publication . Other literature type . Article . 2017

Barriers and enablers to the implementation of the 6-PACK falls prevention program: A pre-implementation study in hospitals participating in a cluster randomised controlled trial.

Darshini R. Ayton; Anna L. Barker; Renata T. Morello; Caroline A. Brand; Jason Talevski; Fiona S. Landgren; Mayer M. Melhem; Evelyn Bian; Sandra G. Brauer; Keith D. Hill; ...
  • Published: 16 Feb 2017
  • Publisher: Public Library of Science (PLoS)
Abstract
Evidence for effective falls prevention interventions in acute wards is limited. One reason for this may be suboptimal program implementation. This study aimed to identify perceived barriers and enablers of the implementation of the 6-PACK falls prevention program to inform the implementation in a randomised controlled trial. Strategies to optimise successful implementation of 6-PACK were also sought. A mixed-methods approach was applied in 24 acute wards from 6 Australian hospitals. Participants were nurses working on participating wards and senior hospital staff including Nurse Unit Managers; senior physicians; Directors of Nursing; and senior personnel involv...
Subjects
Medical Subject Headings: education
free text keywords: Research Article, Medicine and Health Sciences, Health Care, Health Care Providers, Nurses, People and Places, Population Groupings, Professions, Engineering and Technology, Equipment, Patients, Clinical Medicine, Clinical Trials, Randomized Controlled Trials, Pharmacology, Drug Research and Development, Research and Analysis Methods, Biology and Life Sciences, Behavior, Motivation, Neuroscience, Cognitive Science, Cognitive Psychology, Psychology, Social Sciences, Public and Occupational Health, Traumatic Injury Risk Factors, Falls, Research Design, Survey Research, Surveys, Medicine, R, Science, Q, General Biochemistry, Genetics and Molecular Biology, General Agricultural and Biological Sciences, General Medicine, Audit, Randomized controlled trial, law.invention, law, Response rate, Cluster randomised controlled trial, Face-to-face, Psychological intervention, business.industry, business, Focus group, Nursing, Survey data collection
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27 references, page 1 of 2

1 Royal College of Physicians. National Audit of inpatient falls: audit report 2015. London, UK: 2015. Available from https://www.rcplondon.ac.uk/projects/outputs/naif-audit-report-2015

2 National Patient Safety Agency. Slips, trips and falls data update. London, UK: 2010. Available from http://www.nrls.nhs.uk/resources/collections/10-for-2010/reducing-harm-from-falls/

3 Damschroder LJ, Aron DC, Keith RE, Kirsh SR, Alexander JA, Lowery JC. Fostering implementation of health services research findings into practice: a consolidated framework for advancing implementation science. Implement Sci. 2009;4(50).

4 Koh SS, Manias E, Hutchinson AM, Donath S, Johnston L. Nurses' perceived barriers to the implementation of a Fall Prevention Clinical Practice Guideline in Singapore hospitals. BMC Health Serv Res. 2008;8:105–12. 10.1186/1472-6963-8-105 18485235 [OpenAIRE] [PubMed] [DOI]

5 Koh SL, Hafizah N, Lee JY, Loo YL, Muthu R. Impact of a fall prevention programme in acute hospital settings in Singapore. Singapore Med J. 2009;50(4):425–32. 19421690 [PubMed]

6 Cameron ID, Gillespie LD, Robertson MC, Murray GR, Hill KD, Cumming RG, Kerse N. Interventions for preventing falls in older people in nursing care facilities and hospitals. Cochrane Database of Systematic Reviews. 2010; 12.

