JAMDA
Volume 9, Issue 3 , Pages 168-172 , March 2008

Certified Nursing Aides’ and Care Assistants’ Views on Falls: Insight for Creation and Implementation of Fall Prevention Programs

  • Victoria L. Phillips, DPhil

      Affiliations

    • Department of Health Policy and Management, Rollins School of Public Health of Emory University, Atlanta, GA
    • Corresponding Author InformationAddress correspondence to V. L. Phillips, DPhil, Department of Health Policy and Management, Rollins School of Public Health of Emory University, 1518 Clifton Road, NE, Atlanta, GA 30322.
    • ,
  • Deborah Yarmo Roberts, PhD

      Affiliations

    • Centre for Research Excellence in Patient Safety (CREPS), Department of Epidemiology and Preventive Medicine, Monash University, Victoria, Australia
    • ,
  • Amanda Egner Hunsaker, MPH

      Affiliations

    • Alzheimer Disease Research Center, Department of Neurology, University of Pittsburgh School of Medicine, Pittsburgh, PA.

References 

  1. National Center for Health Statistics. Health, United States, 2003. Hyattsville, MD: US Government Printing Office; 2003;
  2. Ray WA, Taylor JA, Meador KG, et al. A randomized trial of a consultation service to reduce falls in nursing homes. JAMA. 1997;278:557–562
  3. Thapa PB, Brockman KG, Gideon P, et al. Injurious falls in nonambulatory nursing home residents: A comparative study of circumstances, incidence, and risk factors. J Am Geriatr Soc. 1996;44:273–278
  4. Tinetti ME. Factors associated with serious injury during falls by ambulatory nursing home residents. J Am Geriatr Soc. 1987;35:644–658
  5. Rubenstein LZ, Robbins AS, Schulman BL, et al. Falls and instability in the elderly. J Am Geriatr Soc. 1988;36:266–278
  6. Wilson EB. Preventing patient falls. AACN Clin Issues. 1998;9:100–108
  7. Greene VL, Ondrich JI. Risk factors for nursing home admissions and exits: a discrete-time hazard function approach. J Gerontol B Psychol Sci Soc Sci. 1990;45(6 Suppl):S250–S258
  8. Jette AM, Branch LG, Sleeper LA, et al. High-risk profiles for nursing home admission. Gerontologist. 1992;32:634–640
  9. Tinetti ME, Williams CS. Falls, injuries due to falls, and the risk of admission to a nursing home. N Engl J Med. 1997;337:1279–1284
  10. Baker SP, Harvey AH. Fall injuries in the elderly. Clin Geriatr Med. 1985;1:501–507
  11. Lange M. The challenge of fall prevention in home care: A review of the literature. Home Healthc Nurse. 1996;14:198–206
  12. Rubenstein LZ, Josephson KR, Robbins AS. Falls in the nursing home. Ann Intern Med. 1994;121:442–451
  13. National Center for Injury Prevention and Control (NCIPC). Prevention: The Public Health Approach. www.cdc.gov/ncipc/about/about.htmAccessed June 29, 2006
  14. Castle NG, Mor V. Physical restraints in nursing homes: A review of the literature since the Nursing Home Reform Act of 1987. Med Care Res Rev. 1998;55:139–170
  15. Ejaz FK, Jones JA, Rose MS. Falls among nursing home residents: an examination of incident reports before and after restraint reduction among nursing home residents. J Am Geriatr Soc. 1994;42:960–964
  16. Neufeld RR, Libow LS, Foley WJ, et al. Restraint reduction reduces serious injuries among nursing home residents. J Am Geriatr Soc. 1999;47:1202–1207
  17. Vu MQ, Weintraub N, Rubenstein L. Falls in the nursing home: Are they preventable?. J A, Med Dir Assoc. 2006;3:S553–S558
  18. Becker C, Kron M, Lindemann U, et al. Effectiveness of a multifaceted intervention on falls in nursing home residents. J Am Geriatr Soc. 2003;51:306–313
  19. McCurdo ME, Millar Am, Daly F. A randomized controlled trial of fall prevention strategies in old peoples’ homes. Gergontology. 2000;46:83–87
  20. Blegen MA, Vaughn TE, Goode CJ. Nurse experience and education: Effect on quality of care. J Nurs Adm. 2001;31:33–39
  21. Commodore DI. Falls in the elderly population: A look at incidence, risks, healthcare costs, and preventive strategies. Rehabil Nurs. 1995;20:84–89
  22. Ignatavicius D. Do you help staff rise to the fall-prevention challenge?. Nurs Manag. 2000;31:27–30
  23. Schnelle JF, Newman DR, Fogarty TE. Statistical quality control in nursing homes: Assessment and management of chronic urinary incontinence. Health Serv Res. 1990;25:628–637
  24. Jones KR, Fink R, Pepper G, et al. Improving nursing home staff knowledge and attitudes about pain. Gerontologist. 2004;44:469–478
  25. Reinhard S, Stone R. Promoting Quality in Nursing Homes: The WellSpring Model (The Commonwealth Fund, 2001). www.cmwf.org/usr_doc/reinhard_wellspring_432.pdfAccessed June 29, 2006
  26. Silverman D. Interpreting qualitative data: Methods for analyzing talk, text and interaction. London: Sage Publications; 1993;
  27. American Medical Directors Association. Clinical practice guidelines: Falls and fall risk. Columbia, MD: American Medical Directors Association; 2003;
  28. Reinhard S, Stone R. Promoting Quality in Nursing Homes: The WellSpring Model (The Commonwealth Fund, 2001). www.cmwf.org/usr_doc/reinhard_wellspring_432.pdfAccessed June 29, 2006
  29. Schnelle JF, Newman DR, Fogarty TE. Statistical quality control in nursing homes: Assessment and management of chronic urinary incontinence. Health Serv Res. 1990;25:628–637
  30. Castle NG. Quality improvement and top management in nursing homes. J Qual Manage. 1999;4:95–109
  31. Sawka AM, Nixon M, Giangregorio L, et al. The use of hip protectors in long-term care facilities: a survey of nursing home staff. J Am Med Dir Assoc. 2007;8:229–232
  32. Pope C, Mays N. Reaching the parts other methods cannot reach: An introduction to qualitative methods in health and health services research. BMJ. 1995;311:42–45
  33. Lekan-Rutledge D, Palmer MH, Belyea M. In their own words: nursing assistants’ perceptions of barriers to implementation of prompted voiding in long-term care. Gerontologist. 1998;38:370–378

 The authors have no conflict of interest regarding this manuscript.

PII: S1525-8610(07)00521-X

doi: 10.1016/j.jamda.2007.11.012

JAMDA
Volume 9, Issue 3 , Pages 168-172 , March 2008

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