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Citation |
Vandenberg AE, van Beijnum BJ, Overdevest VG, Capezuti E, Johnson TM. Geriatr. Nurs. 2016; 38(4): 276-282. |
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Affiliation |
Emory University, Department of Medicine, Division of General Medicine and Geriatrics, USA; Birmingham/Atlanta VA Geriatric Research Education and Clinical Center, USA. |
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Copyright |
(Copyright © 2016, Elsevier Publishing) |
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DOI |
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PMID |
27956058 |
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Abstract |
Falls remain a major geriatric problem, and the search for new solutions continues. We investigated how existing fall prevention technology was experienced within nursing home nurses' environment and workflow. Our NIH-funded study in an American nursing home was followed by a cultural learning exchange with a Dutch nursing home. We constructed two case reports from interview and observational data and compared the magnitude of falls, safety cultures, and technology characteristics and effectiveness. Falls were a high-magnitude problem at the US site, with a collectively vigilant safety culture attending to non-directional audible alarms; falls were a low-magnitude problem at the NL site which employed customizable, infrared sensors that directed text alerts to assigned staff members' mobile devices in patient-centered care culture. Across cases, 1) a coordinated communication system was essential in facilitating effective fall prevention alert response, and 2) nursing home safety culture is tightly associated with the chosen technological system. Language: en |