Alarm fatigue picot question

P I C O T ASSIGNMENT

QUESTION: What Is the effectiveness of restraints in reducing the occurrence of falls in patients 65 and over in nursing homes.

P – Patients 65 and over

I – Restraints

C – Besides safety alarm/rails

O – Decreased falls.

T – 1 year ( if needed)

PEER REVIEW ARTICLES - Qualitative Research

1.

Vandenberg, Ann E. Johnson, Theodore M., II van Beijnum, Bert-Jan Overdevest, Vera G. P. Capezuti, Elizabeth

Source:

GERIATRIC NURSING ; JUL-AUG 2017, 38 4, p276-p282, 7p.

Publisher Copyright:

MOSBY-ELSEVIER

ISSN:

01974572

Document Type:

Journal

Author Keywords:

Fall prevention Long-term care Monitoring technology Position monitors Bed exit alarms Pressure sensor mats Alarm fatigue

KeyWords Plus:

LONG-TERM-CARE OF-THE-ART INTERVENTION ADULTS

Abstract:

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. (C) 2016 Elsevier Inc. All rights reserved.

Language:

English

Accession Number:

000408180800002

Database:

Social Sciences Citation Index

Retrieved from https://lopes.idm.oclc.org/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=edswss&AN=000408180800002&site=eds-live&scope=site

2.

Horton K

Affiliation:

Centre for Research in Nursing and Midwifery Education, Division of Health and Social Care, Faculty of Health and Medical Sciences, University of Surrey, Guildford, Surrey, GU2 7TE United Kingdom. K.Horton@surrey.ac.uk

Source:

Journal of Rehabilitation Research & Development (J REHABIL RES DEV), 2008; 45(8): 1183-1194. (12p)

Publication Type:

Journal Article - research, tables/charts

Language:

English

Major Subjects:

Accidental Falls -- Prevention and Control -- In Old Age Accidents, Home -- Prevention and Control -- In Old Age Rehabilitation, Geriatric Security Measures, Electronic Telehealth

Minor Subjects:

Aged; Aged, 80 and Over; Community Living; Control (Psychology); Descriptive Statistics; England; Fear; Female; Geriatric Assessment; Interviews; Male; Patient Compliance; Qualitative Studies; Thematic Analysis; Whites; Human

Abstract:

This article reports the qualitative element of an observational study that examined whether an extended alarm service using fall detectors and bed occupancy sensors could reduce fear of falling among community-dwelling older people who had recurrent falls. The 17 participants in the intervention group used the extended alarm service while the 18 in the control group used a standard pendant alarm. Individual interviews were tape-recorded and transcribed. The participants' fall history and whether they were afraid of falling were also explored. Interview questions were grounded in theories relating to falls and queried participants in the intervention group about their expectations of and experiences with the use of telemonitoring devices; those in the control group were asked whether they would consider using such devices in the future. Key themes from the analysis were expectations, feelings of security, call center support, barriers to using assistive devices, and adherence and likelihood of using telemonitoring devices. Older people found that the use of telemonitoring gave them 'a greater sense of security' and enabled them to remain in their home. However, some found the devices 'intrusive' and did not feel they were in control of alerting the call center, which played a key role in their adherence to using the devices.

Journal Subset:

Allied Health; Blind Peer Reviewed; Peer Reviewed; USA

Special Interest:

Gerontologic Care

ISSN:

0748-7711

MEDLINE Info:

PMID: 19235119 NLM UID: 8410047

Entry Date:

20090626

Revision Date:

20151015

Accession Number:

105511991

Database:

CINAHL Complete

Retrieved from https://lopes.idm.oclc.org/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105511991&site=eds-live&scope=site

3.

JOURNAL OF REHABILITATION RESEARCH AND DEVELOPMENT ; 2008, 45 8, p1183-p1194, 12p.

Publisher Copyright:

JOURNAL REHAB RES & DEV

ISSN:

07487711

Document Type:

Journal

Author Keywords:

assistive devices bed occupancy sensor community setting fall detector falls fear of falling observational study older people rehabilitation telemonitoring

KeyWords Plus:

FEAR EFFICACY HOME TELECARE BALANCE HEALTH IMPACT STATE

Abstract:

This article reports the qualitative element of an observational Study that examined whether an extended alarm service using fall detectors and bed occupancy sensors could reduce fear of falling among community-dwelling older people who had recurrent falls. The 17 participants in the intervention group used the extended alarm service while the 18 in the control group used a standard pendant alarm. Individual interviews were tape-recorded and transcribed. The participants' fall history and whether they were afraid of falling were also explored. Interview questions were grounded in theories relating to falls and queried participants in the intervention group about their expectations of and experiences with the use of telemonitoring devices; those in the control group were asked whether they would consider using such devices in the future. Key themes from the analysis were expectations, feelings of security, call center support, barriers to using assistive devices, and adherence and likelihood Of using telemonitoring devices. Older people found that the use of telemonitoring gave them "a greater sense of security" and enabled them to remain in their home. However, some found the devices "intrusive" and did not feel they were in control of alerting the call center, which played a key role in their adherence to using the devices.