Fall Prevention Education for Older People Being Discharged from Hospital: Educators' Perspectives

Autor/inn/en	Francis-Coad, Jacqueline; Lee, Den-Ching A.; Haines, Terry P.; Morris, Meg E.; McPhail, Steven M.; Etherton-Beer, Christopher; Shorr, Ronald; Flicker, Leon; Weselman, Tammy; Starling, Trish; Hill, Anne-Marie
Titel	Fall Prevention Education for Older People Being Discharged from Hospital: Educators' Perspectives
Quelle	In: Health Education Journal, 80 (2021) 8, S.908-920 (13 Seiten)Infoseite zur Zeitschrift PDF als Volltext Verfügbarkeit
Zusatzinformation	ORCID (Francis-Coad, Jacqueline)
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	0017-8969
DOI	10.1177/00178969211032711
Schlagwörter	Older Adults; Accident Prevention; Risk Management; Program Implementation; Fidelity; Program Effectiveness; Hospitals; Interaction; Teacher Role; Safety Education; Barriers; Foreign Countries; Australia + Suchen Sie Ihr Suchwort? Älterer Erwachsener; Accident statistics; Unfall; Statistik; Unfallstatistik; Risikomanagement; Krankengymnast; Krankenhaus; Interaktion; Lehrerrolle; Sicherheitserziehung; Ausland; Australien
Abstract	Objective: Falls are a significant problem for many older patients after hospital discharge. The purpose of this study was to evaluate the fidelity and impact of a tailored patient fall prevention education programme from the perspective of the educators who delivered the programme. Design: Qualitative sequential design. Setting: Three rehabilitation hospitals in Western Australia. Method: Three experienced physiotherapists trained as 'educators' to deliver a tailored fall prevention education programme to 195 older patients prior to hospital discharge, together with monthly telephone follow-up for 3 months after discharge. Educator-patient interactions were recorded in a standardised educator diary. Post-intervention, educators participated in a mini-focus group, providing their perspectives regarding education delivery and its impact on patient abilities to engage in fall prevention strategies. Data were analysed using deductive content analysis. Results: Educators followed up 184 (94%) patients, identifying multiple barriers and enablers affecting patient engagement in planned fall prevention strategies. Key barriers included unresolved medical conditions, reluctance to accept assistance on discharge, delays in assistive service provision, patient beliefs and perceptions about falls and, in some cases, patients' absolving responsibility for recovery. Enablers were related to programme design, the completion of hospital discharge processes and support networks following discharge. Conclusion: Educators identified several barriers and enablers to programme delivery, receipt and enactment by older patients that contributed to the fidelity of the education programme. The consistent need for more patient support to enable improved enactment of plans and assist with safe recovery long after discharge warrants further attention at policy and health system levels. (As Provided).
Anmerkungen	SAGE Publications. 2455 Teller Road, Thousand Oaks, CA 91320. Tel: 800-818-7243; Tel: 805-499-9774; Fax: 800-583-2665; e-mail: journals@sagepub.com; Web site: http://sagepub.com
Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2024/1/01