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Prevention of falls, malnutrition and pressure ulcers among older persons – nursing staff's experiences of a structured preventive care process
Author(s) -
Lannering Christina,
Ernsth Bravell Marie,
Johansson Linda
Publication year - 2017
Publication title -
health and social care in the community
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.984
H-Index - 68
eISSN - 1365-2524
pISSN - 0966-0410
DOI - 10.1111/hsc.12400
Subject(s) - nursing , psychological intervention , medicine , focus group , qualitative research , fall prevention , work (physics) , malnutrition , human factors and ergonomics , poison control , medical emergency , mechanical engineering , social science , pathology , marketing , sociology , engineering , business
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.