1 University of Wisconsin-Madison, WI, USA.
J Appl Gerontol. 2019 Jun;38(6):805-824. doi: 10.1177/0733464817748776. Epub 2017 Dec 19.
Falls are a significant issue for older adults, and many older adults who once received care in nursing homes now reside in assisted living communities (ALCs). ALC staff needs to address resident falls prevention; however, federal or state requirements or oversight are limited. This research explores falls prevention in Wisconsin ALCs in the context of the Kotter Change Model to identify strategies and inform efforts to establish a more consistent, proactive falls prevention process for ALCs. A mixed methods approach demonstrated inconsistency and variability in the use of falls risk assessments and prevention programs, which led to the development of standardized, proactive falls prevention process flowcharts. This process, as delineated, provides ALCs with an approach to organize a comprehensive falls reduction strategy. Findings highlight the importance of educating staff regarding assessments, resident motivation, falls prevention programs, and feedback, all key components of the falls prevention process.
老年人容易跌倒，许多曾在养老院接受护理的老年人现在居住在辅助生活社区（ALC）中。ALC 工作人员需要解决居民的跌倒预防问题；然而，联邦或州的要求或监督是有限的。本研究采用 Kotter 变革模型探讨威斯康星州 ALC 的跌倒预防问题，以确定策略，并为建立更一致、更积极主动的 ALC 跌倒预防流程提供信息。混合方法表明，在使用跌倒风险评估和预防计划方面存在不一致性和可变性，这导致制定了标准化、积极主动的跌倒预防流程流程图。该流程为 ALC 提供了一种组织全面减少跌倒策略的方法。研究结果强调了对员工进行评估、居民动机、跌倒预防计划和反馈方面的教育的重要性，这些都是跌倒预防流程的关键组成部分。
