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The evaluation of a fall management program in a nursing home population
Elaine Burland1, Patricia Martens, Marni Brownell
1Address correspondence to Elaine Burland, Department of Community Health Sciences, University of Manitoba, Manitoba Centre for Health Policy (MCHP), 408-727 McDermot Ave., Winnipeg, Manitoba R3E 3P5, Canada.
The Gerontologist
|January 29, 2013
Summary
A nursing home Fall Management program showed promising results, decreasing hospitalized falls and injurious falls while maintaining resident mobility. This proactive approach supports injury prevention strategies in long-term care settings.
Area of Science:
- Gerontology
- Public Health
- Nursing Science
Background:
- Falls are a significant concern in nursing home residents, leading to injuries and increased healthcare utilization.
- Effective fall management programs are crucial for enhancing resident safety and well-being in long-term care facilities.
Purpose of the Study:
- To evaluate the effectiveness of a nursing home Fall Management program.
- To determine if the program increased resident mobility and decreased injurious falls.
Main Methods:
- A quasiexperimental, pre-post, comparison group design was employed.
- Data from administrative health care use and fall occurrence reports were analyzed from two rural health regions in Manitoba, Canada (June 2003–March 2008).
- Outcomes measured included falls, injurious falls, and falls resulting in hospitalization, comparing program vs. non-program nursing homes.
Main Results:
- While overall falls trended upward, injurious falls remained stable, and hospitalized falls significantly decreased (p = .043).
- Program residents experienced significantly fewer injurious falls (p = .02) and hospitalized falls (p = .023) compared to non-program residents in the post-program period.
Conclusions:
- The Fall Management program demonstrated positive associations with improved outcomes in nursing homes.
- Implementing proactive, universal injury prevention strategies can minimize injuries and maintain resident mobility.
- Further large-scale research is recommended to confirm the program's effectiveness and generalizability.
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