Reducing Staff Isolation and Developing Evidence-Informed Practice in the Aged Care Environment Through an Action Research Approach to Falls Prevention

被引:16
作者
Andrews, Sharon [2 ]
Lea, Emma [1 ]
Haines, Terry [3 ,4 ]
Nitz, Jennifer [10 ]
Haralambous, Betty [5 ]
Moore, Kirsten [5 ,6 ]
Hill, Keith [7 ,8 ,9 ]
Robinson, Andrew [1 ]
机构
[1] Univ Tasmania, Sch Nursing & Midwifery, Hobart, Tas 7001, Australia
[2] Univ Tasmania, Wicking Dementia Res & Educ Ctr, Hobart, Tas 7001, Australia
[3] So Hlth, Allied Hlth Clin Res Unit, Cheltenham, NSW, Australia
[4] Monash Univ, So Physiotherapy Clin Sch, Cheltenham, NSW, Australia
[5] Natl Ageing Res Inst, Parkville, Vic, Australia
[6] Univ Melbourne, Sch Hlth Sci, Carlton, Vic 3053, Australia
[7] La Trobe Univ, Fac Hlth Sci, Musculoskeletal Res Ctr, Bundoora, Vic, Australia
[8] La Trobe Univ, Fac Hlth Sci, Sch Physiotherapy, Bundoora, Vic, Australia
[9] No Hlth, Bundoora, Vic, Australia
[10] Univ Queensland, Sch Hlth & Rehabil Sci, St Lucia, Qld, Australia
关键词
action research; aged care; evidence-informed practice; falls prevention; nurses; nursing homes; staff isolation; PALLIATIVE APPROACH; ELDERLY-PEOPLE; NURSING-HOMES; INTERVENTION; PROJECT; NURSES; RISK;
D O I
10.1097/ANS.0b013e3182433b27
中图分类号
R47 [护理学];
学科分类号
1011 ;
摘要
This study aimed to examine whether an action research approach was effective in reducing the isolation of staff in 2 residential aged care facilities, within the context of an evidence-informed falls prevention program. A Falls Action Research Group comprising 12 nursing/nonnursing staff across 2 residential aged care facilities was established and engaged in critical dialogue and action over 12 months to improve their fall prevention activities. Through the group members' engagement, a research community was established that diminished staff isolation by engaging members in a sustained process of collaboration around falls prevention, which worked to disrupt occupational silos and challenge traditional staff hierarchies.
引用
收藏
页码:3 / 13
页数:11
相关论文
共 50 条
[1]   Realizing a palliative approach in dementia care: strategies to facilitate aged care staff engagement in evidence-based practice [J].
Andrews, Sharon ;
McInerney, Fran ;
Robinson, Andrew .
INTERNATIONAL PSYCHOGERIATRICS, 2009, 21 :S64-S68
[2]  
[Anonymous], SPAN COLL ACT RES NE
[3]  
*AUSTR COUNC SAF Q, 2005, PREV FALLS HARM FALL
[4]   Evaluation of a project providing community palliative care support to nursing homes [J].
Avis, M ;
Jackson, JG ;
Cox, K ;
Miskella, C .
HEALTH & SOCIAL CARE IN THE COMMUNITY, 1999, 7 (01) :32-38
[5]   Measuring Fall Risk and Predicting Who Will Fall: Clinimetric Properties of Four Fall Risk Assessment Tools for Residential Aged Care [J].
Barker, Anna L. ;
Nitz, Jennifer C. ;
Choy, Nancy L. Low ;
Haines, Terry .
JOURNALS OF GERONTOLOGY SERIES A-BIOLOGICAL SCIENCES AND MEDICAL SCIENCES, 2009, 64 (08) :916-924
[6]   Effectiveness of a multifaceted intervention on falls in nursing home residents [J].
Becker, C ;
Kron, M ;
Lindemann, U ;
Sturm, E ;
Eichner, B ;
Walter-Jung, B ;
Nikolaus, T .
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY, 2003, 51 (03) :306-313
[7]   Identifying educational needs in end-of-life care for staff and families of residents in care facilities [J].
Brazil, Kevin ;
Vohra, Julie Uma .
INTERNATIONAL JOURNAL OF PALLIATIVE NURSING, 2005, 11 (09) :475-480
[8]  
Carr W., 2003, Becoming critical
[9]  
Coleman D., 2006, J COMMUNITY NURSING, V20, P35
[10]  
Endslay Scott, 2005, Fam Pract Manag, V12, P28