Chronoprevention in hospital falls of older people: protocol for a mixed-method study

Autor: Roberto Manfredini, Rosa María Miñarro del Moral, Pablo Jesús López-Soto, Pedro Hidalgo-Lopezosa, Fabio Fabbian, María Aurora Rodríguez-Borrego, Rocío Segura-Ruiz, Juan de la Cruz López-Carrasco
Přispěvatelé: [López-Soto,PJ, López-Carrasco,JC, Fabbian,F, Miñarro-Del Moral,RM, Hidalgo-Lopezosa,P, Rodríguez-Borrego,MA] Department of Nursing, Maimonides Biomedical Research Institute of Cordoba (IMIBIC), Córdoba, Spain. [López-Soto,PJ, Rodríguez-Borrego,MA] Área de Enfermería, Faculty of Medicine and Nursing, University of Cordoba, Córdoba, Spain. [López-Soto,PJ, Segura-Ruiz,R, Rodríguez-Borrego,MA] Hospital Universitario Reina Sofía de Córdoba, Córdoba, Spain. [Fabbian,F, Manfredini,R] Faculty of Medicine, Pharmacy and Prevention, University of Ferrara, Ferrara, Italy. [Fabbian,F, Manfredini,R] Center for Studies on Gender Medicine, University of Ferrara, Ferrara, Italy., This research received specific grant from the Ministry of Health, Government of Andalusia (PI-0360-2017). Funders had no part in study design, data collection, data analysis or preparation of this manuscript.
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Research design
Persons::Persons::Age Groups::Adult::Aged::Frail Elderly [Medical Subject Headings]
Analytical
Diagnostic and Therapeutic Techniques and Equipment::Investigative Techniques::Epidemiologic Methods::Epidemiologic Study Characteristics as Topic::Epidemiologic Studies::Case-Control Studies::Retrospective Studies [Medical Subject Headings]
Calidad de vida
Persons::Persons::Occupational Groups::Health Personnel::Physicians [Medical Subject Headings]
Analytical
Diagnostic and Therapeutic Techniques and Equipment::Investigative Techniques::Epidemiologic Methods::Statistics as Topic::Probability::Risk::Risk Factors [Medical Subject Headings]
Accidentes por caídas
Organisms::Eukaryota::Animals::Chordata::Vertebrates::Mammals::Primates::Haplorhini::Catarrhini::Hominidae::Humans [Medical Subject Headings]
Nursing care
Study Protocol
0302 clinical medicine
Temporal patterns
Medicine
030212 general & internal medicine
LS4_4
Prospective cohort study
Nursing management
Planificación de atención al paciente
General Nursing
Accidental falls
Persons::Persons::Occupational Groups::Health Personnel::Nurses [Medical Subject Headings]
Health Care::Health Care Facilities
Manpower
and Services::Health Facilities::Hospitals [Medical Subject Headings]
Nursing research
Patient safety
Persons::Persons::Patients [Medical Subject Headings]
Prevención
Anthropology
Education
Sociology and Social Phenomena::Social Sciences::Quality of Life [Medical Subject Headings]
Enfermería
Medical emergency
Atención de enfermería
Personas mayores frágiles
Factores de riesgo
Quality of life
Analytical
Diagnostic and Therapeutic Techniques and Equipment::Investigative Techniques::Epidemiologic Methods::Epidemiologic Study Characteristics as Topic::Epidemiologic Studies::Cohort Studies::Longitudinal Studies::Prospective Studies [Medical Subject Headings]
RT1-120
Socio-culturale
Audit
Nursing
Ritmo circadiano
03 medical and health sciences
Hospital
Circadian rhythms
Accidental falls
Circadian rhythms
Nursing
Nursing care
Older people
Prevention
Temporal patterns
business.industry
Seguridad del paciente
Analytical
Diagnostic and Therapeutic Techniques and Equipment::Investigative Techniques::Epidemiologic Methods::Data Collection::Interviews as Topic::Focus Groups [Medical Subject Headings]
Prevention
Retrospective cohort study
medicine.disease
Health Care::Environment and Public Health::Public Health::Accidents::Accidental Falls [Medical Subject Headings]
Mood
Risk factors
Persons::Persons::Age Groups::Adult::Aged::Aged
80 and over [Medical Subject Headings]
Health Care::Environment and Public Health::Public Health::Accidents::Accident Prevention [Medical Subject Headings]
Older people
business
030217 neurology & neurosurgery
Zdroj: BMC Nursing
BMC Nursing, Vol 20, Iss 1, Pp 1-9 (2021)
ISSN: 1472-6955
Popis: Background Accidental falls in hospitals are serious events concerning the safety of the patients. Recent studies demonstrated that the time of falls is a key factor to be considered in prevention. It has been shown that the time of day, the day of the week and the month of the year impact on the occurrence of falls. The aim of the study is to determine the effect of the application of a programme of preventive measures based on the temporal patterns of the risk factors on the hospital fall occurrence. Methods A mixed-method research design. The following three phases will be carried out: 1) Longitudinal prospective study in two parts: (a) audits and seminars of healthcare professionals focused on an effective and efficient hospital falls register. Multi-Component and Single Cosinor analyses will be performed to obtain the temporal patterns of hospital falls and their related variables and (b) implementation of a based-temporal patterns, multidimensional prevention programme. 2) Retrospective study of falls registered in institutional databases. 3) Qualitative study based on focus groups (physicians, nurses and nursing assistants). The study protocol was approved in 2018. Discussion With regard to the safety of patients, hospital falls are serious events. Recent studies have demonstrated that the time of falls is a key factor to be considered in prevention. It has been shown that the time of day, the day of the week and the month of the year impact on the occurrence of falls. It is imperative to study temporal patterns of hospital falls to effectively and comprehensively define the aetiology of falls and, therefore, design preventive strategies. A reduction of the number of in-hospital falls and related injuries is expected, as well as an improvement in the quality of life of patients. Considering temporal patterns and levels of mood and sleep of healthcare professionals will achieve an improvement in patient safety. Trial registration Retrospectively registered in ClinicalTrials.gov ID: NCT04367298.
Databáze: OpenAIRE
Externí odkaz: