The nursing staff's opinion of falls among older persons with dementia. A cross-sectional study [Elektronisk resurs]
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Struksnes, Solveig (författare)
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Bachrach-Lindström, Margareta (författare)
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Hall-Lord, Marie Louise (författare)
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Slaasletten, Randi (författare)
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Johansson, Inger (författare)
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- Linköpings universitet Institutionen för medicin och hälsa (utgivare)
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Alternativt namn: IMH
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Alternativt namn: Engelska: Linköping Universty. Department of Medical and Health Sciences
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Alternativt namn: Linköping Universty. Department of Medicine and Health Sciences
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Se även: Linköpings universitet. Institutionen för hälsa och samhälle
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Se även: Linköpings universitet. Institutionen för medicin och vård
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Linköpings universitet Hälsouniversitetet (utgivare)
- London, UK BioMed Central 2011
- Engelska.
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Ingår i: BMC Nursing. - 1472-6955. ; 10:13
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Sammanfattning
Ämnesord
Stäng
- The aim of this study was to describe the nursing staff's opinion of caring for older persons with dementia with the focus on causes of falls, fall-preventing interventions, routines of documentation and report and the nursing staff's experiences and reactions when fall incidents occur. A further aim was to compare these areas between registered nurses (RNs) and enrolled nurses (ENs) and staff with ≤5 and >5 years of employment in the care units in question. Background Falls are common among older people and persons with dementia constitute an additional risk group. Methods The study had a cross-sectional design and included nursing staff (n = 63, response rate 66%) working in four special care units for older persons with dementia. Data collection was conducted with a questionnaire consisting of 64 questions. Results The respondents reported that the individuals' mental and physical impairment constitute the most frequent causes of falls. The findings also revealed a lack of, or uncertainty about, routines of documentation and reporting fall-risk and fall-preventing interventions. Respondents who had been employed in the care units more than five years reported to a higher degree that colours and material on floors caused falls. RNs considered the residents' autonomy and freedom of movement as a cause of falls to a significantly higher degree than ENs. RNs also reported a significantly longer time than ENs before fall incidents were discovered, and they used conversation and closeness as fall-preventing interventions to a significantly higher degree than ENs. Conclusions Individual factors were the most common causes to falls according to the nursing staff. RNs used closeness and dialog as interventions to a significantly higher degree to prevent falls than ENs. Caring of for older people with dementia consisted of a comprehensive on-going assessment by the nursing staff to balance the residents' autonomy-versus-control to minimise fall-risk. This ethical dilemma should initiate development of feasible routines of systematic risk-assessment, report and documentation.
Ämnesord
- Medical and Health Sciences (hsv)
- Medicin och hälsovetenskap (hsv)
- MEDICINE (svep)
- MEDICIN (svep)
Indexterm och SAB-rubrik
- dementia
- falls
- nursing home
- nursing care
- older person
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