Influence of healthcare professionals' actions on the adaptation of elderly individuals at home following hospitalization due to falls: integrative review

Santos, Jeferson Moreira dos; Pedreira, Larissa Chaves; Góes, Roberta Pereira; Amaral, Juliana Bezerra do; Baixinho, Cristina Lavareda; Souza, Maria Antônia Alves de

doi:10.1590/1981-22562023026.230162.en

Jeferson Moreira dos Santos

Conception and design

data analysis and interpretation

article writing or critical revision

approval of the version to be published, and overall responsibility for all aspects of the work, ensuring accuracy and integrity.

Universidade Federal da Bahia, Programa de Pós-Graduação em Enfermagem e Saúde. Salvador, BA, Brasil.

http://orcid.org/0000-0001-7807-1341

Larissa Chaves Pedreira

Conception and design

data analysis and interpretation

article writing or critical revision

approval of the version to be published, and overall responsibility for all aspects of the work, ensuring accuracy and integrity.

Universidade Federal da Bahia, Programa de Pós-Graduação em Enfermagem e Saúde. Salvador, BA, Brasil.

http://orcid.org/0000-0001-8939-324X

Roberta Pereira Góes

Data analysis and interpretation

article writing

critical revision

approval of the version to be published, and overall responsibility for all aspects of the work, ensuring accuracy and integrity.

Universidade Federal da Bahia, Programa de Pós-Graduação em Enfermagem e Saúde. Salvador, BA, Brasil.

http://orcid.org/0000-0001-7746-5592

Juliana Bezerra do Amaral

Data analysis and interpretation

article writing

approval of the version to be published.

Universidade Federal da Bahia, Programa de Pós-Graduação em Enfermagem e Saúde. Salvador, BA, Brasil.

http://orcid.org/0000-0002-7465-0183

Cristina Lavareda Baixinho

Data analysis and interpretation

article writing

approval of the version to be published.

Escola Superior de Enfermagem de Lisboa, Centro de Investigação, Inovação e Desenvolvimento em Enfermagem. Lisboa, Portugal.

http://orcid.org/0000-0001-7417-1732

Maria Antônia Alves de Souza

Data analysis and interpretation

article writing

approval of the version to be published, and overall responsibility for all aspects of the work, ensuring accuracy and integrity.

Universidade do Estado da Bahia, Departamento de Enfermagem. Guanambi, BA, Brasil.

http://orcid.org/0000-0002-5100-9158

Correspondence Jeferson Moreira dos Santos jefersonmoreira@ufba.br

The authors declare that there is no conflict in the conception of this work.

Edited by: Marquiony Marques dos Santos

Database	Search strategies	Articles obtained
VHL Regional Portal	((Aged)) AND ((Accidental Falls)) AND ((Patient Discharge)) OR ((Discharge, Patient)) OR ((Discharges, Patient)) OR ((Patient Discharges)) OR ((Discharge Planning)) OR ((Discharge Plannings)) OR ((Planning, Discharge))	21.169
PubMed	((((((((Aged[All Fields]) AND (Accidental Falls[All Fields])) AND (Patient Discharge[All Fields])) OR (Discharge, Patient[All Fields])) OR (Discharges, Patient[All Fields])) OR (Patient Discharges[All Fields])) OR (Discharge Planning[All Fields])) OR (Discharge Plannings[All Fields])) OR (Planning, Discharge[All Fields])	103.657
SciELO	(Aged) AND ("Accidental Falls”) AND ("Patient Discharge”) OR ("Discharge, Patient”) OR ("Discharges, Patient") OR ("Patient Discharges") OR ("Discharge Planning") OR ("Discharge Plannings") OR ("Planning, Discharge") OR ("Plannings, Discharge")	298
EBSCO	TX Aged AND TX "Accidental Falls" AND TX "Patient Discharge" OR TX "Discharge, Patient" OR TX "Discharges, Patient" OR "Patient Discharges" OR "Discharge Planning" OR "Discharge Plannings" OR "Planning, Discharge" OR "Plannings, Discharge"	47.705
Scopus	(TITLE-ABS-KEY ( ( aged ) ) AND TITLE-ABS-KEY ( 'accidental AND falls' ) AND TITLE-ABS-KEY ( 'patient AND discharge' ) OR TITLE-ABS-KEY ( 'discharge, AND patient' ) OR TITLE-ABS-KEY ( 'discharges, AND patient' ) OR TITLE-ABS-KEY ('patient AND discharges' ) OR TITLE-ABS-KEY ( 'discharge AND planning') OR TITLE-ABS-KEY ('discharge AND plannings') OR TITLE-ABS-KEY ('planning, AND discharge') OR TITLE-ABS-KEY ('plannings, AND discharge' ) )	258
Web Of Science	(((((((TS=(Aged)) AND TS= ("Accidental Falls ")) AND TS= ("Patient Discharge ")) OR TS=("Discharge, Patient ")) OR TS=("Discharges, Patient ")) OR TS=("Patient Discharges")) OR TS=("Discharge Planning ")) OR TS=("Discharge Plannings ")	3.381

