TY - JOUR PY - 2016// TI - US and Dutch nurse experiences with fall prevention technology within nursing home environment and workflow: a qualitative study JO - Geriatric nursing A1 - Vandenberg, Ann E. A1 - van Beijnum, Bert-Jan A1 - Overdevest, Vera G. P. A1 - Capezuti, Elizabeth A1 - Johnson, Theodore M. SP - 276 EP - 282 VL - 38 IS - 4 N2 - 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.

Copyright © 2016 Elsevier Inc. All rights reserved.

Language: en

LA - en SN - 0197-4572 UR - http://dx.doi.org/10.1016/j.gerinurse.2016.11.005 ID - ref1 ER -