Implementation experience of a guideline on fall prevention in Centres Committed to Excellence in Care®
| Autor: | Ana Isabel Alcañiz-Mesas, Milagros García-González, Lucía Zúñiga-Blanco, M. Begoña del Barrio-Pintado, Lidia Íñigo-Cruces, Mercè Folguera-Arnau, Laura Albornos-Muñoz, Esther Melián-Correa, T. Moreno-Casbas, E. González-María, L. Albornos-Muñoz, M.P. Córcoles-Jiménez, M.V. Ruiz-García, E. Alonso-Poncelas, A. Acosta-Arrocha, N. Ferreiro-Iglesias, A. Lariz-Murua, N. Arza-Alonso, A. Moreno-Rodrigo, M.P. Rodríguez-Soberado, M.T. Sánchez-Muñoz, M.T. Prada-Roces, M.P. Martínez-González, M. Tiñena-Amorós, S. Fernández-García, A. Morell-Bernadí, L.L. Tejero-Vidal, M. Jaria-Lansac |
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| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
business.industry 030503 health policy & services Poison control General Medicine Guideline Suicide prevention Occupational safety and health 03 medical and health sciences Nursing care 0302 clinical medicine Family medicine Injury prevention Medicine 030212 general & internal medicine Accidental fall 0305 other medical science business Fall prevention |
| Zdroj: | Enfermería Clínica (English Edition). 30:185-197 |
| ISSN: | 2445-1479 |
| DOI: | 10.1016/j.enfcle.2020.03.003 |
| Popis: | Aim To describe the progress of implementing the “Preventing falls” Guideline of the Best Practice Spotlight Organization (BPSO®) Programme and fall outcomes in Centres Committed to Excellence in Care (CCEC®). Method A Quasi-experimental study pre-post test from a multicentric approach carried out between 2012 and 2018. The study is focused on patients aged 65 or older, discharged from guideline implementation units, analysing sociodemographic variables (sex, age, hospitalisation days; fall risk assessment on admission and patient in risk; fall prevention plan; incidence of falls. Data was compared from CCEC® programme indicators measured over the periods: baseline (T1), candidate during the first three years (T2), and sustainability (T3). Descriptive and inferential analysis was performed. Results 31,486 patients were evaluated in 7 centres (T1 = 465; T2 = 14,255; T3 = 16,766). Of the patients, 51.87% were men and average age was 79.06 years. Hospitalisation was 8.15 days. Fall risk assessment on admission was performed in 81.96% of patients (T1 = 44.30%, T2 = 81.11%, T3 = 83.73%) and 52.31% patients had high risk. A prevention falls plan was registered in 47.75% of patients (T1 = 24.73%, T2 = 42.43%, T3 = 52.90%). Four hundred and twenty-three falls were recorded, 62.17% without injuries. Conclusions Despite the differences between hospitals, such as structural characteristics, strategies, assessment tools and data progression pace; adherence to recommendations is proving successful, improving widely. Guideline implementation has allowed fall problems to be addressed, producing positive changes in the process and encouraging the implementation and sustainability of evidence-based nursing practice. |
| Databáze: | OpenAIRE |
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