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. 2018 Jun 21:4:2377960818775433.
doi: 10.1177/2377960818775433. eCollection 2018 Jan-Dec.

A Sustainability Oriented and Mentored Approach to Implementing a Fall Prevention Guideline in Acute Care Over 2 Years

Jenny Ploeg  1 , Sandra Ireland  2 , Karen Cziraki  3 , Melissa Northwood  4 , Aleksandra A Zecevic  5 , Barbara Davies  6 , Mary Ann Murray  7 , Kathryn Higuchi  6
Affiliations

A Sustainability Oriented and Mentored Approach to Implementing a Fall Prevention Guideline in Acute Care Over 2 Years

Jenny Ploeg et al. SAGE Open Nurs. .

Abstract

The purpose of this study was to assess the impact of a mentored guideline implementation (Registered Nurses' Association of Ontario Prevention of Falls and Falls Injuries in the Older Adult Best Practice Guideline) focused on enhancing sustainability in reducing fall rates and number of serious falls and the experience of staff in three acute care hospitals. The National Health Service (NHS) Sustainability Model was used to guide the study. Interviews and focus groups were held with 82 point-of-care professional staff, support staff, volunteers, project leaders, clinical leaders, and senior leaders. Study results supported the importance of the factors in the NHS model for sustainability of the guideline in these practice settings. There were no statistically significant decreases in the overall fall rate and number of serious falls. The results supported strategies of participating hospitals to become senior friendly organizations and provided opportunities to enhance staff collaboration with patients and families.

Keywords: application of evidence; best practices; business concepts; geriatrics; hospital; injury prevention; practice; prevention; research.

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Conflict of interest statement

The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

Figures

Figure 1.
Figure 1.
NHS Sustainability Model. Note. Figure adopted from Maher et al. (2007) Sustainability model and guide (p. 5) and reprinted with permission from Sustainable Improvement, NHS England.
Figure 2.
Figure 2.
Framework for mentored guideline implementation.
Figure 3.
Figure 3.
Fall rate/1,000 patient days over time by study site.
Figure 4.
Figure 4.
Number of serious falls over time by study site.
See this image and copyright information in PMC

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