Wagner Laura M, Damianakis Thecla, Mafrici Nina, Robinson-Holt Krista
Baycrest Geriatric Health Care System, Toronto, Ontario, Canada.
Clin Nurs Res. 2010 Aug;19(3):311-26. doi: 10.1177/1054773810370995. Epub 2010 Jul 2.
Effective fall-risk communication both among staff and between staff and family members is vital for ensuring the safety of residents in long-term care (LTC) settings. This study uses focus group methodology to investigate how information about falls is identified, communicated, and responded to by licensed staff (registered nurses/registered practical nurses) and unlicensed staff (personal support workers) in four LTC facilities. The authors report on the major themes that emerged throughout the focus groups relating to falls management and report on similarities and differences in the communication processes between the two sampled groups. Results highlight communication of the resident's fall risk, reporting procedures to staff and family members, care plan communication and adherence information, a falls quality improvement knowledge deficit, and barriers to falls quality improvement. Recommendations toward improved communication networks among diverse LTC staff to enhance fall-reduction efforts in LTC settings are provided.
在长期护理（LTC）机构中，工作人员之间以及工作人员与家庭成员之间进行有效的跌倒风险沟通对于确保居民安全至关重要。本研究采用焦点小组方法，调查了四个LTC机构中持牌工作人员（注册护士/注册执业护士）和无牌工作人员（个人支持工作者）如何识别、沟通和应对跌倒信息。作者报告了焦点小组中出现的与跌倒管理相关的主要主题，并报告了两个抽样群体在沟通流程上的异同。结果突出了居民跌倒风险的沟通、向工作人员和家庭成员的报告程序、护理计划沟通和依从性信息、跌倒质量改进知识不足以及跌倒质量改进的障碍。文中还针对不同LTC工作人员之间改善沟通网络以加强LTC机构中的跌倒预防工作提出了建议。
