US and Dutch nurse experiences with fall prevention technology within nursing home environment and workflow: a qualitative study

Ann E. Vandenberg, Bernhard J.F. van Beijnum, Vera G.P. Overdevest, Elizabeth Capezuti, Theodore M. Johnson II

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    5 Citations (Scopus)
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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.
    Original languageEnglish
    Pages (from-to)276-282
    Number of pages7
    JournalGeriatric nursing
    Volume38
    Issue number4
    DOIs
    Publication statusPublished - 2017

    Keywords

    • EWI-27742
    • Fall prevention
    • Long-term care
    • Position monitors
    • Monitoring technology
    • METIS-321721
    • IR-103591
    • Bed exit alarms
    • Alarm fatigue
    • Pressure sensor mats

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