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Related Concept Videos

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Implementing the world falls guidelines in Sweden: implications for a knowledge support tool and practice.

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Implementing fall prevention guidelines requires strong organizational support and alignment across all levels. Engaging intermediate management is crucial for successful cross-sectoral collaboration and effective strategies for older adult safety.

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Area of Science:

  • Gerontology and Public Health
  • Healthcare Policy and Implementation Science

Background:

  • The aging global population is experiencing a rise in falls and related injuries.
  • There is a critical need for systematic, evidence-based fall prevention strategies.

Purpose of the Study:

  • To evaluate the implementation of World Falls Guidelines in a Swedish region.
  • To analyze the role of a knowledge support tool in policy and practice for falls prevention.
  • To understand the implications of anchoring and developing implementation processes.

Main Methods:

  • Employed a participatory research design across five diverse healthcare and social service settings.
  • Utilized workshops, field notes, and written materials for data collection.
  • Applied framework analysis guided by the i-PARIHS framework for implementation processes.

Main Results:

  • Lack of managerial support at the organizational level impeded cross-sectoral collaboration.
  • The knowledge support tool was refined to better meet the needs of professionals and older adults.
  • Seven themes identified using the i-PARIHS framework, including innovation adoption, recipient decision-making, context factors (collaboration, resources, documentation, accessibility), and facilitation.

Conclusions:

  • Successful implementation hinges on organizational alignment and anchoring across all levels, especially intermediate management.
  • Challenges at the organizational (meso) level are interconnected with micro and macro influences.
  • Coordinated, multi-level efforts are essential for effective fall prevention implementation strategies.