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Challenges to implementing an APN-facilitated falls management program in long-term care.
Elizabeth Capezuti1, Jo Taylor, Holly Brown
1John A. Hartford Foundation Institute for Geriatric Nursing, New York University College of Nursing, New York, NY 10003, USA. ec65@nyu.edu
Implementing fall reduction programs in nursing homes faces challenges. Advance practice nurses (APNs) can improve adherence and nursing care by addressing assessment and decision-making gaps.
Area of Science:
- Gerontology
- Nursing Science
- Healthcare Management
Background:
- Clinical studies show success in reducing falls among nursing home residents.
- Adherence to fall reduction strategies varies significantly, particularly after external support is withdrawn.
Purpose of the Study:
- Identify contextual factors hindering effective implementation of falls reduction programs.
- Explore the role of advance practice nurses (APNs) in improving nursing care and adherence.
Main Methods:
- Qualitative analysis of implementation challenges in nursing home fall reduction programs.
- Focus on nursing assessment and clinical decision-making as key implementation areas.
Main Results:
- Inadequate nursing assessment and clinical decision-making are major barriers for nurses.
- External consultants or APNs are crucial for sustained program adherence.
Conclusions:
- Advance practice nurses (APNs) can bridge gaps in professional nursing care.
- APNs can enhance nursing staff behavior through education and consultation, improving fall reduction outcomes.
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