A Sustainability Oriented and Mentored Approach to Implementing a Fall Prevention Guideline in Acute Care Over 2 Years
The purpose of this study was to assess the impact of a mentored guideline implementation (Registered Nurses’ Association of Ontario Prevention of Falls and Falls Injuries in the Older Adult Best Practice Guideline) focused on enhancing sustainability in reducing fall rates and number of serious fal...
| Main Authors: | , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
SAGE Publishing
2018-06-01
|
| Series: | SAGE Open Nursing |
| Online Access: | https://doi.org/10.1177/2377960818775433 |
| _version_ | 1819006597904465920 |
|---|---|
| author | Jenny Ploeg RN, PhD Sandra Ireland RN, PhD Karen Cziraki RN, MSc Melissa Northwood RN, MSc Aleksandra A. Zecevic PhD Barbara Davies RN, PhD Mary Ann Murray RN, PhD Kathryn Higuchi RN, PhD |
| author_facet | Jenny Ploeg RN, PhD Sandra Ireland RN, PhD Karen Cziraki RN, MSc Melissa Northwood RN, MSc Aleksandra A. Zecevic PhD Barbara Davies RN, PhD Mary Ann Murray RN, PhD Kathryn Higuchi RN, PhD |
| author_sort | Jenny Ploeg RN, PhD |
| collection | DOAJ |
| description | The purpose of this study was to assess the impact of a mentored guideline implementation (Registered Nurses’ Association of Ontario Prevention of Falls and Falls Injuries in the Older Adult Best Practice Guideline) focused on enhancing sustainability in reducing fall rates and number of serious falls and the experience of staff in three acute care hospitals. The National Health Service (NHS) Sustainability Model was used to guide the study. Interviews and focus groups were held with 82 point-of-care professional staff, support staff, volunteers, project leaders, clinical leaders, and senior leaders. Study results supported the importance of the factors in the NHS model for sustainability of the guideline in these practice settings. There were no statistically significant decreases in the overall fall rate and number of serious falls. The results supported strategies of participating hospitals to become senior friendly organizations and provided opportunities to enhance staff collaboration with patients and families. |
| first_indexed | 2024-12-21T00:11:13Z |
| format | Article |
| id | doaj.art-d472cf7199a5498a96609beb728d6e9f |
| institution | Directory Open Access Journal |
| issn | 2377-9608 |
| language | English |
| last_indexed | 2024-12-21T00:11:13Z |
| publishDate | 2018-06-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | SAGE Open Nursing |
| spelling | doaj.art-d472cf7199a5498a96609beb728d6e9f2022-12-21T19:22:20ZengSAGE PublishingSAGE Open Nursing2377-96082018-06-01410.1177/2377960818775433A Sustainability Oriented and Mentored Approach to Implementing a Fall Prevention Guideline in Acute Care Over 2 YearsJenny Ploeg RN, PhD0Sandra Ireland RN, PhD1Karen Cziraki RN, MSc2Melissa Northwood RN, MSc3Aleksandra A. Zecevic PhD4Barbara Davies RN, PhD5Mary Ann Murray RN, PhD6Kathryn Higuchi RN, PhD7School of Nursing, McMaster University, Hamilton, ON, CanadaSt. Joseph’s Healthcare Hamilton, Hamilton, ON, CanadaCambridge Memorial Hospital, Cambridge, ON, CanadaAging, Community and Health Research Unit, School of Nursing, McMaster University, Hamilton, ON, CanadaSchool of Health Studies, Faculty of Health Sciences, Western University, London, ON, CanadaSchool of Nursing, University of Ottawa, Ottawa, ON, CanadaOttawa Hospital, School of Nursing, University of Ottawa, Ottawa, ON, CanadaSchool of Nursing, University of Ottawa, Ottawa, ON, CanadaThe purpose of this study was to assess the impact of a mentored guideline implementation (Registered Nurses’ Association of Ontario Prevention of Falls and Falls Injuries in the Older Adult Best Practice Guideline) focused on enhancing sustainability in reducing fall rates and number of serious falls and the experience of staff in three acute care hospitals. The National Health