US and Dutch nurse experiences with fall prevention technology within nursing home environment and workflow: A qualitative study.
US and Dutch nurse experiences with fall prevention technology within nursing home environment and workflow: A qualitative study.
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DOI:
10.1016/j.gerinurse.2016.11.005
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发表时间:
2017-07
期刊:
影响因子:
--
通讯作者:
Johnson TM 2nd
中科院分区:
文献类型:
--
作者:
Vandenberg AE;van Beijnum BJ;Overdevest VGP;Capezuti E;Johnson TM 2nd
Falls remain a major geriatric problem, and the search for new solutions continues. We investigated how existing fall prevention technology was experienced within nursing home nurses’ environment and workflow. Our NIH-funded study in an American nursing home was followed by a cultural learning exchange with a Dutch nursing home. We constructed two case reports from interview and observational data and compared the magnitude of falls, safety cultures, and technology characteristics and effectiveness. Falls were a high-magnitude problem at the US site, with a collectively vigilant safety culture attending to non-directional audible alarms; falls were a low-magnitude problem at the NL site which employed customizable, infrared sensors that directed text alerts to assigned staff members’ mobile devices in patient-centered care culture. Across cases, 1) a coordinated communication system was essential in facilitating effective fall prevention alert response, and 2) nursing home safety culture is tightly associated with the chosen technological system.
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