Article Identifier	Database	Journal	Journal Impact Factor
A01¹⁵15 Jacobi CS, Beuter M, Venturini L, Benetti ERR, Bruinsma JL, Santos NO. Demandas de idosos hospitalizados pós-correção de fratura de fêmur proximal por queda. Rev. Enferm. UERJ 2019;27e34460.Disponível em: https://doi.org/10.12957/reuerj.2019.34460 https://doi.org/10.12957/reuerj.2019.344...	VHL Regional Portal	Rev. Enfer UERJ	Not found
A02¹⁶16 Naseri C, McPhail SM, Morris ME, Haines TP, Etherton-Beer C, Shorr R et al. Tailored Education Increased Capability and Motivation for Fall Prevention in Older People After Hospitalization. Front Public Health. 2021;3(9):e683723. Disponível em:https://doi.org/10.3389/fpubh.2021.683723 https://doi.org/10.3389/fpubh.2021.68372...	PubMed	Front. Public Health	6.461
A03⁵5 Naseri C, McPhail SM, Haines TP, Morris ME, Etherton-Berr C, Shorr R et al. Evaluation of Tailored Falls Education on Older Adults’ Behavior Following Hospitalization. J. Am. Geriatr. Soc . 2019;67(11):2274–2281.Disponível em: https://doi.org/10.1111/jgs.16053 https://doi.org/10.1111/jgs.16053...	EBSCO	Health Soc. Care Community	2.395
A04¹⁷17 Naseri C, McPhail SM, Morris ME, Haines TP, Etherton-Beer C, Shorr R et al. Perspectives of older adults regarding barriers and enablers to engaging in fall prevention activities after hospital discharge. Health Soc Care Community. 2020; 28(5):1710-1722. Disponível: https://doi.org/10.1111/hsc.12996 https://doi.org/10.1111/hsc.12996...	PubMed	J. Gerontol. Ser. A-Biol. Sci. Med. Sci.	6.591
A05¹⁸18 Hill A-M, McPhail SM, Morris ME, Haines TP, Etherton-Beer C, Shorr R et al. Falls After Hospital Discharge: A Randomized Clinical Trial of Individualized Multimodal Falls Prevention Education. J Gerontol A Biol Sci Med Sci. 2019; 74(9):1511–1517.Disponível em: https://doi.org/10.1093/gerona/glz026 https://doi.org/10.1093/gerona/glz026...	PubMed	J. Am. Geriatr. Soc.	7.538
A06¹⁹19 Sanclemente-Boli T, Ponce-Ruiz S, Álvarez-Lorenzo C, Pérez-Zuriguel E, Melenchon-Tepia R, Sintas-Ramentol M et al. Efectividad de una intervención educativa multidisciplinar en pacientes con fractura de fémur: estudio SWEET HOME. Med. Clin. (Barcelona). 2019;153e12:446–453.Disponível em: https://doi.org/10.1016/j.medcli.2019.02.026 https://doi.org/10.1016/j.medcli.2019.02...	Scopus	Med. Clin.	3.200
A07²⁰20 Barker A, Cameron P, Flicker L, Arendts G, Brand C, Etherton-Beer C et al. Evaluation of RESPOND, a patient-centred program to prevent falls in older people presenting to the emergency department with a fall: A randomised controlled trial. PLoS Med. 2019;16(5):e1002807. Disponível em: https://doi.org/10.1371/journal.pmed.1002807 https://doi.org/10.1371/journal.pmed.100...	Scopus	PLos Med.	11.613
A08²¹21 Lockwood KJ, Harding KE, Boyd JN, Taylor NF. Predischarge home visits after hip fracture: a randomized controlled trial. Clin. Rehabil. 2019;33(4):681–692. Disponível em:https://doi.org/10.1177/0269215518823256 https://doi.org/10.1177/0269215518823256...	Web of Science	Clin. Rehabil.	2.884

