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The nursing staff's opinion of falls among older persons with dementia. A cross-sectional study
Center of Care Research, Department of Health, Care and Nursing, Gjövik University College, Norway.
Linköping University, Department of Medical and Health Sciences, Nursing Science. Linköping University, Faculty of Health Sciences.
Center of Care Research, Department of Health, Care and Nursing, Gjövik University College, Norway.
Center of Care Research, Department of Health, Care and Nursing, Gjövik University College, Norway.
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2011 (English)In: BMC Nursing, ISSN 1472-6955, E-ISSN 1472-6955, Vol. 10, no 13Article in journal (Refereed) Published
Abstract [en]

The aim of this study was to describe the nursing staff's opinion of caring for older persons with dementia with the focus on causes of falls, fall-preventing interventions, routines of documentation and report and the nursing staff's experiences and reactions when fall incidents occur. A further aim was to compare these areas between registered nurses (RNs) and enrolled nurses (ENs) and staff with ≤5 and >5 years of employment in the care units in question.

Background

Falls are common among older people and persons with dementia constitute an additional risk group.

Methods

The study had a cross-sectional design and included nursing staff (n = 63, response rate 66%) working in four special care units for older persons with dementia. Data collection was conducted with a questionnaire consisting of 64 questions.

Results

The respondents reported that the individuals' mental and physical impairment constitute the most frequent causes of falls. The findings also revealed a lack of, or uncertainty about, routines of documentation and reporting fall-risk and fall-preventing interventions. Respondents who had been employed in the care units more than five years reported to a higher degree that colours and material on floors caused falls. RNs considered the residents' autonomy and freedom of movement as a cause of falls to a significantly higher degree than ENs. RNs also reported a significantly longer time than ENs before fall incidents were discovered, and they used conversation and closeness as fall-preventing interventions to a significantly higher degree than ENs.

Conclusions

Individual factors were the most common causes to falls according to the nursing staff. RNs used closeness and dialog as interventions to a significantly higher degree to prevent falls than ENs. Caring of for older people with dementia consisted of a comprehensive on-going assessment by the nursing staff to balance the residents' autonomy-versus-control to minimise fall-risk. This ethical dilemma should initiate development of feasible routines of systematic risk-assessment, report and documentation.

Place, publisher, year, edition, pages
London, UK: BioMed Central, 2011. Vol. 10, no 13
Keyword [en]
dementia, falls, nursing home, nursing care, older person
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:liu:diva-69628DOI: 10.1186/1472-6955-10-13OAI: oai:DiVA.org:liu-69628DiVA: diva2:430200
Available from: 2011-07-07 Created: 2011-07-07 Last updated: 2017-12-11Bibliographically approved

Open Access in DiVA

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