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JBI Evidence Implementation
Article . 2022 . Peer-reviewed
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Person-centered care approach to prevention and management of falls among adults and aged in a Brazilian hospital: a best practice implementation project

Authors: Albertini, Anna Carolina da Silva; Fernandes, Renato Pinheiro; Püschel, Vilanice Alves de Araújo; Maia, Flavia de Oliveira Motta;

Person-centered care approach to prevention and management of falls among adults and aged in a Brazilian hospital: a best practice implementation project

Abstract

ABSTRACT Objectives: The objective is to assess compliance with evidence-based criteria regarding a person-centered care approach to the prevention and management of falls among adults and the elderly in a Brazilian private hospital. Methods: This project used the JBI audit and feedback method to implement evidence into practice. The JBI Practical Application of Clinical Evidence System and Getting Research into Practice audit tools have been used to promote changes in oncology and medical–surgical wards. The implementation protocol was designed based on the primary barriers and facilitators identified in the baseline audit, along with a training program and changes in the electronic medical records. Nursing documentation available in medical records, interviews with nurses who worked in oncology and medical–surgical wards, and interviews with patients admitted in oncology and medical–surgical wards were used to assess the baseline and follow-up audit compliance rates. Results: The baseline and follow-up audits showed improvement for criteria 3 and 9 (100%) and criteria 6 and 7 (97%), respectively. The compliance for criteria 4 (97.6%), 5 (76.7%), and 8 (18%) showed slight variations from baseline and follow-up audits. Compliance for criteria 1 (76.9%) and 2 (63.3%) decreased in the follow-up audit. Conclusion: These findings support that baseline, and follow-up audits allied to a fall training program and changes in the electronic nursing records increase the compliance rates related to evidence-based practice regarding a person-centered care approach to preventing and managing falls. We will implement new strategies according to the best practices to achieve better outcomes.

Keywords

Adult, Hospitalization, Implementation Project, Humans, Accidental Falls, Medical Oncology, Brazil, Aged, Hospitals, Private

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
4
Top 10%
Top 10%
Average
Green
hybrid