title: The use of hip protectors in long-term care facilities: a survey of nursing home staff.
abstract: OBJECTIVE
  To determine the level of exposure to hip protectors and barriers to their use in nursing homes.
  
  
  METHODS
  We conducted a written survey of 160 staff (including administrators) in 5 nursing homes in the Hamilton-Wentworth region, Ontario, Canada.
  
  
  METHODS
  The results of primary analyses were expressed as percentage of respondents.
  
  
  RESULTS
  Among respondents of respective institutions, the rate of prior exposure to hip protectors varied from 40.9% to 100.0% and the rate of prior experience applying these devices varied from 14.3% to 80.0%. The most frequently cited main barriers to the use of hip protectors in long-term care facilities included physicians not thinking to prescribe them, expense, lack of evidence of benefit in this population, wearer discomfort, and wearer removal. A lack of staff time to apply these devices was rarely cited. The majority of staff believed that nursing home residents with a prior history of fracture, those who fall frequently, or those who are unsteady on their feet should wear hip protectors.
  
  
  CONCLUSIONS
  The exposure of surveyed nursing home staff to hip protectors was variable but most agreed that residents who are at increased risk of hip fracture should wear them. Some identified barriers to the use of hip protectors in long-term care facilities were physicians not thinking to prescribe them, expense, lack of evidence of benefit in this population, wearer discomfort, and wearer removal. Such barriers need to be addressed for hip protector implementation strategies to be successful in nursing homes.
authors.affiliation: Division of Endocrinology and Department of Medicine, University Health Network and University of Toronto, Ontario, Canada. sawkaam@yahoo.com <sawkaam@yahoo.com>
authors.forename: Anna M
authors.initials: AM
authors.lastname: Sawka
authors.forename: Madeline
authors.initials: M
authors.lastname: Nixon
authors.forename: Lora
authors.initials: L
authors.lastname: Giangregorio
authors.forename: Lehana
authors.initials: L
authors.lastname: Thabane
authors.forename: Jonathan D
authors.initials: JD
authors.lastname: Adachi
authors.forename: Amiram
authors.initials: A
authors.lastname: Gafni
authors.forename: Ron
authors.initials: R
authors.lastname: Goeree
authors.forename: Parminder
authors.initials: P
authors.lastname: Raina
authors.forename: Jennifer
authors.initials: J
authors.lastname: Ranford
authors.forename: Alexandra
authors.initials: A
authors.lastname: Papaioannou
mesh_terms: D000368:Aged; D019538:Health Care Surveys; D007722:Health Knowledge, Attitudes, Practice; D006620:Hip Fractures / Q000517:prevention & control*; D006801:Humans; D009735:Nursing Homes; D009864:Ontario; D011482:Protective Devices / Q000706:statistics & numerical data*