Examining Fall Risk Assessment in Geriatric Rehabilitation Settings Using Translational Research.
Rehabil Nurs 2020;
46:137-145. [PMID:
32195764 DOI:
10.1097/rnj.0000000000000259]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Abstract
PURPOSE
The objective of this study was to identify gaps in and to improve the falls prevention strategy (FPS) of an inpatient rehabilitation facility (IRF) in Toronto, Canada.
DESIGN
A modified version of the Stanford Biodesign Methodology was used.
METHODS
Chart reviews, a focus group (n = 8), and semistructured interviews (n = 8) were conducted to evaluate the FPS.
FINDINGS
Admission Functional Independence Measure score, age, and gender significantly correlated with risk for a fall. The tool used at this IRF was not effectively capturing patients who were at high risk for falls. All healthcare providers interviewed were knowledgeable of fall risks; however, a patient's fall risk status was rarely discussed as a team.
CONCLUSIONS
The findings informed recommendations to improve the overall FPS at this IRF.
CLINICAL RELEVANCE
Staff may require more coaching for implementing preventative measures/ensuring accountability and evaluating whether current strategies work. These insights can guide improvement initiatives at similar facilities elsewhere.
Collapse