减少养老院居民的跌倒:一个DNP项目
1Alanna Coleman is an adjunct assistant professor with the Frances Payne Bolton School of Nursing at Case Western Reserve University in Cleveland, Ohio.
The Nurse practitioner
|March 26, 2024
概括
在养老院的老年人中,在使用 STEADI 工具包实施防摔策略后,老年人中跌倒率下降了 40.4%. 这一举措还减少了与落有关的急救部门转移费用.
科学领域:
- 老年学是一门学科.
- 公共卫生 公共卫生
- 护理实践 护理实践
背景情况:
- 在加拿大,老年人养老院的老年人中,跌倒是加拿大的重大公共卫生问题.
- 高发病率,死亡率和医疗保健费用与这些跌倒有关.
- 现有的防摔策略需要在养老院环境中加强.
研究的目的:
- 降低养老院的老年人中跌倒率和急救部门 (ED) 的转移.
- 为了促进实施一个全面的跌倒风险评估和预防战略,使用STEADI工具包从事护士 (NP).
- 增强注册实践护士 (RPN),个人支持工作者 (PSW) 和不受监管的护理提供者 (UCP) 在跌倒风险评估和预防方面的知识和实践.
主要方法:
- 在多伦多大区的六个养老院进行了一项质量改善 (QI) 计划.
- 该干预涉及将"停止老年人事故,死亡和伤害 (STEADI) "工具包纳入NP.
- 为RPN,PSW和UCP提供了关于落风险评估和预防策略的培训.
主要成果:
- 在干预后,养老院的跌倒率减少了40.4%.
- 在干预后的期间,没有需要转移到ED的跌倒.
- 护理人员和护理人员对防摔策略的了解和使用增加了.
结论:
- 一个多部分的,跨学科的方法是有效的减少在养老院的跌倒率.
- 实施 STEADI 工具包和增强员工知识对于预防跌倒至关重要.
- 有效的组织政策和程序对于最大限度地提高降落减少举措的影响至关重要.
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