'Falls not a priority': insights on discharging older people, admitted to hospital for a fall, back to the community.
Identifieur interne : 001097 ( Main/Exploration ); précédent : 001096; suivant : 001098'Falls not a priority': insights on discharging older people, admitted to hospital for a fall, back to the community.
Auteurs : Claudia Meyer [Australie] ; Emma Renehan [Australie] ; Frances Batchelor [Australie] ; Catherine Said [Australie] ; Terry Haines [Australie] ; Rohan Elliott [Australie] ; Dianne Goeman [Australie]Source :
- Australian journal of primary health [ 1448-7527 ] ; 2018.
Descripteurs français
- KwdFr :
- MESH :
- statistiques et données numériques : Hospitalisation, Sortie du patient.
- Chutes accidentelles, Humains, Sujet âgé.
English descriptors
- KwdEn :
- MESH :
- statistics & numerical data : Hospitalization, Patient Discharge.
- Accidental Falls, Aged, Humans.
Abstract
Falls are common among older people and a leading cause of injury-related hospitalisation. The immediate post-hospitalisation period is a risky time for further falls. This paper explores discharge strategies from the perspectives of older people hospitalised for a fall and liaison nurses assisting people to return home. Exploratory mixed methods were used. Semi-structured interviews with older people were conducted regarding their experience of the fall and discharge strategies. Quality of life, falls risk and functional capacity were measured by questionnaire. Liaison nurses were also interviewed. Interviews were audio-recorded, transcribed and thematically analysed. Mixed-method synthesis occurred using role-ordered matrix analysis. Older people (n=13) and liaison nurses (n=6) participated. Older persons' quality of life was average and falls risk high. Thematic analysis revealed three key themes: 'falls are not a priority', 'information not given, or given and not retained' and 'reduction in confidence and independence'. Role-ordered matrix analysis identified differences between acute and rehabilitative hospital stays. Older people hospitalised for a fall present a unique opportunity for implementation of falls prevention strategies. However, hospitalisation is often a time of crisis with competing priorities. Timing and relevance are crucial for optimal uptake of falls prevention strategies, with the primary care setting well-placed for their implementation.
DOI: 10.1071/PY17052
PubMed: 29132500
Affiliations:
Links toward previous steps (curation, corpus...)
Le document en format XML
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type="abstract" xml:lang="en">Falls are common among older people and a leading cause of injury-related hospitalisation. The immediate post-hospitalisation period is a risky time for further falls. This paper explores discharge strategies from the perspectives of older people hospitalised for a fall and liaison nurses assisting people to return home. Exploratory mixed methods were used. Semi-structured interviews with older people were conducted regarding their experience of the fall and discharge strategies. Quality of life, falls risk and functional capacity were measured by questionnaire. Liaison nurses were also interviewed. Interviews were audio-recorded, transcribed and thematically analysed. Mixed-method synthesis occurred using role-ordered matrix analysis. Older people (n=13) and liaison nurses (n=6) participated. Older persons' quality of life was average and falls risk high. Thematic analysis revealed three key themes: 'falls are not a priority', 'information not given, or given and not retained' and 'reduction in confidence and independence'. Role-ordered matrix analysis identified differences between acute and rehabilitative hospital stays. Older people hospitalised for a fall present a unique opportunity for implementation of falls prevention strategies. However, hospitalisation is often a time of crisis with competing priorities. Timing and relevance are crucial for optimal uptake of falls prevention strategies, with the primary care setting well-placed for their implementation.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" IndexingMethod="Curated" Owner="NLM"><PMID Version="1">29132500</PMID><DateCompleted><Year>2019</Year><Month>02</Month><Day>12</Day></DateCompleted><DateRevised><Year>2019</Year><Month>02</Month><Day>15</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Print">1448-7527</ISSN><JournalIssue CitedMedium="Print"><Volume>24</Volume><Issue>1</Issue><PubDate><Year>2018</Year><Month>03</Month></PubDate></JournalIssue><Title>Australian journal of primary health</Title><ISOAbbreviation>Aust J Prim Health</ISOAbbreviation></Journal><ArticleTitle>'Falls not a priority': insights on discharging older people, admitted to hospital for a fall, back to the community.</ArticleTitle><Pagination><MedlinePgn>66-73</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1071/PY17052</ELocationID><Abstract><AbstractText>Falls are common among older people and a leading cause of injury-related hospitalisation. The immediate post-hospitalisation period is a risky time for further falls. This paper explores discharge strategies from the perspectives of older people hospitalised for a fall and liaison nurses assisting people to return home. Exploratory mixed methods were used. Semi-structured interviews with older people were conducted regarding their experience of the fall and discharge strategies. Quality of life, falls risk and functional capacity were measured by questionnaire. Liaison nurses were also interviewed. Interviews were audio-recorded, transcribed and thematically analysed. Mixed-method synthesis occurred using role-ordered matrix analysis. Older people (n=13) and liaison nurses (n=6) participated. Older persons' quality of life was average and falls risk high. Thematic analysis revealed three key themes: 'falls are not a priority', 'information not given, or given and not retained' and 'reduction in confidence and independence'. Role-ordered matrix analysis identified differences between acute and rehabilitative hospital stays. Older people hospitalised for a fall present a unique opportunity for implementation of falls prevention strategies. However, hospitalisation is often a time of crisis with competing priorities. 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