Service (NHS) Sustainability Model was used to guide the study. Interviews and focus groups were held with 82 point-of-care professional staff, support staff, volunteers, project leaders, clinical leaders, and senior leaders. Study results supported the importance of the factors in the NHS model for sustainability of the guideline in these practice settings. There were no statistically significant decreases in the overall fall rate and number of serious falls. The results supported strategies of participating hospitals to become senior friendly organizations and provided opportunities to enhance staff collaboration with patients and families.https://doi.org/10.1177/2377960818775433 |
| spellingShingle | Jenny Ploeg RN, PhD Sandra Ireland RN, PhD Karen Cziraki RN, MSc Melissa Northwood RN, MSc Aleksandra A. Zecevic PhD Barbara Davies RN, PhD Mary Ann Murray RN, PhD Kathryn Higuchi RN, PhD A Sustainability Oriented and Mentored Approach to Implementing a Fall Prevention Guideline in Acute Care Over 2 Years SAGE Open Nursing |
| title | A Sustainability Oriented and Mentored Approach to Implementing a Fall Prevention Guideline in Acute Care Over 2 Years |
| title_full | A Sustainability Oriented and Mentored Approach to Implementing a Fall Prevention Guideline in Acute Care Over 2 Years |
| title_fullStr | A Sustainability Oriented and Mentored Approach to Implementing a Fall Prevention Guideline in Acute Care Over 2 Years |
| title_full_unstemmed | A Sustainability Oriented and Mentored Approach to Implementing a Fall Prevention Guideline in Acute Care Over 2 Years |
| title_short | A Sustainability Oriented and Mentored Approach to Implementing a Fall Prevention Guideline in Acute Care Over 2 Years |
| title_sort | sustainability oriented and mentored approach to implementing a fall prevention guideline in acute care over 2 years |
| url | https://doi.org/10.1177/2377960818775433 |
| work_keys_str_mv | AT jennyploegrnphd asustainabilityorientedandmentoredapproachtoimplementingafallpreventionguidelineinacutecareover2years AT sandrairelandrnphd asustainabilityorientedandmentoredapproachtoimplementingafallpreventionguidelineinacutecareover2years AT karenczirakirnmsc asustainabilityorientedandmentoredapproachtoimplementingafallpreventionguidelineinacutecareover2years AT melissanorthwoodrnmsc asustainabilityorientedandmentoredapproachtoimplementingafallpreventionguidelineinacutecareover2years AT aleksandraazecevicphd asustainabilityorientedandmentoredapproachtoimplementingafallpreventionguidelineinacutecareover2years AT barbaradaviesrnphd asustainabilityorientedandmentoredapproachtoimplementingafallpreventionguidelineinacutecareover2years AT maryannmurrayrnphd asustainabilityorientedandmentoredapproachtoimplementingafallpreventionguidelineinacutecareover2years AT kathrynhiguchirnphd asustainabilityorientedandmentoredapproachtoimplementingafallpreventionguidelineinacutecareover2years AT jennyploegrnphd sustainabilityorientedandmentoredapproachtoimplementingafallpreventionguidelineinacutecareover2years AT sandrairelandrnphd sustainabilityorientedandmentoredapproachtoimplementingafallpreventionguidelineinacutecareover2years AT karenczirakirnmsc sustainabilityorientedandmentoredapproachtoimplementingafallpreventionguidelineinacutecareover2years AT melissanorthwoodrnmsc sustainabilityorientedandmentoredapproachtoimplementingafallpreventionguidelineinacutecareover2years AT aleksandraazecevicphd sustainabilityorientedandmentoredapproachtoimplementingafallpreventionguidelineinacutecareover2years AT barbaradaviesrnphd sustainabilityorientedandmentoredapproachtoimplementingafallpreventionguidelineinacutecareover2years AT maryannmurrayrnphd sustainabilityorientedandmentoredapproachtoimplementingafallpreventionguidelineinacutecareover2years AT kathrynhiguchirnphd sustainabilityorientedandmentoredapproachtoimplementingafallpreventionguidelineinacutecareover2years |