesCentre for Rehabilitation and Ageing, University of Nottingham, Nottingham, UK.

Funding

National Institute for Health and Care Research NIHR300115
6 · The paper itself

Abstract

backgroundTo explore the organisational context of English care homes in delivering falls management and identify barriers and facilitators to help design future service delivery.

methodsNon-participant observations and semi-structured interviews in one region of England with care home staff, commissioners and individuals involved in the organisation of falls management, care home managers, care home owners and residents. Barriers and facilitators were identified by thematic analysis and mapped against the Consolidated Framework for Implementation Research (CFIR).

results17 interviews were undertaken including staff and a resident from three care homes. Delivering falls management in care homes was complex and challenged by difficulties in integration across a disjointed system, workforce challenges and managing complexity of resident needs with multiple competing priorities. Facilitators included consistent and regular multi-disciplinary support, valuing team working within the care home, and between the care home and external agencies, and the ability to retain care home staff who developed and honed skills over time and who valued their advocacy role for residents. Variation in care home environments, and access to healthcare support were highlighted.

conclusionsThe delivery of falls management in care homes is complex and involves a number of interacting systems. Implementation strategies to support future delivery need to consider the pressure on care homes and wider systems, workforce challenges and variation between settings.

Indexed as

Accidental FallsDelivery of Health CareHomes for the AgedNursing HomesAgedEnglandHumansFalls preventionImplementationLong-term care

Identifiers

PMID40597708
PMCPMC12219685

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.