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. 2024 Jul 19;77(2):e20230180.
doi: 10.1590/0034-7167-2023-0180. eCollection 2024.

Nursing care for hospitalized older adults - fall accidents versus safe mobility: a scoping review

[Article in English, Portuguese]
Esther Mourão Nicoli  1 , Frances Valéria Costa E Silva  1 , Luciana Guimarães Assad  1 , Camila Castanho Cardinelli  1 , Raquel Azevedo Alves  1 , Samara Gonçalves de Oliveira  1
Affiliations

Nursing care for hospitalized older adults - fall accidents versus safe mobility: a scoping review

[Article in English, Portuguese]
Esther Mourão Nicoli et al. Rev Bras Enferm. .

Abstract
in English, Spanish

Objectives: to map the constituent elements of the safe mobility concept present in hospital care for older adults.

Methods: a scoping review of 35 articles searched in databases and gray literature - BDENF/VHL, Scopus, CINAHL/EBSCO, Embase, Web of Science, PEDro, MEDLINE/PubMed and CAPES Theses and Dissertations Catalog. No time or language cut-off was established.

Results: none of the studies presented a clear safe mobility concept, however its constituent elements involve factors related to patient (behavioral factors, conditions, diseases, signs and symptoms, nutritional status, age, balance, strength, gait quality, sleep), the institution (environment, treatment devices, guidelines, medications and polypharmacy, material and human resources and clothing/shoes) and the nature of the interventions (related to the patient, institution and family).

Final considerations: the constituent elements of safe mobility express hospital units' capacity to guarantee care and protection from fall accidents for hospitalized older adults.

Objetivos:: mapear los elementos constitutivos del concepto de movilidad segura presente en la atención hospitalaria a las personas mayores.

Métodos:: revisión de alcance de 35 artículos buscados en bases de datos y literatura gris - BDENF/VHL, Scopus, CINAHL/EBSCO, Embase, Web of Science, PEDro, MEDLINE/PubMed y Catálogo CAPES de Tesis y Disertaciones. No se estableció ningún límite de tiempo ni de idioma.

Resultados:: ninguno de los estudios presentó un concepto claro de movilidad segura, sin embargo sus elementos constitutivos involucran factores relacionados con el paciente (factores de comportamiento, condiciones, enfermedades, signos y síntomas, estado nutricional, edad, equilibrio, fuerza, calidad de la marcha, sueño), la institución (ambiente, dispositivos de tratamiento, pautas, medicamentos y polifarmacia, recursos materiales y humanos y vestimenta/calzado) y la naturaleza de las intervenciones (relacionadas con el paciente, la institución y la familia).

Consideraciones Finales:: los elementos constitutivos de la movilidad segura expresan la capacidad de las unidades hospitalarias para garantizar la atención y protección contra accidentes por caídas a los ancianos hospitalizados.

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Figures

Figure 1
Figure 1. PRISMA SR flowchart for identification, selection and inclusion of studies containing constituent elements of the safe mobility concept in hospitalized older adults, Rio de Janeiro, Rio de Janeiro, Brazil, 2023
Figure 2
Figure 2. Constituent elements of the safe mobility concept in hospitalized older adults related to patients, the institution and the nature of the interventions, Rio de Janeiro, Rio de Janeiro, Brazil, 2023
Figura 1
Figura 1. Fluxograma PRISMA SR de identificação, seleção e inclusão dos estudos contendo elementos constitutivos do conceito de mobilidade segura em pessoas idosas hospitalizadas, Rio de Janeiro, Rio de Janeiro, Brasil, 2023
Figura 2
Figura 2. Elementos constitutivos do conceito de mobilidade segura em pessoas idosas hospitalizadas relacionados ao paciente, à instituição e à natureza das intervenções, Rio de Janeiro, Rio de Janeiro, Brasil, 2023
See this image and copyright information in PMC

References

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