Implementing a 'Safe Recovery' fall prevention program: Refining intervention theory using realist methods.
falls
frail older adults
inpatient
patient safety
qualitative research
Journal
Australasian journal on ageing
ISSN: 1741-6612
Titre abrégé: Australas J Ageing
Pays: Australia
ID NLM: 9808874
Informations de publication
Date de publication:
Sep 2020
Sep 2020
Historique:
received:
15
12
2019
revised:
02
03
2020
accepted:
05
03
2020
pubmed:
25
4
2020
medline:
25
6
2021
entrez:
25
4
2020
Statut:
ppublish
Résumé
This research aimed to explain how the Safe Recovery Programme (SRP) may best work to reduce falls in older adults undergoing rehabilitation in four wards in an older person's health and rehabilitation service. Qualitative realist methods were used, including surveys completed by patients and staff, and qualitative interviews or focus groups exploring views of patients, ward staff and SRP educators. Emphasising different types of information for patients with different pre-existing understandings may facilitate their responses to SRP messaging. Consistency and coherence of SRP messaging within ward routines varied in response to staff SRP training and ongoing feedback mechanisms from SRP educators. Tailored individualised approaches for patients with specific characteristics may lead to patients being less likely to engage in risky behaviours. Staff training and processes for facilitating ongoing feedback between patients, SRP and ward staff are required to ensure consistency and coherence of SRP messaging.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
e259-e270Informations de copyright
© 2020 AJA Inc.
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