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Faculty of Medical Sciences

Specific requirements for a fall prevention device from the perspective of the caregivers in their care setting

Brands, K. (Kim) (2012) Specific requirements for a fall prevention device from the perspective of the caregivers in their care setting. thesis, Human Movement Sciences.

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Abstract

Background Given the high fall risk and severe consequences of falls in nursing homes, fall prevention is very important. This paper presents two studies part of larger project "Falling and Wandering", aimed at developing a fall prevention device based on a sensor system and individual fall risk profiles of the clients at a closed, psycho-geriatric unit of a nursing home. Objectives The first study investigated how the descriptive information of the electronic care files could be transposed to quantitative information, such that the future fall prevention device can use this information as input for the individual fall risk profiles of the clients. The second study investigated the specific requirements for a new fall prevention device from the perspective of the caregivers in their care setting. A secondary aim was to investigate the effects of the involvement of the employees in product development on attitudes about fall prevention and technical implementations for fall prevention. Methods The study was conducted at the four closed, psycho-geriatric units of a nursing home. The core unit of the study was unit Den. Five employees of unit Den were part of a focus group. The transposing of the descriptive information of the electronic care files to quantitative information was discussed in the focus group. To investigate the requirements of the employees for a new fall prevention device and the effects of involvement ofthe employees in product development, a specific questionnaire was developed and administered to all employees of the four units and the trainees of unit Den. In addition, depth-interviews were conducted with five employees of unit Den to investigate their specific requirements for the interface of the new fall prevention device. Results 45 of the 130 questionnaires were returned, a response of34.6 percent. All participants of the questionnaire have a positively attitude toward falling and fall prevention, i.e. they see falling as something that can be prevented and they fmd it important to spend more attention to fall prevention. Besides, all employees fmd it necessary to use sensor systems for fall prevention in their care setting. Results of the questionnaire show also that all employees considered a higher quality of care and more safety for the clients as the most important requirements to use a new fall prevention device. According to the participants of the depth-interviews, the interface of the future fall prevention device has to be practical and easy to use. The results of the depth-interviews show also that the feedback of the future fall prevention device should be displayed on a ground plan of the unit on the interface and that the employees have to hear the alarm clearly. The participants of the depth-interviews want also a walkie-talkie function on the interface, such the employees can communicate. Conclusion Present study shows that much information in the electronic care files consists of descriptive information, making completing reports etc. time-consuming. The descriptive information in the electronic care files should be transposed to quantitative information before it can used for individual fall risk profiles of the clients. A start in this transposition was made in present study, except for the reporting. Future research has to investigate how the information of the reporting could be transposed to quantitative information. A higher quality of care and more safety for the clients are considered by the employees as the most important requirements for a new fall prevention device. Besides, the interface of the future fall prevention device has to be practical and the feedback of the fall prevention device has to be clear and easy. Education in the use of the new fall prevention device is also necessary. Present study shows no effects of the involvement of the employees in product development on attitudes about fall prevention and the use of sensor systems for fall prevention

Item Type: Thesis (Thesis)
Supervisor name: Supervisors: and Lamoth, Claudine J.C. and Kosse, Nienke M.
Faculty: Medical Sciences
Date Deposited: 25 Jun 2020 10:39
Last Modified: 25 Jun 2020 10:39
URI: https://umcg.studenttheses.ub.rug.nl/id/eprint/97

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