Article Identifier / Study Type / Location	Título / Autor / ano / objetivo	Healthcare professionals' actions for fall prevention in elderly individuals	Influence of actions on home adaptation and continuity of care
A01¹⁵15 Jacobi CS, Beuter M, Venturini L, Benetti ERR, Bruinsma JL, Santos NO. Demandas de idosos hospitalizados pós-correção de fratura de fêmur proximal por queda. Rev. Enferm. UERJ 2019;27e34460.Disponível em: https://doi.org/10.12957/reuerj.2019.34460 https://doi.org/10.12957/reuerj.2019.344... , Convergent Assistential Research / Brazil	Demands of hospitalized elderly individuals after proximal femur fracture correction due to falls/Jacobi et al., 2019. Identify the demands of hospitalized elderly individuals after proximal femur fracture correction due to falls and their caregivers and propose health education actions.	a) Demonstration to the elderly and caregivers on bed mobilization with the help of the caregiver. b) Repositioning of the decubitus and pressure point relief. c) Prevention of prosthesis dislocation. d) Use of devices to assist with walking. e) Use of higher chairs and armchairs when sitting. f) Guidance on adapting the bed and toilets when necessary. Professional involved in the action: Nurse	a) Better adaptation and continuity of care. b) Feelings of gratitude and motivation for continued care. c) Greater safety to resume and perform care at home.
A02¹⁶16 Naseri C, McPhail SM, Morris ME, Haines TP, Etherton-Beer C, Shorr R et al. Tailored Education Increased Capability and Motivation for Fall Prevention in Older People After Hospitalization. Front Public Health. 2021;3(9):e683723. Disponível em:https://doi.org/10.3389/fpubh.2021.683723 https://doi.org/10.3389/fpubh.2021.68372... , Quantitative investigation based on randomized controlled trial data / Australia	Tailored Education Increased Capability and Motivation for Fall Prevention in Older People After Hospitalization/ Nesari et al., 2021. Measure the impact of personalized education on the level of capacity and motivation of the elderly to engage in fall prevention for 6 months after hospitalization.	a) Safe exercise execution. b) Home risk assessment to allow gradual return to independence. c) Follow-up method used. d) Monthly phone calls for three months. Professional involved in the action: Physiotherapist	a) Motivation to create fall prevention strategies after hospital discharge.
A03⁵5 Naseri C, McPhail SM, Haines TP, Morris ME, Etherton-Berr C, Shorr R et al. Evaluation of Tailored Falls Education on Older Adults’ Behavior Following Hospitalization. J. Am. Geriatr. Soc . 2019;67(11):2274–2281.Disponível em: https://doi.org/10.1111/jgs.16053 https://doi.org/10.1111/jgs.16053... , Exploratory study based on interpretative phenomenological analysis / Australia	Perspectives of older adults regarding barriers and enablers to engaging in fall prevention activities after hospital Discharge/ Nesari et al., 2020. Explore the perspectives of older adults regarding barriers and facilitators for engaging in fall prevention activities within 6 months after hospital discharge.	a) Personalized education on falls and how to prevent them after discharge with pamphlets and videos. b) Follow-up method used. c) Monthly phone calls for three months. Professionals involved in the action: Physiotherapist and Occupational Therapist	a) Increased knowledge and awareness to implement fall prevention plans after discharge. b) Ease and motivation to continue engaging in home-based prevention plans. c) Participants who received physical and social support from healthcare professionals, family members, or formal caregivers after hospital discharge expressed optimism in managing their fall risks.
A04¹⁷17 Naseri C, McPhail SM, Morris ME, Haines TP, Etherton-Beer C, Shorr R et al. Perspectives of older adults regarding barriers and enablers to engaging in fall prevention activities after hospital discharge. Health Soc Care Community. 2020; 28(5):1710-1722. Disponível: https://doi.org/10.1111/hsc.12996 https://doi.org/10.1111/hsc.12996... , Single-blind randomized controlled trial / Australia	Falls After Hospital Discharge: A Randomized Clinical Trial of Individualized Multimodal Falls Prevention Education/ HILL et al., 2019b Evaluate the effect of providing a personalized multimedia falls prevention education program, in addition to usual care, on fall rates in the 6 months after hospital discharge.	a) Personalized education for falls prevention at home after hospital discharge. b) Individual discussions with the elderly to adapt information according to their social and medical characteristics. c) Development of a documented and guided action plan for discharge. d) Monthly phone calls for three months after discharge to reinforce education and modify the plan as needed. e) Follow-up method used. f) Monthly phone calls for three months. Professional involved in the action: Occupational Therapist	a) Reduction in falls in the six months after hospital discharge.
