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Enacting Fall Prevention in Community Outreach Care
James A Shaw1, Denise M Connelly2, Carol L McWilliam2
1Toronto Rehabilitation Institute, Toronto, Ontario, Canada james.shaw@uhn.ca.
Health care providers find that enacting careful practice is essential for effective fall prevention programs. This involves holistic client care, understanding life contexts, building therapeutic relationships, and interprofessional learning.
Area of Science:
- Geriatric Medicine
- Healthcare Provider Experience
- Fall Prevention Strategies
Background:
- International focus on fall prevention has increased over the last two decades.
- Limited research exists on healthcare providers' perspectives in delivering fall prevention programs.
Purpose of the Study:
- To explore the lived experience of healthcare providers enacting fall prevention.
- To understand the meaning of this experience for an interprofessional geriatric outreach team.
Main Methods:
- Interpretive phenomenological study.
- Individual, semi-structured interviews with 6 healthcare providers.
- Focus on an interprofessional geriatric outreach team in Ontario, Canada.
Main Results:
- Enacting careful practice is central to the experience of fall prevention.
- Four key themes emerged: caring fully for older clients, seeing clients in their life contexts, enacting therapeutic relationships, and interprofessional experiential learning.
Conclusions:
- Findings highlight the importance of holistic, context-aware, and relationship-centered care in fall prevention.
- Suggestions are made for policy and practice, considering the emotional labor involved for providers.
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