7 Barker A, Kamar J, Morton A, Berlowitz D. Bridging the gap between research and practice: review of a targeted hospital inpatient fall prevention programme. Quality & safety in health care. 2009;18(6):467–72.19955459 [PubMed]

8 Barker AL, Morello RT, Wolfe R, Brand CA, Haines TP, Hill KD, et al 6-PACK programme to decrease fall injuries in acute hospitals: cluster randomised controlled trial. BMJ. 2016;352:h6781 10.1136/bmj.h6781 26813674 [OpenAIRE] [PubMed] [DOI]

9 Barker A, Brand C, Haines T, Hill K, Brauer S, Jolley D, et al The 6-PACK programme to decrease fall-related injuries in acute hospitals: protocol for a cluster randomised controlled trial. Inj Prev. 2011;17(4):e5 10.1136/injuryprev-2011-040074 21653650 [OpenAIRE] [PubMed] [DOI]

10 Barker A, Kamar J, Graco M, Lawlor V, Hill K. Adding value to the STRATIFY falls risk assessment in acute hospitals. J Adv Nurs. 2011;67(2):450–7. 10.1111/j.1365-2648.2010.05503.x 21105896 [OpenAIRE] [PubMed] [DOI]

11 Michie S, van Stralen MM, West R. The behaviour change wheel: a new method for characterising and designing behaviour change interventions. Implement Sci. 2011;6:42 10.1186/1748-5908-6-42 21513547 [OpenAIRE] [PubMed] [DOI]

12 Handley MA, Harleman E, Gonzalez-Mendez E, Stotland NE, Althavale P, Fisher L, et al Applying the COM-B model to creation of an IT-enabled health coaching and resource linkage program for low-income Latina moms with recent gestational diabetes: the STAR MAMA program. Implement Sci. 2016;11(1):1.26727969 [OpenAIRE] [PubMed]

13 Alexander KE, Brijnath B, Mazza D. Barriers and enablers to delivery of the Healthy Kids Check: an analysis informed by the Theoretical Domains Framework and COM-B model. Implement Sci. 2014;9(1):1.24398253 [OpenAIRE] [PubMed]

14 Barker AL, Morello RT, Ayton DR, Hill KD, Landgren FS, Brand CA. Development of an implementation plan for the 6-PACK falls prevention programme as part of a randomised controlled trial: protocol for a series of preimplementation studies. Inj Prev. 2016.

15 Morello R, Barker A, Zavarsek S, Watts JJ, Haines T, Hill K, et al The 6-PACK programme to decrease falls and fall-related injuries in acute hospitals: protocol for an economic evaluation alongside a cluster randomised controlled trial. Inj Prev. 2012;18(2):e2 10.1136/injuryprev-2011-040302 22294563 [OpenAIRE] [PubMed] [DOI]

27 references, page 1 of 2
Abstract
Evidence for effective falls prevention interventions in acute wards is limited. One reason for this may be suboptimal program implementation. This study aimed to identify perceived barriers and enablers of the implementation of the 6-PACK falls prevention program to inform the implementation in a randomised controlled trial. Strategies to optimise successful implementation of 6-PACK were also sought. A mixed-methods approach was applied in 24 acute wards from 6 Australian hospitals. Participants were nurses working on participating wards and senior hospital staff including Nurse Unit Managers; senior physicians; Directors of Nursing; and senior personnel involv...
Subjects
Medical Subject Headings: education
free text keywords: Research Article, Medicine and Health Sciences, Health Care, Health Care Providers, Nurses, People and Places, Population Groupings, Professions, Engineering and Technology, Equipment, Patients, Clinical Medicine, Clinical Trials, Randomized Controlled Trials, Pharmacology, Drug Research and Development, Research and Analysis Methods, Biology and Life Sciences, Behavior, Motivation, Neuroscience, Cognitive Science, Cognitive Psychology, Psychology, Social Sciences, Public and Occupational Health, Traumatic Injury Risk Factors, Falls, Research Design, Survey Research, Surveys, Medicine, R, Science, Q, General Biochemistry, Genetics and Molecular Biology, General Agricultural and Biological Sciences, General Medicine, Audit, Randomized controlled trial, law.invention, law, Response rate, Cluster randomised controlled trial, Face-to-face, Psychological intervention, business.industry, business, Focus group, Nursing, Survey data collection
Download fromView all 4 versions
PLoS ONE
Article . 2017
PLoS ONE
Article . 2017
Provider: Crossref
PLoS ONE
Article
Provider: UnpayWall
27 references, page 1 of 2

1 Royal College of Physicians. National Audit of inpatient falls: audit report 2015. London, UK: 2015. Available from https://www.rcplondon.ac.uk/projects/outputs/naif-audit-report-2015

2 National Patient Safety Agency. Slips, trips and falls data update. London, UK: 2010. Available from http://www.nrls.nhs.uk/resources/collections/10-for-2010/reducing-harm-from-falls/

3 Damschroder LJ, Aron DC, Keith RE, Kirsh SR, Alexander JA, Lowery JC. Fostering implementation of health services research findings into practice: a consolidated framework for advancing implementation science. Implement Sci. 2009;4(50).