A05¹⁸18 Hill A-M, McPhail SM, Morris ME, Haines TP, Etherton-Beer C, Shorr R et al. Falls After Hospital Discharge: A Randomized Clinical Trial of Individualized Multimodal Falls Prevention Education. J Gerontol A Biol Sci Med Sci. 2019; 74(9):1511–1517.Disponível em: https://doi.org/10.1093/gerona/glz026 https://doi.org/10.1093/gerona/glz026... , Quantitative investigation based on randomized controlled trial data / Australia	Evaluation of Tailored Falls Education on Older Adults' Behavior Following Hospitalization/ Naseri et al., 2019. Assess the effect of a personalized educational program provided in the hospital on the engagement of the elderly in fall prevention strategies within 6 months after hospital discharge.	a) Health education using booklets, videos, and individual discussions. b) After hospital discharge, elderly participants received monthly phone calls for three months to reinforce information and training acquired during hospitalization, provide feedback, and modify the action plan as needed. c) Follow-up method used. d) Monthly phone calls for three months. Professional involved in the action : Physiotherapist	a) The intervention did not significantly increase elderly engagement in fall prevention strategies within 6 months after hospital discharge.
A06¹⁹19 Sanclemente-Boli T, Ponce-Ruiz S, Álvarez-Lorenzo C, Pérez-Zuriguel E, Melenchon-Tepia R, Sintas-Ramentol M et al. Efectividad de una intervención educativa multidisciplinar en pacientes con fractura de fémur: estudio SWEET HOME. Med. Clin. (Barcelona). 2019;153e12:446–453.Disponível em: https://doi.org/10.1016/j.medcli.2019.02.026 https://doi.org/10.1016/j.medcli.2019.02... , Experimental study / Spain	Efectividad de una intervención educativa multidisciplinar en pacientes con fractura de fémur: estudio SWEET HOME/ Boli-Sanclemente et al., 2019 Evaluate the effectiveness of a multidisciplinary educational intervention in patients with hip fractures to facilitate their return home and reduce hospital complications.	a) Elderly patient education during hospitalization and support after returning home (multimodal support). b) Multimodal support. c) Assessment of the home and its environment from the perspective of functional capacity. d) After discharge, reinforce the training received during hospitalization. e) Support in the transition process until returning to primary care. f) Follow-up method used. g) Five home visits at intervals: 24 hours, seven days, 14 days, 30 days, and one year after hospital discharge. Professional involved in the action: Nurse	a) Empowerment and autonomy of elderly patients with hip fractures along with their caregivers. b) Acquisition of the knowledge and skills needed to face the transition home. c) Improvement in the mobility and cognitive performance of the elderly one year after hospital discharge. d) 35% reduction in the caregiver burden of elderly individuals hospitalized for falls.
A07²⁰20 Barker A, Cameron P, Flicker L, Arendts G, Brand C, Etherton-Beer C et al. Evaluation of RESPOND, a patient-centred program to prevent falls in older people presenting to the emergency department with a fall: A randomised controlled trial. PLoS Med. 2019;16(5):e1002807. Disponível em: https://doi.org/10.1371/journal.pmed.1002807 https://doi.org/10.1371/journal.pmed.100... , Single-blind Randomized Controlled Trial / Australia	Evaluation of RESPOND, a patient-centred program to prevent falls in older people presenting to the emergency department with a fall: A randomised controlled trial/ Barker et al., 2019. Investigate the effectiveness of RESPOND in reducing falls and fall-related injuries in the elderly after presenting to the emergency department with a fall.	a) In-person intervention using educational pamphlets for falls prevention at home after hospital discharge. b) Phone calls for six months after recruitment to reinforce these guidelines. c) Follow-up method used. d) One home visit and six phone calls. Professional involved in the action : Physician	a) Reduction in falls in the elderly after returning home.
A08²¹21 Lockwood KJ, Harding KE, Boyd JN, Taylor NF. Predischarge home visits after hip fracture: a randomized controlled trial. Clin. Rehabil. 2019;33(4):681–692. Disponível em:https://doi.org/10.1177/0269215518823256 https://doi.org/10.1177/0269215518823256... , Single-blind Randomized Controlled Trial/Australia	Predischarge home visits after hip fracture: a randomized controlled trial/ Lockwood et al., 2019 Investigate whether pre-discharge home assessment visits for patients recovering from hip fractures reduce falls and prevent hospital readmissions in the first 30 days and six months after home discharge.	a) Use of the Home Falls and Accidents Screening Tool to collect information about the home environment. b) Assessment of mobility, self-care, and home safety. c) Involvement of family members in the assessment and discharge planning process. d) Education, counseling, and recommendations regarding equipment, home adaptations, and community support services. e) Identifying the ability to manage home activities. f) Follow-up method used. g) Home visit at 30 days and six months after hospital discharge. Professionals involved in the action: Physiotherapists and Occupational Therapists	a) Participants who received a home visit before discharge showed higher levels of functional independence at six months. b) Pre-discharge home visits were associated with a reduction in the number of falls in the 30 days after home discharge.

[1] Correspondence Jeferson Moreira dos Santos jefersonmoreira@ufba.br

Brasil

Brasil

Influence of healthcare professionals' actions on the adaptation of elderly individuals at home following hospitalization due to falls: integrative review

Abstract

Objective

Method

Results

Conclusion

Brasil

Brasil

Influence of healthcare professionals' actions on the adaptation of elderly individuals at home following hospitalization due to falls: integrative review

Abstract

﻿Objective

Method

Results

Conclusion

Objective