Falls+Pp+Final[1]

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Falls+Pp+Final[1]

  1. 1. Barriers to Research Utilization Team a STacy coleman STephanie mcleod aimee RivaS chRiSTine SchulTz debbie WilSon
  2. 2. Introduction To Patient Falls • Highest incidence in people 65 & older – Leading cause of injury deaths – Most common cause of hospital admissions for trauma – Rates for LTC residents 3 times higher then aged living at home – 25% to 84% of incident reports in hospitals and LTC facilities are related to falls • Nurses are responsible – For patient safety & fall prevention
  3. 3. Patient Falls • What’s Considered a Patient Fall? – Any unplanned descent to the floor – Includes when patient lowered to floor to prevent falls, or lowers himself/herself to floor • Types & Causes of Falls – Accidental Falls – Unanticipated Physiological Falls – Anticipated Physiological Falls – Intrinsic and extrinsic factors
  4. 4. Cultural Barriers in Patients • Age • Authority • Sex • Fear
  5. 5.  Strategies for preventing falls • Identify • Fall assessment • Alerting the staff • Fall Research
  6. 6. Motor Control and Adaptive Training • Motor Control • Learning Adaptive Training • Weight Support • Stability • Retention
  7. 7. Calcium & Vitamin D Therapy & Fall Reduction Strategy • Age Related Changes • Vitamin D • Calcium • Fall Prevention through Combination Therapy
  8. 8. Barriers & The Team • Demonstrating the Relationship – The decision maker – Relationship development – Building mutual trust – Sharing responsibilities • Determining the Structure – Roles and responsibility of the researcher/s – Establishing communication guidelines – Development of a steering committee & working committee • Organizational climate – Organization experience with research – Creating credibility – Availability (i.e. staffing)
  9. 9. Leadership Barriers • Presenting The Research – Creative Problem solving – Balance – Previous Study Reviews • OrganizingThe Research Study – Assembling the risk factors – Instrumentation methods – Recommendations – Interventions – Study impact • Conformity With The Team • On indicators & outcomes • On teaching methods • On evaluation
  10. 10. Organizational Culture Barriers • What is Organizational Culture? • Identification of Organizational Barriers – “Sitters” & Attendants – Staffing • Integration & Partnerships
  11. 11. Conclusion • “Among people 65 years and older, falls are the leading cause of injury deaths and the most common cause of nonfatal injuries and hospital admissions for trauma.”* • Patient falls are one of the top five sentinel events for hospitals, long term care, and home care agencies…”** *(Quigley et al.,2008, as reported in CDC, 2006). **(Quigley et al.)
  12. 12. References Boonen, S., Bischoff-Ferrari, H., Cooper, C., Lips, P., Ljunggren, O., Meunier, P., Reginster, J.-Y., (2006). Addressing the musculoskeletal components of fracture risk with Calcium and Vitamin D: A review of the evidence.. Calcified Tissue International, 78(11), 257-270 Center for Disease Control. Studies of AoA-funded Fall Prevention Programs (2008).Retreived June 10, 2008 from http://www.cdc.gov/ncipc/duip/FallsPreventionActivity.htm#research%20studie Comprehensive Fall Prevention. Planning for Success in Identifying and Referring Older Adults through Hospital- Based programs. (2004). Retrieved June 10, 2008 from http://mphi.org/files/Fall%20Prevention%20for%20Community%20Dwelling%20O McNamara, C. (1997). Organizational culture: what is culture? Retrieved June 12, 2008, from http://www.managementhelp.org/org_thry/culture/culture.htm National Defense University. (n.d.). Strategic leadership and decision making organizational culture. Retrieved June 13, 2008, from http://www.au.af.mil/au/awc/awcgate/ndu/strat-ldr-dm/pt4ch16.html
  13. 13. References National Institutes of Health: Osteoporosis and Related Bone Diseases National Resource Center. Falls and Related Fractures: The risk of undiagnosed Osteoporosis. April 2000. Pai, Y-C. Bhatt, T (2007). Repeated-slip training: An emerging paradigm for prevention of slip -related falls among older adults. Physical Therapy.87(11) 1478-1494 PubMed. Design-related bias in hospital fall risk screening tool predictive accuracy evaluations: systematic review and meta-analysis. (2007) Retrieved June 10, 2008 from http://www.ncbi.nlm.nih.gov/pubmed/17595425 Premier, Inc. (2008). Fall prevention. Retrieved June 14, 2008, from http://www.premiereinc.com/saftey/topics/falls/#top Quigley, P., Nelly, J., Watson, M., Wright, M. & Strobel, K. (2007). Measuring fall program outcomes. The Online Journal of Issues in Nursing. Retrieved June 10, 2008, from http://www.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriod
  14. 14. References Rehab Management. Reducing the Risk of Falls in the Elderly. (2000) Retrieved Jun 10, 2008 from http://www.rehabpub.com/features/672000/4.asp Scott, V. (2007, April). World health organization report: prevention of falls in older age. Retrieved May 13, 2008, from http://www.who.int/ageing/projects/5.Intervention,%20policies%20and%20sust St. Joseph’s/Candler (2008). Falls prevention education module. Retrieved June 14,2008 from https://.netapp.netlkearning/learnmod/stjosephcandler/fallprevent/sld004.htm Toolpack Consulting. (2008). Organizational culture. Retrieved June 13, 2008, from http://www.toolpack.com/culture.html Torkelson, D., & Dobal, M. (1999, May). Constant observation in medical-surgical settings: a multi hospital study. Retrieved June 13, 2008, from http://www.findarticles.com/p/articles/mi_m0FSW/is_3_17/ai_n18608643/pg_7
  15. 15. References Toolpack Consulting. (2008). Organizational culture. Retrieved June 13, 2008, from http://www.toolpack.com/culture.html Torkelson, D., & Dobal, M. (1999, May). Constant observation in medical-surgical settings: a multi hospital study. Retrieved June 13, 2008, from http://www.findarticles.com/p/articles/mi_m0FSW/is_3_17/ai_n18608643/pg_7

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