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Prevention of falls, malnutrition and pressure ulcers among older persons: nursing staff’s experiences of a structured preventive care process
Jönköping University, School of Health and Welfare, HHJ. ARN-J (Aging Research Network - Jönköping). Jönköping University, School of Health and Welfare, HHJ, Institute of Gerontology. Region Jönköping County, Futurum, Länssjukhuset Ryhov.
Jönköping University, School of Health and Welfare, HHJ, Institute of Gerontology. Jönköping University, School of Health and Welfare, HHJ. ARN-J (Aging Research Network - Jönköping).ORCID iD: 0000-0003-4149-9787
Jönköping University, School of Health and Welfare, HHJ, Dep. of Nursing Science. Jönköping University, School of Health and Welfare, HHJ. ARN-J (Aging Research Network - Jönköping).ORCID iD: 0000-0001-7101-3165
2017 (English)In: Health & Social Care in the Community, ISSN 0966-0410, E-ISSN 1365-2524, Vol. 25, no 3, 1011-1020 p.Article in journal (Refereed) Published
Abstract [en]

A structured and systematic care process for preventive work, aimed to reduce falls, pressure ulcers and malnutrition among older people, has been developed in Sweden. The process involves risk assessment, teambased interventions and evaluation of results. Since development, this structured work process has become web-based and has been implemented in a national quality registry called ‘Senior Alert’ and used countrywide. The aim of this study was to describe nursing staff’s experience of preventive work by using the structured preventive care process as outlined by Senior Alert. Eight focus group interviews were conducted during 2015 including staff from nursing homes and homebased nursing care in three municipalities. The interview material was subjected to qualitative content analysis. In this study, both positive and negative opinions were expressed about the process. The systematic and structured work flow seemed to only partly facilitate care providers to improve care quality by making better clinical assessments, performing team-based planned interventions and learning from results. Participants described lack of reliability in the assessments and varying opinions about the structure. Furthermore, organisational structures limited the preventive work.

Place, publisher, year, edition, pages
John Wiley & Sons, 2017. Vol. 25, no 3, 1011-1020 p.
Keyword [en]
falls prevention, home care, nursing care of older people, nursing homes, nutrition, risk assessment
National Category
Gerontology, specializing in Medical and Health Sciences
Identifiers
URN: urn:nbn:se:hj:diva-32100DOI: 10.1111/hsc.12400ISI: 000400367700019PubMedID: 27730698Scopus ID: 2-s2.0-84995426811OAI: oai:DiVA.org:hj-32100DiVA: diva2:1040530
Available from: 2016-10-27 Created: 2016-10-27 Last updated: 2017-05-18Bibliographically approved

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Lannering, ChristinaErnsth-Bravell, MarieJohansson, Linda
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