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Can hip protector use in the nursing home be predicted?
Lisa A Honkanen1, Niall Monaghan, M C Reid
1Division of Geriatrics and Gerontology, Weill Medical College, Cornell University, New York, New York 10021, USA. lih2002@med.cornell.edu
Journal of the American Geriatrics Society
|March 8, 2007
Summary
Resident and caregiver factors influence hip protector (HP) usage. External locus of control in certified nursing assistants (CNAs) and resident characteristics predicted HP use and adherence.
Area of Science:
- Gerontology
- Nursing
- Public Health
Background:
- Hip fractures are a significant concern in nursing home residents.
- Hip protectors (HPs) are a fall prevention strategy.
- Understanding factors influencing HP use is crucial for effective implementation.
Purpose of the Study:
- To identify resident- and caregiver-related factors influencing hip protector (HP) usage.
- To explore predictors of HP users and HP adherence in a nursing home setting.
Main Methods:
- Prospective observational cohort study over 6 weeks in a 409-bed nursing home.
- Fifty-two residents and 60 certified nursing assistants (CNAs) participated.
- HP usage and adherence were measured, alongside CNA questionnaires on knowledge, opinions, job satisfaction, and health locus of control.
Main Results:
- Sixty-eight percent of residents were HP users.
- Resident factors (male sex, age, Parkinson's disease, impaired cognition, dependent ambulation) and CNAs' external locus of control predicted HP users.
- Resident behaviors (anxiety, resistive behaviors, fall history) and CNAs' perceptions of HPs and external locus of control predicted HP adherence.
Conclusions:
- Resident characteristics and CNAs' external locus of control are key predictors of HP use and adherence.
- CNAs' understanding of osteoporosis and HPs specifically impacts adherence.
- Targeted interventions for CNAs may improve HP adherence, though most resident factors are not remediable.
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