2.50
Hdl Handle:
http://hdl.handle.net/10755/182311
Category:
Abstract
Type:
Presentation
Title:
An Interdisciplinary Intervention to Prevent Falls in Hospitalized Adults
Author(s):
Padula, Cynthia
Author Details:
Cynthia Padula, RN, PhD, The Miriam Hospital, Providence, Rhode Island, USA, email: cpadula@lifespan.org
Abstract:
Preventing falls and achieving positive outcomes through fall prevention programs in acute care hospitals remains a major challenge. Falls are highly complex and multi-factorial in origin; a major contributor is functional decline, commonly experienced during hospitalization. Lower extremity weakness, balance issues and gait instability are important risk factors. The purpose of this study is to examine the impact of lower extremity strengthening exercises on fall rates in hospitalized patients. A non equivalent control group design is employed with treatment and control units. The sample includes patients admitted to the study units during the six month data collection period. Routine care on the control and treatment units includes a nurse-driven mobility protocol that includes twice daily patient ambulation. The interdisciplinary intervention includes selected lower extremity strengthening exercises. Nursing staff on the intervention and control units received training to reinforce the existing mobility protocol; nurses on the intervention unit were also trained to initiate lower extremity strength training exercises when indicated. A lower extremity exercise menu was developed by Physical Therapists (PT) and implemented by nursing staff on the intervention units based on lower extremity strength scores. Lower extremity strength of subjects on the treatment unit was assessed within 48 hours of admission using an established, reliable and valid method. A PT and research nurse trained by PT completed the assessments; inter-rater reliability was achieved and periodically re-assessed. Primary outcomes variables include fall rates and fall with injury rates. References: Coussement, J. et al. (2008). Interventions for preventing falls in acute and chronic care hospitals: A systematic review and meta-analysis. JAGS, 56, 29-36. ; MacCulloch, P., Gardner, T., & Bonner, A. (2007). Comprehensive fall prevention programs across settings. Geriatric Nursing, 28(5), 306-311.; O'Connell, B., Baker, L., Gaskin, C., & Hawkins, M. (2007). Risk items associated with patient falls in oncology and medical settings. JNDC, 22(2), 130-137.
Repository Posting Date:
28-Oct-2011
Date of Publication:
28-Oct-2011
Conference Date:
2009
Conference Name:
ANCC National Magnet Conference
Conference Host:
American Nurses Credentialing Center
Conference Location:
Louisville, Kentucky, USA
Description:
"Magnet: Inspiring Innovation, Achieving Outcomes" was the theme and "Explore the relationship among leadership, innovation, and nursing practice outcomes" was the goal of the 13th American Nurses Credentialing Center (ANCC) National Magnet Conference, held 1-3 October, 2009 in Louisville, Kentucky, USA.
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleAn Interdisciplinary Intervention to Prevent Falls in Hospitalized Adultsen_GB
dc.contributor.authorPadula, Cynthiaen_US
dc.author.detailsCynthia Padula, RN, PhD, The Miriam Hospital, Providence, Rhode Island, USA, email: cpadula@lifespan.orgen_US
dc.identifier.urihttp://hdl.handle.net/10755/182311-
dc.description.abstractPreventing falls and achieving positive outcomes through fall prevention programs in acute care hospitals remains a major challenge. Falls are highly complex and multi-factorial in origin; a major contributor is functional decline, commonly experienced during hospitalization. Lower extremity weakness, balance issues and gait instability are important risk factors. The purpose of this study is to examine the impact of lower extremity strengthening exercises on fall rates in hospitalized patients. A non equivalent control group design is employed with treatment and control units. The sample includes patients admitted to the study units during the six month data collection period. Routine care on the control and treatment units includes a nurse-driven mobility protocol that includes twice daily patient ambulation. The interdisciplinary intervention includes selected lower extremity strengthening exercises. Nursing staff on the intervention and control units received training to reinforce the existing mobility protocol; nurses on the intervention unit were also trained to initiate lower extremity strength training exercises when indicated. A lower extremity exercise menu was developed by Physical Therapists (PT) and implemented by nursing staff on the intervention units based on lower extremity strength scores. Lower extremity strength of subjects on the treatment unit was assessed within 48 hours of admission using an established, reliable and valid method. A PT and research nurse trained by PT completed the assessments; inter-rater reliability was achieved and periodically re-assessed. Primary outcomes variables include fall rates and fall with injury rates. References: Coussement, J. et al. (2008). Interventions for preventing falls in acute and chronic care hospitals: A systematic review and meta-analysis. JAGS, 56, 29-36. ; MacCulloch, P., Gardner, T., & Bonner, A. (2007). Comprehensive fall prevention programs across settings. Geriatric Nursing, 28(5), 306-311.; O'Connell, B., Baker, L., Gaskin, C., & Hawkins, M. (2007). Risk items associated with patient falls in oncology and medical settings. JNDC, 22(2), 130-137.en_GB
dc.date.available2011-10-28T15:18:38Z-
dc.date.issued2011-10-28en_GB
dc.date.accessioned2011-10-28T15:18:38Z-
dc.conference.date2009en_US
dc.conference.nameANCC National Magnet Conferenceen_US
dc.conference.hostAmerican Nurses Credentialing Centeren_US
dc.conference.locationLouisville, Kentucky, USAen_US
dc.description"Magnet: Inspiring Innovation, Achieving Outcomes" was the theme and "Explore the relationship among leadership, innovation, and nursing practice outcomes" was the goal of the 13th American Nurses Credentialing Center (ANCC) National Magnet Conference, held 1-3 October, 2009 in Louisville, Kentucky, USA.en_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
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