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
[31]   Views of job satisfaction and dissatisfaction in Australian long-term care [J].
Moyle, W ;
Skinner, J ;
Rowe, G ;
Gork, C .
JOURNAL OF CLINICAL NURSING, 2003, 12 (02) :168-176
[32]   Implementation of Evidence-Based Practice in Nursing Using Action Research: A Review [J].
Munten, Guus ;
van den Bogaard, Joop ;
Cox, Karen ;
Garretsen, Henk ;
Bongers, Inge .
WORLDVIEWS ON EVIDENCE-BASED NURSING, 2010, 7 (03) :135-157
[33]   Prognostic validity of the Timed Up-and-Go test, a modified Get-Up-and-Go test, staffs global judgement and fall history in evaluating fall risk in residential care facilities [J].
Nordin, Ellinor ;
Lindelof, Nina ;
Rosendahl, Erik ;
Jensen, Jane ;
Lundin-Olsson, Lillemor .
AGE AND AGEING, 2008, 37 (04) :442-448
[34]   Residential aged care: the last frontier for palliative care [J].
Phillips, Jane ;
Davidson, Patricia M. ;
Jackson, Debra ;
Kristjanson, Linda ;
Daly, John ;
Curran, Jim .
JOURNAL OF ADVANCED NURSING, 2006, 55 (04) :416-424
[35]   Multi-faceted palliative care intervention: aged care nurses' and care assistants' perceptions and experiences [J].
Phillips, Jane L. ;
Davidson, Patricia M. ;
Jackson, Debra ;
Kristjanson, Linda J. .
JOURNAL OF ADVANCED NURSING, 2008, 62 (02) :216-227
[36]  
Reason P., 2006, HDB ACTION RES
[37]  
Robinson A, 1995, Nurs Inq, V2, P65, DOI 10.1111/j.1440-1800.1995.tb00069.x
[38]  
Robinson A. L., 2005, BUILDING CONNECTIONS
[39]   Fall incidence in frail older women after individualized visual feedback-based balance training [J].
Sihvonen, S ;
Sipilä, S ;
Taskinen, S ;
Era, P .
GERONTOLOGY, 2004, 50 (06) :411-416
[40]   ADVANCED CLINICAL ROLES - INVESTIGATING DILEMMAS AND CHANGING PRACTICE THROUGH ACTION RESEARCH [J].
STREET, A ;
ROBINSON, A .
JOURNAL OF CLINICAL NURSING, 1995, 4 (06) :349-357