Barriers and facilitators for screening older adults on fall risk in a hospital setting: Perspectives from patients and healthcare professionals
| Autor: | Lotte M. Barmentloo, Suzanne Polinder, Manon L. Dontje, Moniek Y. Koopman, Vicki Erasmus, Johan P. Mackenbach, Branko F. Olij, Christian Oudshoorn |
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| Přispěvatelé: | Public Health, Internal Medicine |
| Rok vydání: | 2020 |
| Předmět: |
Male
medicine.medical_specialty Health Toxicology and Mutagenesis barriers Health Personnel lcsh:Medicine Poison control Suicide prevention Occupational safety and health Article 03 medical and health sciences 0302 clinical medicine Surveys and Questionnaires Injury prevention Medicine Humans Mass Screening 030212 general & internal medicine implementation older adults Aged Health professionals business.industry screening lcsh:R Public Health Environmental and Occupational Health Human factors and ergonomics 030208 emergency & critical care medicine Emergency department healthcare professionals Hospitals fall prevention Family medicine facilitators Accidental Falls Female business Delivery of Health Care Fall prevention |
| Zdroj: | International Journal of Environmental Research and Public Health, 17. Multidisciplinary Digital Publishing Institute (MDPI) International Journal of Environmental Research and Public Health Volume 17 Issue 5 International Journal of Environmental Research and Public Health, Vol 17, Iss 5, p 1461 (2020) |
| ISSN: | 1661-7827 |
| Popis: | We aimed to gain insight into the barriers and facilitators to fall risk screening of older adults visiting the hospital as experienced by patients and healthcare professionals, and to examine the differences between chronic- and acute-care patients. We invited patients (&ge 70 years) attending the nephrology and emergency department to participate in the screening. Patients and their healthcare professionals were asked to complete a self-administered questionnaire based on the &ldquo Barriers and Facilitators Assessment Instrument&rdquo Differences in barriers and facilitators between acute- and chronic-care patients were examined with chi-square tests. A total of 216 patients were screened, and 103 completed the questionnaire. They considered many factors as facilitators, and none as barriers. Acute-care patients were more positive than chronic-care patients about healthcare worker characteristics, such as knowledge and skills. After screening, patients were more open to receiving advice regarding fall prevention. The 36 healthcare professionals considered program characteristics to be facilitators and mainly factors regarding healthcare worker characteristics as barriers to implementation. For patients, the outpatient setting seemed to be a good place to be screened for fall risk. Healthcare professionals also suggested that program characteristics could enhance implementation. However, healthcare professionals&rsquo mindsets and the changing of routines are barriers that have to be addressed first. |
| Databáze: | OpenAIRE |
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