Division of Community Health Sciences, School of Public Health (Dr Muramatsu), Institute for Health Research and Policy (Dr Muramatsu), University of Illinois at Chicago, Chicago, Illinois; Department of Human Science, School of Nursing and Health Studies, Georgetown University, Washington, DC (Dr Sokas); Division of Epidemiology and Biostatistics (Dr Chakraborty), Division of Environmental and Occupational Health Sciences (Dr Zanoni), School of Public Health, University of Illinois at Chicago, Chicago, Illinois; University of Maryland Baltimore, Maryland (Dr Lipscomb) (retired).
J Occup Environ Med. 2018 Sep;60(9):796-803. doi: 10.1097/JOM.0000000000001355.
To address the gap of knowledge about slips, trips, and falls (STFs) among home care aides (HCAs) who work in clients' homes.
This mixed method study used survey and focus group data of HCAs in a Medicaid-funded homecare program.
STFs were common with over 12% of HCAs reporting occurrence in the previous 12 months, of whom 58% fell to the ground. Both survey and focus group data identified ice, clutter, workload, rushing and other hazards. Focus group data explained the reasons for not reporting STFs, even among those who sustained injury, and added HCAs' voices to the understanding of causes, consequences and prevention strategies for STFs.
Empowering HCAs with knowledge, training, and involvement may transform "near miss" STFs into opportunities to prevent STFs among care workers and their clients.
解决家庭保健助手（HCAs）在客户家中工作时对滑倒、绊倒和跌倒（STFs）相关知识的空缺。
本混合方法研究使用了一项医疗补助计划中家庭保健项目的 HCAs 的调查和焦点小组数据。
STFs 很常见，超过 12%的 HCAs 报告在过去 12 个月中发生过 STFs，其中 58%的 HCAs 摔倒在地上。调查和焦点小组数据都确定了冰、杂物、工作量、匆忙和其他危险。焦点小组数据解释了即使是那些受伤的 HCAs 也不报告 STFs 的原因，并将 HCAs 的声音纳入对 STFs 的原因、后果和预防策略的理解中。
通过赋予 HCAs 知识、培训和参与，可能会将“险些发生”的 STFs 转变为预防保健工作者及其客户发生 STFs 的机会。
