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Injury prevention among young people in nursing homes: Recommendations following expert consultation forums
Anna Cartwright1, Lyndal Bugeja1, Joseph E Ibrahim1
1Department of Forensic Medicine, Monash University, Southbank, Vic., Australia.
Insights
Young Australians in nursing homes face high injury risks. This study developed recommendations, including staff training and housing improvements, to enhance safety and quality of life.
Area of Science:
- Gerontology
- Public Health
- Injury Prevention
Background:
- Approximately 6,000 young Australians (<65 years) reside in nursing homes annually.
- This population faces significant risks of premature death and preventable morbidity from injuries, with choking (44%) and falls (33%) being leading causes.
Purpose of the Study:
- To develop evidence-based injury prevention recommendations tailored for young individuals residing in Australian nursing homes.
Main Methods:
- A mixed-methods approach was employed, involving two expert and stakeholder consultation panels using a modified nominal group technique.
- A follow-up survey was conducted to validate and rank the formulated recommendations.
Main Results:
- Ten system-wide reform recommendations were developed.
- Four key recommendations were prioritized: enhanced staff education/training, National Disability Insurance Scheme implementation, coordinated care support, and increased appropriately designed housing.
Conclusions:
- Significant systemic changes are required to effectively prevent injuries in young nursing home residents.
- Implementing these recommendations is expected to reduce injury risks and improve the quality of life for this vulnerable cohort.
Background:
Approximately 6,000 people under the age of 65 years reside in nursing homes each year in Australia. These young people in nursing homes are at risk of premature death and preventable morbidity from injuries. Choking and falls are the leading causes of premature deaths in this cohort with reported rates of 44% and 33%, respectively.
Objectives:
To develop injury prevention recommendations for young people in Australian nursing homes.
Methods:
This mixed-methods study comprised two expert consultation panels and a follow-up survey. Two expert and stakeholder consultation panels used a modified nominal group technique to formulate recommendations. A short survey was subsequently given to participants to validate responses from the panels and to provide an opportunity to evaluate and rank recommendations.
Results:
Ten recommendations were formulated for consideration that focused on system-wide reforms. Four were ranked as most important for implementation: education and training for nursing home staff; implementation of National Disability Insurance Scheme; support for coordinated care; and increasing residential housing stock that is appropriately designed.
Conclusion:
Extensive changes are needed to prevent injury for young people in nursing homes. Implementation should reduce the risk of injury and lead to an improved quality of life for this cohort.
Implications For Practice:
This study provides an evidence base for aged care practitioners to improve practice within nursing homes to reduce fatal and non-fatal injuries for young people in nursing homes.
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