Abstract:
BACKGROUND:Evidence-based guidelines assist clinicians in practice, but how the guidelines are implemented is less established. AIM:To describe the nurses' implementation of activities recommended in evidence-based guidelines for falls prevention and care of older people with cognitive impairment. METHODS:Structured observation with a categorical checklist was used. Nursing personnel were recruited from one subacute and two acute wards in two hospitals in one tertiary-level health service in south-eastern Queensland, Australia. The data collection instrument identified 31 activities drawn directly from the evidence-based guidelines, which were categorized into six domains of nursing practice: clinical care, comfort, elimination, mobility, nutrition and hydration, and social engagement. Four-hour observation periods, timed to occur across the morning and evening shifts, were conducted over 2 months. RESULTS:Nineteen registered nurses, six enrolled nurses, and 16 assistants in nursing (N = 41) were observed for 155 hr of observation. There was variability in adherence with specific activities, ranging from 21% to 100% adherence. Three categories with the highest adherence were nutrition and hydration, mobilization safety, and social engagement. The clinical care, comfort, and elimination categories had lower adherence, with lowest adherence in activities of education provision about falls risk, pain assessment, using a clock or calendar to reorient to time and place, and bowel care. LINKING EVIDENCE TO ACTION:Nursing care is delivered within an interdisciplinary team. Therefore, responsibility for the everyday fundamental care activities known to prevent falls in older people with cognitive impairment requires localized negotiation. A practical guide for preventing in-hospital falls in older people with cognitive impairment addressing the interdisciplinary context of practice is required. Interdisciplinary teams should develop strategies to enhance the implementation of pain assessment and prevention of constipation in the context of regularly implemented hydration, nutrition, and mobilization care strategies.
journal_name
Worldviews Evid Based Nursjournal_title
Worldviews on evidence-based nursingauthors
Grealish L,Real B,Todd JA,Darch J,Soltau D,Phelan M,Lunn M,Brandis S,Cooke M,Chaboyer Wdoi
10.1111/wvn.12376subject
Has Abstractpub_date
2019-10-01 00:00:00pages
335-343issue
5eissn
1545-102Xissn
1741-6787journal_volume
16pub_type
杂志文章abstract:BACKGROUND:Intimate partner violence (IPV) is a significant public health issue. Healthcare providers (e.g., nurses, advanced practice nurses, physicians, social workers) have a unique opportunity to prevent and reduce IPV through screening and referral. The objective of this project was to determine the impact of educ...
journal_title:Worldviews on evidence-based nursing
pub_type: 杂志文章
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journal_title:Worldviews on evidence-based nursing
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journal_title:Worldviews on evidence-based nursing
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journal_title:Worldviews on evidence-based nursing
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journal_title:Worldviews on evidence-based nursing
pub_type: 杂志文章
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更新日期:2012-08-01 00:00:00
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journal_title:Worldviews on evidence-based nursing
pub_type: 杂志文章
doi:10.1111/wvn.12057
更新日期:2014-12-01 00:00:00
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journal_title:Worldviews on evidence-based nursing
pub_type: 杂志文章,评审
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journal_title:Worldviews on evidence-based nursing
pub_type: 杂志文章
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journal_title:Worldviews on evidence-based nursing
pub_type: 杂志文章
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journal_title:Worldviews on evidence-based nursing
pub_type: 杂志文章
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journal_title:Worldviews on evidence-based nursing
pub_type: 杂志文章,随机对照试验
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journal_title:Worldviews on evidence-based nursing
pub_type: 杂志文章
doi:10.1111/wvn.12260
更新日期:2017-12-01 00:00:00
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journal_title:Worldviews on evidence-based nursing
pub_type: 杂志文章
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更新日期:2015-12-01 00:00:00
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journal_title:Worldviews on evidence-based nursing
pub_type: 杂志文章
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更新日期:2017-04-01 00:00:00
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journal_title:Worldviews on evidence-based nursing
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journal_title:Worldviews on evidence-based nursing
pub_type: 杂志文章
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更新日期:2010-12-01 00:00:00
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journal_title:Worldviews on evidence-based nursing
pub_type: 杂志文章,多中心研究
doi:10.1111/j.1524-475X.2004.04045.x
更新日期:2004-01-01 00:00:00
abstract::This column shares the best evidence-based strategies and innovative ideas on how to facilitate the learning and implementation of EBP principles and processes by clinicians as well as nursing and interprofessional students. Guidelines for submission are available at http://onlinelibrary.wiley.com/journal/10.1111/(ISS...
journal_title:Worldviews on evidence-based nursing
pub_type: 杂志文章
doi:10.1111/wvn.12135
更新日期:2016-02-01 00:00:00
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journal_title:Worldviews on evidence-based nursing
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