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Education on Fall Prevention to Improve Self-Efficacy of Nursing Staff in Long Term Care: a Pilot Study

Internet Journal of Allied Health Sciences and Practice, Vol: 16, Issue: 3
2018
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Article Description

Purpose: Fall prevention is an ongoing concern in long-term care. Self-efficacy of nursing staff affects their performance levels related to fall prevention. Research concerning falls in the elderly is plentiful but there are no published studies addressing self-efficacy of nursing staff for implementation of fall prevention strategies in long-term care. The authors hypothesize that fall prevention education by an occupational therapist would be effective to improve the self-efficacy of nursing staff for implementation of fall prevention strategies and self-efficacy to prevent resident falls.Method: A pre-test post-test pilot study implementing a five-week, multifaceted, fall prevention education course was conducted by an occupational therapist. The SEPF-A and SEPF-N were administered to the nursing staff respective of their professional licensure to assess falls self-efficacy before and after the course.Results: Eight participants (6 certified nursing assistants & 2 nurses) completed the course. A statistically significant improvement (p = .043, a = .05) in falls self-efficacy was noted for the nursing assistants. Following training, there was a 40% increase in the SEPF-A and a 67% increase in the SEPF-N indicating an improvement in self-efficacy related to falls.Conclusion: Fall prevention training by a licensed expert may be an effective approach to increase self-efficacy of nursing staff for implementation of fall prevention strategies and for prevention of resident falls in long-term care.

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