4 Koh SS, Manias E, Hutchinson AM, Donath S, Johnston L. Nurses' perceived barriers to the implementation of a Fall Prevention Clinical Practice Guideline in Singapore hospitals. BMC Health Serv Res. 2008;8:105–12. 10.1186/1472-6963-8-105 18485235 [OpenAIRE] [PubMed] [DOI]

5 Koh SL, Hafizah N, Lee JY, Loo YL, Muthu R. Impact of a fall prevention programme in acute hospital settings in Singapore. Singapore Med J. 2009;50(4):425–32. 19421690 [PubMed]

6 Cameron ID, Gillespie LD, Robertson MC, Murray GR, Hill KD, Cumming RG, Kerse N. Interventions for preventing falls in older people in nursing care facilities and hospitals. Cochrane Database of Systematic Reviews. 2010; 12.

7 Barker A, Kamar J, Morton A, Berlowitz D. Bridging the gap between research and practice: review of a targeted hospital inpatient fall prevention programme. Quality & safety in health care. 2009;18(6):467–72.19955459 [PubMed]

8 Barker AL, Morello RT, Wolfe R, Brand CA, Haines TP, Hill KD, et al 6-PACK programme to decrease fall injuries in acute hospitals: cluster randomised controlled trial. BMJ. 2016;352:h6781 10.1136/bmj.h6781 26813674 [OpenAIRE] [PubMed] [DOI]

9 Barker A, Brand C, Haines T, Hill K, Brauer S, Jolley D, et al The 6-PACK programme to decrease fall-related injuries in acute hospitals: protocol for a cluster randomised controlled trial. Inj Prev. 2011;17(4):e5 10.1136/injuryprev-2011-040074 21653650 [OpenAIRE] [PubMed] [DOI]

10 Barker A, Kamar J, Graco M, Lawlor V, Hill K. Adding value to the STRATIFY falls risk assessment in acute hospitals. J Adv Nurs. 2011;67(2):450–7. 10.1111/j.1365-2648.2010.05503.x 21105896 [OpenAIRE] [PubMed] [DOI]

11 Michie S, van Stralen MM, West R. The behaviour change wheel: a new method for characterising and designing behaviour change interventions. Implement Sci. 2011;6:42 10.1186/1748-5908-6-42 21513547 [OpenAIRE] [PubMed] [DOI]

12 Handley MA, Harleman E, Gonzalez-Mendez E, Stotland NE, Althavale P, Fisher L, et al Applying the COM-B model to creation of an IT-enabled health coaching and resource linkage program for low-income Latina moms with recent gestational diabetes: the STAR MAMA program. Implement Sci. 2016;11(1):1.26727969 [OpenAIRE] [PubMed]

13 Alexander KE, Brijnath B, Mazza D. Barriers and enablers to delivery of the Healthy Kids Check: an analysis informed by the Theoretical Domains Framework and COM-B model. Implement Sci. 2014;9(1):1.24398253 [OpenAIRE] [PubMed]

14 Barker AL, Morello RT, Ayton DR, Hill KD, Landgren FS, Brand CA. Development of an implementation plan for the 6-PACK falls prevention programme as part of a randomised controlled trial: protocol for a series of preimplementation studies. Inj Prev. 2016.

15 Morello R, Barker A, Zavarsek S, Watts JJ, Haines T, Hill K, et al The 6-PACK programme to decrease falls and fall-related injuries in acute hospitals: protocol for an economic evaluation alongside a cluster randomised controlled trial. Inj Prev. 2012;18(2):e2 10.1136/injuryprev-2011-040302 22294563 [OpenAIRE] [PubMed] [DOI]

27 references, page 1 of 2
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