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Evaluation of the effectiveness of an intervention in a health team to prevent falls in hospitalized elderly people

Evaluación de eficacia de una intervención en el equipo para prevenir caídas del anciano hospitalizado

ABSTRACT

Objective:

To evaluate the effectiveness of an intervention program in practices and behaviors of a health team to prevent falls in hos pitalized elderly people.

Method:

This was an action, mixed-methods, and longitudinal study that applied an intervention based on TeamSTEPPS®, and organized into five domains: team training, communication, leadership, monitoring, and mutual support. The population was nurses and nursing aides who worked at the medical service of a Portuguese hospital center. Data were obtained by consulting process records and interviews, and by applying the Scale of Practices and Behaviors of Teams for Fall Prevention.

Results:

There was improvement in all indicators of the scale, with evident progress in discussion of risk factors and preventive measures to be implemented.

Conclusion:

This intervention promoted decision-making regarding the preventive measures to be applied to each elderly person and improved communication and the interest in identifying the causes of falls to prevent their recurrence.

DESCRIPTORS
Aged; Hospitalization; Accidental Falls; Patient Care Team; Geriatric Nursing

Universidade de São Paulo, Escola de Enfermagem Av. Dr. Enéas de Carvalho Aguiar, 419 , 05403-000 São Paulo - SP/ Brasil, Tel./Fax: (55 11) 3061-7553, - São Paulo - SP - Brazil
E-mail: reeusp@usp.br