Resident and Caregiver Behaviors Associated With Falls in a Long-Term Psychiatric Residential Treatment Facility

2.50
Hdl Handle:
http://hdl.handle.net/10755/156732
Type:
Presentation
Title:
Resident and Caregiver Behaviors Associated With Falls in a Long-Term Psychiatric Residential Treatment Facility
Abstract:
Resident and Caregiver Behaviors Associated With Falls in a Long-Term Psychiatric Residential Treatment Facility
Conference Sponsor:Sigma Theta Tau International
Conference Year:2004
Conference Date:July 22-24, 2004
Author:Warren, Jacquelyn Kay, PhD, ARNP
P.I. Institution Name:Northeast Florida State Hospital
Title:Registered Nurse Consultant
Objectives: Little is known about individuals with severe and persistent mental illness who have fallen while residing in long-term care psychiatric facilities. Therefore, the objective of this research was to describe two groups of residents, those with, and those without, a recorded history of falls during the previous 12 months. Design: A descriptive correlational design was used. An adaptation of Andersen’s Behavior Model for Vulnerable Populations provided the theoretical framework. Population, Sample, Setting, Years: Using a stratified random sample, 58 residents participated in the study, 28 of which had a history of falls. Twenty direct caregivers were also recruited to participate. The setting was a long-term state psychiatric treatment facility located in Northeast Florida. The study took place from 2002 to 2003. Concept or Variables Studied Together or Intervention and Outcome Variable(s): A number of independent variables, such as age, BMI, perceived/documented deficits in physical health, severity of mental illness, number/types of psychotropic medications, and cardinal risk factors were analyzed in relationship to the outcome variable, incidence of falls. Method: A negotiated model of needs assessment was implemented using a series of standardized instruments in a face-to-face interview format as well as clinical record review. Findings: A significant difference was found between the two groups with regard to the number of psychotropic medications prescribed. Analyses of data revealed significant relationships between perceived deficits in physical health and the incidence of falls and between recorded medical deficits and the incidence of falls. Conclusions: Although documented health deficits significantly correlated with the incidence of falls, Spearman correlation coefficient tests revealed a negative relationship between perceived health deficits and the incidence of falls. Implications: Although residents receive an extensive array of services, little focus is placed on physical health. Nurses are in a position to prioritize health needs, which affect mental health outcomes.
Repository Posting Date:
26-Oct-2011
Date of Publication:
22-Jul-2004
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleResident and Caregiver Behaviors Associated With Falls in a Long-Term Psychiatric Residential Treatment Facilityen_GB
dc.identifier.urihttp://hdl.handle.net/10755/156732-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Resident and Caregiver Behaviors Associated With Falls in a Long-Term Psychiatric Residential Treatment Facility</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2004</td></tr><tr class="item-conference-date"><td class="label">Conference Date:</td><td class="value">July 22-24, 2004</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Warren, Jacquelyn Kay, PhD, ARNP</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Northeast Florida State Hospital</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Registered Nurse Consultant</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">JWarren279@aol.com</td></tr><tr><td colspan="2" class="item-abstract">Objectives: Little is known about individuals with severe and persistent mental illness who have fallen while residing in long-term care psychiatric facilities. Therefore, the objective of this research was to describe two groups of residents, those with, and those without, a recorded history of falls during the previous 12 months. Design: A descriptive correlational design was used. An adaptation of Andersen&rsquo;s Behavior Model for Vulnerable Populations provided the theoretical framework. Population, Sample, Setting, Years: Using a stratified random sample, 58 residents participated in the study, 28 of which had a history of falls. Twenty direct caregivers were also recruited to participate. The setting was a long-term state psychiatric treatment facility located in Northeast Florida. The study took place from 2002 to 2003. Concept or Variables Studied Together or Intervention and Outcome Variable(s): A number of independent variables, such as age, BMI, perceived/documented deficits in physical health, severity of mental illness, number/types of psychotropic medications, and cardinal risk factors were analyzed in relationship to the outcome variable, incidence of falls. Method: A negotiated model of needs assessment was implemented using a series of standardized instruments in a face-to-face interview format as well as clinical record review. Findings: A significant difference was found between the two groups with regard to the number of psychotropic medications prescribed. Analyses of data revealed significant relationships between perceived deficits in physical health and the incidence of falls and between recorded medical deficits and the incidence of falls. Conclusions: Although documented health deficits significantly correlated with the incidence of falls, Spearman correlation coefficient tests revealed a negative relationship between perceived health deficits and the incidence of falls. Implications: Although residents receive an extensive array of services, little focus is placed on physical health. Nurses are in a position to prioritize health needs, which affect mental health outcomes.</td></tr></table>en_GB
dc.date.available2011-10-26T15:04:46Z-
dc.date.issued2004-07-22en_GB
dc.date.accessioned2011-10-26T15:04:46Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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