Challenges to implementing an APN-facilitated falls management program in long-term care.
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.
Capezuti
Elizabeth
E
John A. Hartford Foundation Institute for Geriatric Nursing, New York University College of Nursing, New York, NY 10003, USA. ec65@nyu.edu
Taylor
Jo
J
Brown
Holly
H
Strothers
Harry S
HS
Ouslander
Joseph G
JG
D000058:Accidental Falls / Q000517:prevention & control*; D006801:Humans; D007318:Inservice Training; D008134:Long-Term Care / Q000458:organization & administration; D009722:Nurse Practitioners; D009735:Nursing Homes / Q000458:organization & administration*; D009936:Organizational Innovation; D014481:United States