Challenges to implementing an APN-facilitated falls management program in long-term care

被引：21

作者：

Capezuti, Elizabeth ^{[1
]}

Taylor, Jo

Brown, Holly

Strothers, Harry S., III

Ouslander, Joseph G.

机构：

[1] NYU, Coll Nursing, John A Hartford Fdn Inst Geriatr Nursing, New York, NY 10003 USA

[2] Emory Univ, Sch Med, Emory Ctr Hlth Aging, Atlanta, GA 30329 USA

[3] Emory Univ, Sch Med, Dept Adult Nursing, Atlanta, GA 30329 USA

[4] Morehouse Sch Med, Dept Family Med, Atlanta, GA 30311 USA

[5] Emory Univ, Sch Med, Div Geriatr Med & Gerontol, Atlanta, GA 30329 USA

[6] Birmingham Atlanta VA GRECC, Decatur, GA 30033 USA

来源：

APPLIED NURSING RESEARCH | 2007年 / 20卷 / 01期

关键词：

D O I：

10.1016/j.apnr.2005.11.002

中图分类号：

R47 [护理学];

学科分类号：

1011 ;

摘要：

Although several clinical studies have demonstrated success in reducing falls among nursing home residents, the degree of adherence to these strategies varies widely among studies and facilities, especially following the removal of external consultants or advance practice nurses (APNs). This article identified contextual factors that challenged the effective implementation of a falls reduction program. For nurses, the major problems with implementing the project involved inadequate nursing assessment and clinical decision making. APNs who influence nursing staff behavior via education and individual resident consultation may fill the critical gap in professional nursing care in nursing homes. (c) 2007 Elsevier Inc. All rights reserved.

引用

页码：2 / 9

页数：8

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