Investigating the impact of a falls prevention community of practice in a residential aged-care setting: a mixed methods study protocol

2015 ◽  
Vol 71 (12) ◽  
pp. 2977-2986 ◽  
Author(s):  
Jacqueline Francis-Coad ◽  
Christopher Etherton-Beer ◽  
Caroline Bulsara ◽  
Debbie Nobre ◽  
Anne-Marie Hill
Keyword(s):  
Mixed Methods ◽  
Community Of Practice ◽  
Study Protocol ◽  
Care Setting ◽  
Aged Care ◽  
Mixed Methods Study ◽  
Falls Prevention ◽  
Residential Aged Care ◽  
The Impact

scholarly journals Evaluating the impact of a falls prevention community of practice in a residential aged care setting: a realist approach

2018 ◽  
Vol 18 (1) ◽  
Author(s):  
Jacqueline Francis-Coad ◽  
Christopher Etherton-Beer ◽  
Caroline Bulsara ◽  
Nicole Blackburn ◽  
Paola Chivers ◽  
...  
Keyword(s):  
Community Of Practice ◽  
Care Setting ◽  
Aged Care ◽  
Falls Prevention ◽  
Residential Aged Care ◽  
Realist Approach ◽  
The Impact

scholarly journals Using a community of practice to evaluate falls prevention activity in a residential aged care organisation: a clinical audit

2017 ◽  
Vol 41 (1) ◽  
pp. 13 ◽  
Author(s):  
Jacqueline Francis-Coad ◽  
Christopher Etherton-Beer ◽  
Caroline Bulsara ◽  
Debbie Nobre ◽  
Anne-Marie Hill
Keyword(s):  
Vitamin D ◽  
Community Of Practice ◽  
Clinical Audit ◽  
Aged Care ◽  
Falls Prevention ◽  
Residential Aged Care ◽  
Prevention Policy ◽  
Shared Interest ◽  
Prevention Activity ◽  
Clinical Audits

Objective This study evaluates whether a community of practice (CoP) could conduct a falls prevention clinical audit and identify gaps in falls prevention practice requiring action. Methods Cross-sectional falls prevention clinical audits were conducted in 13 residential aged care (RAC) sites of a not-for-profit organisation providing care to a total of 779 residents. The audits were led by an operationalised CoP assisted by site clinical staff. A CoP is a group of people with a shared interest who get together to innovate for change. The CoP was made up of self-nominated staff representing all RAC sites and comprised of staff from various disciplines with a shared interest in falls prevention. Results All 13 (100%) sites completed the audit. CoP conduct of the audit met identified criteria for an effective clinical audit. The priorities for improvement were identified as increasing the proportion of residents receiving vitamin D supplementation (mean 41.5%, s.d. 23.7) and development of mandatory falls prevention education for staff and a falls prevention policy, as neither was in place at any site. CoP actions undertaken included a letter to visiting GPs requesting support for vitamin D prescription, surveys of care staff and residents to inform falls education development, defining falls and writing a falls prevention policy. Conclusion A CoP was able to effectively conduct an evidence-based falls prevention activity audit and identify gaps in practice. CoP members were well positioned, as site staff, to overcome barriers and facilitate action in falls prevention practice. What is known about the topic? Audit and feedback is an effective way of measuring clinical quality and safety. CoPs have been established in healthcare using workplace staff to address clinical problems but little is known about their ability to audit and influence practice change. What does this paper add? This study contributes to the body of knowledge on CoPs in healthcare by evaluating the performance of one in the domain of falls prevention audit action. What are the implications for practitioners? A CoP is an effective model to engage staff in the clinical audit process. Clinical audits can raise staff awareness of gaps in practice and motivate staff to plan and action change as recommended in best practice guidelines.

scholarly journals Assessing knowledge, motivation and perceptions about falls prevention among care staff in a residential aged care setting

2016 ◽  
Vol 37 (6) ◽  
pp. 464-469 ◽  
Author(s):  
Jo-Aine Hang ◽  
Jacqueline Francis-Coad ◽  
Bianca Burro ◽  
Debbie Nobre ◽  
Anne-Marie Hill
Keyword(s):  
Care Setting ◽  
Aged Care ◽  
Falls Prevention ◽  
Care Staff ◽  
Residential Aged Care

scholarly journals Using Virtual Reality to Improve Apathy in Residential Aged Care: Mixed Methods Study (Preprint)

