Evaluation of the effectiveness of an intervention in a health team to prevent falls in hospitalized elderly people

Rev Esc Enferm USP. 2021 May 31:55:e03695. doi: 10.1590/S1980-220X2019031403695. eCollection 2021.
[Article in English, Portuguese]

Abstract

Objective: To evaluate the effectiveness of an intervention program in practices and behaviors of a health team to prevent falls in hos pitalized elderly people.

Method: This was an action, mixed-methods, and longitudinal study that applied an intervention based on TeamSTEPPS®, and organized into five domains: team training, communication, leadership, monitoring, and mutual support. The population was nurses and nursing aides who worked at the medical service of a Portuguese hospital center. Data were obtained by consulting process records and interviews, and by applying the Scale of Practices and Behaviors of Teams for Fall Prevention.

Results: There was improvement in all indicators of the scale, with evident progress in discussion of risk factors and preventive measures to be implemented.

Conclusion: This intervention promoted decision-making regarding the preventive measures to be applied to each elderly person and improved communication and the interest in identifying the causes of falls to prevent their recurrence.

MeSH terms

  • Aged
  • Communication
  • Humans
  • Leadership
  • Longitudinal Studies
  • Nursing Assistants*
  • Program Evaluation