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:
Geriatric nursing (New York, N.Y.)
影响因子:
--
通讯作者:
Johnson TM 2nd
Johnson TM 2nd
中科院分区:
其他
文献类型:
--
作者:
Vandenberg AE;van Beijnum BJ;Overdevest VGP;Capezuti E;Johnson TM 2nd

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跌倒仍然是老年人的一个主要问题,寻找新的解决方案的工作仍在继续。我们调查了现有的预防跌倒技术在疗养院护士的环境和工作流程中的体验情况。我们在一家美国疗养院进行了由美国国立卫生研究院资助的研究,随后与一家荷兰疗养院进行了文化学习交流。我们从访谈和观察数据中构建了两个案例报告,并比较了跌倒的幅度、安全文化以及技术特征和有效性。在美国现场,跌倒是一个严重的问题,集体警惕的安全文化关注着非方向性的声音警报;跌倒是NL现场的一个小问题,它采用了可定制的红外传感器,在以患者为中心的护理文化中,将文本警报定向到指定员工的移动设备。在不同情况下,1)协调的沟通系统对于促进有效的预防跌倒警报响应至关重要,2)疗养院安全文化与所选的技术系统密切相关。
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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