Prevention of falls, malnutrition and pressure ulcers among older persons - nursing staff's experiences of a structured preventive care process.

A structured and systematic care process for preventive work, aimed to reduce falls, pressure ulcers and malnutrition among older people, has been developed in Sweden. The process involves risk assessment, team-based interventions and evaluation of results. Since development, this structured work pr...

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Publicado en:Health & Social Care in the Community Vol. 25; no. 3; pp. 1011 - 1021
Autores principales: Lannering, Christina, Ernsth Bravell, Marie, Johansson, Linda
Formato: research tables/charts Journal Article
Publicado: Wiley-Blackwell May2017
Acceso en línea:Ver este registro en EBSCOhost
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        atl: Prevention of falls, malnutrition and pressure ulcers among older persons - nursing staff's experiences of a structured preventive care process.
      aug:
        au:
          Lannering, Christina
          Ernsth Bravell, Marie
          Johansson, Linda
        affil: School of Health and Welfare, Institute of Gerontology, Jönköping University, Jönköping Sweden
      sug:
        subj:
          Accidental Falls Prevention and Control
          Malnutrition Prevention and Control
          Pressure Ulcer Prevention and Control
          Risk Assessment In Old Age
          Human
          Aged
          Sweden
          Interviews
          Focus Groups
          Content Analysis
          Nursing Home Personnel
          Gerontologic Nursing
          Home Health Nursing
          Coding
          Scales
          Clinical Assessment Tools
          Qualitative Studies
          Workload
          Documentation
          Descriptive Research
          Funding Source
          Aged: 65+ years
      ab: A structured and systematic care process for preventive work, aimed to reduce falls, pressure ulcers and malnutrition among older people, has been developed in Sweden. The process involves risk assessment, team-based interventions and evaluation of results. Since development, this structured work process has become web-based and has been implemented in a national quality registry called 'Senior Alert' and used countrywide. The aim of this study was to describe nursing staff's experience of preventive work by using the structured preventive care process as outlined by Senior Alert. Eight focus group interviews were conducted during 2015 including staff from nursing homes and home-based nursing care in three municipalities. The interview material was subjected to qualitative content analysis. In this study, both positive and negative opinions were expressed about the process. The systematic and structured work flow seemed to only partly facilitate care providers to improve care quality by making better clinical assessments, performing team-based planned interventions and learning from results. Participants described lack of reliability in the assessments and varying opinions about the structure. Furthermore, organisational structures limited the preventive work.
      pubtype: Academic Journal
      doctype:
        research
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      ougenre: Article
    language: English
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