title: Prevention of falls, malnutrition and pressure ulcers among older persons - nursing staff's experiences of a structured preventive care process.
abstract: A structured and systematic care process for preventive work, aimed to reduce falls, pressure ulcers and malnutrition among older people, has been developed in Sweden. The process involves risk assessment, team-based interventions and evaluation of results. Since development, this structured work process has become web-based and has been implemented in a national quality registry called 'Senior Alert' and used countrywide. The aim of this study was to describe nursing staff's experience of preventive work by using the structured preventive care process as outlined by Senior Alert. Eight focus group interviews were conducted during 2015 including staff from nursing homes and home-based nursing care in three municipalities. The interview material was subjected to qualitative content analysis. In this study, both positive and negative opinions were expressed about the process. The systematic and structured work flow seemed to only partly facilitate care providers to improve care quality by making better clinical assessments, performing team-based planned interventions and learning from results. Participants described lack of reliability in the assessments and varying opinions about the structure. Furthermore, organisational structures limited the preventive work.
authors.affiliation: School of Health and Welfare, Institute of Gerontology, Jönköping University, Jönköping, Sweden.|Region Jönköping County, Futurum, Länssjukhuset Ryhov, Jönköping, Sweden.
authors.forename: Christina
authors.initials: C
authors.lastname: Lannering
authors.affiliation: School of Health and Welfare, Institute of Gerontology, Jönköping University, Jönköping, Sweden.
authors.forename: Marie
authors.initials: M
authors.lastname: Ernsth Bravell
authors.affiliation: School of Health and Welfare, Institute of Gerontology, Jönköping University, Jönköping, Sweden.|School of Health and Welfare, Department of Nursing, Jönköping University, Jönköping, Sweden.
authors.forename: Linda
authors.initials: L
authors.lastname: Johansson
mesh_terms: D000058:Accidental Falls / Q000517:prevention & control*; D000368:Aged; D001291:Attitude of Health Personnel; D017144:Focus Groups; D006801:Humans; D044342:Malnutrition / Q000517:prevention & control*; D009735:Nursing Homes; D009740:Nursing Staff; D003668:Pressure Ulcer / Q000517:prevention & control*; D011787:Quality of Health Care / Q000458:organization & administration*; D018570:Risk Assessment; D013548:Sweden
keywords: falls prevention; home care; nursing care of older people; nursing homes; nutrition; risk assessment