Abad-Corpa Eva, Lidón-Cerezuela Beatriz, Meseguer Liza Cristóbal, Arredondo-Gónzalez Claudia Patricia, de la Cuesta-Benjumea Carmen
Departamento de Enfermería, Facultad de Enfermería, Universidad de Murcia, Murcia, España; Hospital Reina Sofía, Servicio Murciano de Salud, Murcia, España; Instituto Murciano de Investigación Biosanitaria, IMIB-Arrixaca, El Palmar, Murcia, España; Unidad de Investigación en Cuidados y Servicios de Salud, Investén-isciii. Instituto de Salud Carlos III, Madrid, España; Centro de Investigación Biomédica en Red sobre Fragilidad y Envejecimiento Saludable, CIBERFES. Instituto de Salud Carlos III, Madrid, España.
Departamento de Enfermería, Facultad de Enfermería, Universidad de Murcia, Murcia, España; Instituto Murciano de Investigación Biosanitaria, IMIB-Arrixaca, El Palmar, Murcia, España.
Aten Primaria. 2021 Aug-Sep;53(7):102067. doi: 10.1016/j.aprim.2021.102067. Epub 2021 Apr 30.
To summarize the qualitative evidence on the role of care providers in the prevention of falls of persons over 65 years of age in centres and in the community.
Meta-summary of qualitative evidence following the aggregation method.
Extensive manual search of 16 databases (CINAHL, Pubmed/Medline, Embase, PsycInfo, Cochrane Library, PeDRO, Opengrey (Reports), Cuiden, Cuidatge, Enfispo, Medes, Lilacs, Teseo, Dissertation and Thesis Global and Ibecs), in English, French, Spanish and Portuguese; no time limit.
Selection and blind critical appraisal by pairs. A first relevance and relevance screening and a second critical appraisal screening were carried out. A total of 4170 articles were located; 41 qualitative articles were critically appraised and 31 were selected.
Data regarding author, year, study design, location, participants (number, age, sex and occupation), study methods and findings were extracted.
The analysis revealed four major themes: precipitating factors, preventive models, feelings and decision-making process. It also highlights the difficult act of ethical balance, the role of the institution in prevention and the fragmentation of care, as keys to successful implementation.
The findings show the complexity of fall prevention and the need to incorporate care providers' opinions in preventive models.
总结关于护理人员在预防65岁以上人群在中心机构和社区跌倒方面作用的定性证据。
采用汇总方法对定性证据进行元汇总。
对16个数据库（CINAHL、Pubmed/Medline、Embase、PsycInfo、Cochrane图书馆、PeDRO、Opengrey（报告）、Cuiden、Cuidatge、Enfispo、Medes、Lilacs、Teseo、全球学位论文和Ibecs）进行广泛的手工检索，检索语言为英语、法语、西班牙语和葡萄牙语；无时间限制。
由两人进行选择和盲法批判性评价。进行了首次相关性和关联性筛选以及第二次批判性评价筛选。共找到4170篇文章；对41篇定性文章进行了批判性评价，筛选出31篇。
提取有关作者、年份、研究设计、地点、参与者（数量、年龄、性别和职业）、研究方法和研究结果的数据。
分析揭示了四个主要主题：诱发因素、预防模式、感受和决策过程。它还强调了道德平衡这一困难行为、机构在预防中的作用以及护理的碎片化，这些是成功实施的关键。
研究结果表明预防跌倒具有复杂性，并且需要将护理人员的意见纳入预防模式。
