促进长期护理机构跌倒和损伤预防的多因素方法的教育视频。
An educational video to promote multi-factorial approaches for fall and injury prevention in long-term care facilities.
机构信息
Centre for Hip Health and Mobility, 7/F, 2635 Laurel St, Robert H,N, Ho Research Centre, Vancouver, BC V5Z 1M9, Canada.
出版信息
BMC Med Educ. 2014 May 20;14:102. doi: 10.1186/1472-6920-14-102.
BACKGROUND
Older adults living in long term care (LTC) settings are vulnerable to fall-related injuries. There is a need to develop and implement evidence-based approaches to address fall injury prevention in LTC. Knowledge translation (KT) interventions to support the uptake of evidence-based approaches to fall injury prevention in LTC need to be responsive to the learning needs of LTC staff and use mediums, such as videos, that are accessible and easy-to-use. This article describes the development of two unique educational videos to promote fall injury prevention in long-term care (LTC) settings. These videos are unique from other fall prevention videos in that they include video footage of real life falls captured in the LTC setting.
METHODS
Two educational videos were developed (2012-2013) to support the uptake of findings from a study exploring the causes of falls based on video footage captured in LTC facilities. The videos were developed by: (1) conducting learning needs assessment in LTC settings via six focus groups (2) liaising with LTC settings to identify learning priorities through unstructured conversations; and (3) aligning the content with principles of adult learning theory.
RESULTS
The videos included footage of falls, interviews with older adults and fall injury prevention experts. The videos present evidence-based fall injury prevention recommendations aligned to the needs of LTC staff and: (1) highlight recommendations deemed by LTC staff as most urgent (learner-centered learning); (2) highlight negative impacts of falls on older adults (encourage meaning-making); and, (3) prompt LTC staff to reflect on fall injury prevention practices (encourage critical reflection).
CONCLUSIONS
Educational videos are an important tool available to researchers seeking to translate evidence-based recommendations into LTC settings. Additional research is needed to determine their impact on practice.
背景
长期护理（LTC）环境中的老年人易发生与跌倒相关的伤害。需要开发和实施基于证据的方法来解决 LTC 中的跌倒伤害预防问题。知识转化（KT）干预措施需要针对 LTC 工作人员的学习需求，并使用视频等易于访问和使用的媒介来支持采用基于证据的跌倒伤害预防方法。本文介绍了开发两个独特的教育视频以促进长期护理（LTC）环境中跌倒伤害预防的方法。这些视频与其他跌倒预防视频不同，因为它们包括在 LTC 环境中拍摄的真实生活中跌倒的视频片段。
方法
开发了两个教育视频（2012-2013 年）以支持采用一项探索基于 LTC 设施中拍摄的视频片段的跌倒原因的研究结果。这些视频是通过以下方式开发的：（1）通过 6 个焦点小组在 LTC 环境中进行学习需求评估；（2）通过非结构化对话与 LTC 环境联系，以确定学习重点；（3）使内容与成人学习理论原则保持一致。
结果
视频包括跌倒的镜头、与老年人和跌倒伤害预防专家的访谈。视频呈现了与 LTC 工作人员的需求一致的基于证据的跌倒伤害预防建议：（1）突出 LTC 工作人员认为最紧急的建议（以学习者为中心的学习）；（2）突出跌倒对老年人的负面影响（鼓励意义的产生）；（3）促使 LTC 工作人员反思跌倒伤害预防实践（鼓励批判性反思）。
结论
教育视频是研究人员将基于证据的建议转化为 LTC 环境的重要工具。需要进一步研究以确定其对实践的影响。
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