2019 ◽  
Author(s):  
Dimitrios Saredakis ◽  
Hannah AD Keage ◽  
Megan Corlis ◽  
Tobias Loetscher
Keyword(s):  
Older Adults ◽  
Virtual Reality ◽  
Mixed Methods ◽  
Side Effects ◽  
Neurological Disorders ◽  
Verbal Fluency ◽  
Aged Care ◽  
Mixed Methods Study ◽  
Residential Aged Care ◽  
Reminiscence Therapy

BACKGROUND Apathy is a common symptom in neurological disorders, including dementia, and is associated with a faster rate of cognitive decline, reduced quality of life, and high caregiver burden. There is a lack of effective pharmacological treatments for apathy, and nonpharmacological interventions are a preferred first-line approach to treatment. Virtual reality (VR) using head-mounted displays (HMDs) is being successfully used in exposure- and distraction-based therapies; however, there is limited research on using HMDs for symptoms of neurological disorders. OBJECTIVE This feasibility study aimed to assess whether VR using HMDs could be used to deliver tailored reminiscence therapy and examine the willingness to participate, response rates to measures, time taken to create tailored content, and technical problems. In addition, this study aimed to explore the immediate effects between verbal fluency and apathy after exposure to VR. METHODS A mixed methods study was conducted in a sample of older adults residing in aged care, and 17 participants were recruited. Apathy was measured using the Apathy Evaluation Scale (AES), and verbal fluency was used as a proxy measure of improvements in apathy and debriefing interviews to assess feedback from participants. Side effects that can occur from using HMDs were also measured. RESULTS We recruited participants from a high socioeconomic status setting with a high education level, and the participation rate was 85% (17/20); most responses to measures were positive. Access to a wide range of freely available content and the absence of technical difficulties made the delivery of a VR reminiscence intervention highly feasible. Participants had improved semantic scores (<i>t</i><sub>14</sub>=−3.27; <i>P</i>=.006) but not phonemic fluency scores (<i>t</i><sub>14</sub>=0.55; <i>P</i>=.59) immediately after the intervention. Those with higher levels of apathy demonstrated the greatest cognitive improvements after a VR reminiscence experience, which was indicated by a strong positive relationship between the AES and semantic verbal fluency change scores postminus pre-VR (<i>r</i>=0.719; 95% CI 0.327 to 0.900; <i>P</i>=.003). All participants enjoyed the experience despite 35% (6/17) of participants experiencing temporary side effects. CONCLUSIONS This study provides initial evidence that it is feasible to use VR with HMDs for therapy to treat symptoms of apathy in older adults in residential aged care. However, there is a need to closely monitor the side effects of HMD use in older adults. Further research is needed using an active control group to compare the use of VR with traditional forms of reminiscence therapy.

scholarly journals The impact of road traffic injury in North India: a mixed-methods study protocol: Table 1

BMJ Open ◽  
2015 ◽  
Vol 5 (8) ◽  
pp. e008884 ◽  
Author(s):  
Jagnoor Jagnoor ◽  
Shankar Prinja ◽  
P V M Lakshmi ◽  
Sameer Aggarwal ◽  
Belinda Gabbe ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Study Protocol ◽  
Road Traffic ◽  
Road Traffic Injury ◽  
Mixed Methods Study ◽  
North India ◽  
Traffic Injury ◽  
The Impact

scholarly journals Palliative care Needs Rounds in rural residential aged care: A mixed-methods study exploring experiences and perceptions of staff and general practitioners

2019 ◽  
Vol 28 (5) ◽  
pp. 308-317
Author(s):  
Suzanne Rainsford ◽  
Nikki Johnston ◽  
Wai-Man Liu ◽  
Nicholas Glasgow ◽  
Liz Forbat
Keyword(s):  
Palliative Care ◽  
Mixed Methods ◽  
General Practitioners ◽  
Aged Care ◽  
Mixed Methods Study ◽  
Residential Aged Care ◽  
Care Needs ◽  
Palliative Care Needs

scholarly journals The impact of an interprofessional training ward on the development of interprofessional competencies: study protocol of a longitudinal mixed-methods study

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Johanna Mink ◽  
Anika Mitzkat ◽  
André L. Mihaljevic ◽  
Birgit Trierweiler-Hauke ◽  
Burkhard Götsch ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Study Protocol ◽  
Mixed Methods Study ◽  
Interprofessional Training ◽  
The Impact ◽  
Interprofessional Competencies
Sign in / Sign up

Export Citation Format

Share Document