当前位置： SCI文献检索 > BMJ Open期刊下所有文献 > Barriers faced by healthcare professionals when managing falls in older people in Kuala Lumpur, Malaysia: a qualitative study.

Barriers faced by healthcare professionals when managing falls in older people in Kuala Lumpur, Malaysia: a qualitative study.

Abstract：

OBJECTIVE:To explore the barriers faced by healthcare professionals (HCPs) in managing falls among older people (aged above 60 years) who have a high risk of falling. RESEARCH DESIGN:The study used a qualitative methodology, comprising 10 in-depth interviews and two focus group discussions. A semistructured topic guide was used to facilitate the interviews, which were audio recorded, transcribed verbatim and checked for accuracy. Data were analysed thematically using WeftQDA software. PARTICIPANTS:20 HCPs who managed falls in older people. SETTING:This study was conducted at the Primary Care Clinic in the University Malaya Medical Centre (UMMC), Malaysia. RESULTS:Four categories of barriers emerged-these were related to perceived barriers for older people, HCPs' barriers, lack of caregiver support and healthcare system barriers. HCPs perceived that older people normalised falls, felt stigmatised, were fatalistic, as well as in denial regarding falls-related advice. HCPs themselves trivialised falls and lacked the skills to manage falls. Rehabilitation was impeded by premature decisions to admit older people to nursing homes. Lastly, there was a lack of healthcare providers as well as a dearth of fall education and training on fall prevention for HCPs. CONCLUSIONS:This study identified barriers that explain poor fall management in older people with a high risk of falls. The lack of structured fall prevention guidelines and insufficient training in fall management made HCPs unable to advise patients on how to prevent falls. The findings of this study warrant evidence-based structured fall prevention intervention targeted to patients as well as to HCPs.

journal_name

BMJ Open

journal_title

BMJ open

authors

Loganathan A,Ng CJ,Tan MP,Low WY

doi

10.1136/bmjopen-2015-008460

subject

Has Abstract

pub_date

2015-11-05 00:00:00

pages

e008460

issue

11

issn

2044-6055

pii

bmjopen-2015-008460

journal_volume

5

pub_type

杂志文章

相关文献

BMJ Open文献大全