Implementing the world falls guidelines in Sweden: implications for a knowledge support tool and practice.
Background As the older population grows rapidly, the incidence of falls and fall-related injuries is rising, underscoring the urgent need for systematic, evidence-based fall prevention. Objective This study aimed to examine the implementation of the World Falls Guidelines for falls prevention in a...
| Publicado en: | Age & Ageing Vol. 54; no. 11; pp. 1 - 9 |
|---|---|
| Autores principales: | , , , |
| Formato: | Artículo |
| Publicado: |
Oxford University Press / USA
Nov2025
|
| Materias: | |
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=189599339&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 189599339 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 00020729 AGA jtl: Age & Ageing issn: 00020729 maglogo: N pubinfo: dt: Nov2025 vid: 54 iid: 11 pid: 622 pub: Oxford University Press / USA artinfo: ui: 189599339 10.1093/ageing/afaf320 ppf: 1 ppct: 8 formats: tig: atl: Implementing the world falls guidelines in Sweden: implications for a knowledge support tool and practice. aug: au: Arkkukangas, Marina Thunborg, Camilla Nygård, Susanne Avby, Gunilla affil: Research and Development Unit, FoU i Sörmland, 63217 Eskilstuna, Södermanland County, Region Sörmland, Sweden Department of Medicine, School of Health and Welfare, Dalarna University, 79188 Falun, Dalarna County, Sweden Department of Physiotherapy, School of Health, Care and Social Welfare, Mälardalen University, 72123 Västerås, Västmanland County, Sweden Department of Education, Stockholm University, Stockholm, 10691 Stockholm County, Sweden Department for Improvement of Health and Welfare, Jönköping University, 55318 Jönköping, Jonkoping County, Sweden su: Sweden Home care services Health attitudes Human services programs Government policy Diffusion of innovations Interprofessional relations Exercise Primary health care Social services Action research Pensions Cooperativeness Medical protocols Risk assessment Pamphlets Research funding Independent living Field notes (Science) Teaching aids Descriptive statistics Thematic analysis Adult education workshops Accidental falls Algorithms sug: subj: Home care services Health attitudes Human services programs Government policy Diffusion of innovations Interprofessional relations Exercise Primary health care Social services Action research Pensions Cooperativeness Sweden Home Health Care Services Offices of All Other Miscellaneous Health Practitioners Offices of all other health practitioners Services for the Elderly and Persons with Disabilities Other printing Advertising Material Distribution Services Trusteed pension funds Other Individual and Family Services Medical protocols Risk assessment Pamphlets Research funding Independent living Field notes (Science) Teaching aids Descriptive statistics Thematic analysis Adult education workshops Accidental falls Algorithms keyword: anchoring co-creation collaboration decision making evidence-based practice facilitation fall prevention guidelines hospital care implementation implementation science information sharing microbiology procedures older adult older adults outreach primary health care risk assessment social welfare social work anchoring co-creation collaboration decision making evidence-based practice facilitation fall prevention guidelines hospital care implementation implementation science information sharing microbiology procedures older adult older adults outreach primary health care risk assessment social welfare social work ab: Background As the older population grows rapidly, the incidence of falls and fall-related injuries is rising, underscoring the urgent need for systematic, evidence-based fall prevention. Objective This study aimed to examine the implementation of the World Falls Guidelines for falls prevention in a region of Sweden, with particular attention to the implications of anchoring and developing a knowledge support tool within policy and practice. Methods A participatory research design was employed, involving five diverse settings: primary care, hospital care, homecare, municipal social services and pensioners' organizations. Data collection included workshops, field notes and written material. Early implementation processes focused on anchoring and developing, aligning with the i-PARIHS framework. The data were analysed using a framework analysis. Results The anchoring process revealed a lack of managerial support at the appropriate organizational level, which hindered cross-sectoral collaboration. Further, the developing process refined the content structure to better address the needs of both professionals and older adults. Seven themes were mapped by using i-PARIHS framework: (i) Innovation —adoption and adaptation, risk assessment; (ii) Recipients —intermediate managerial decision-making; (iii) Context —collaboration and resources, documentation and information sharing and accessibility and outreach and (iv) Facilitation —project or process. Conclusion Successful implementation requires anchoring and organizational alignment across all levels, with particular emphasis on the engagement of intermediate management. While the primary challenges emerge at the organizational (meso) level, they are closely interconnected with both micro-level and macro-level influences. Coordinated efforts across all levels are therefore essential for effective implementation strategies. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
|---|